Job Information
Johns Hopkins University CRNA in Columbia, Maryland
We are seeking a CRNA who reports jointly to the Clinical Lead CRNA and the Division Chief of Nurse Anesthesia (Chief CRNA). Primary clinical responsibilities are (a) the administration of intravenous, inhalation, and other anesthetics to patients in an operating room and (b) observing the physiological condition of patients while under anesthesia. In conjunction with these primary responsibilities (a) evaluates each assigned patient's physical state and plan the course of anesthesia, (b) obtain, assembles, operate, and/ or monitor anesthesia equipment, and (c) ensure that all necessary supplies, drugs, and anesthetic agents are available.
Specific duties & responsibilities
Independently researches new/unknown procedures, diseases, medications, and equipment.
Functions within safe parameters for quality/good patient care. Seeks assistance from attending anesthesiologist when appropriate. Uses critical thinking skills and adapts to changes as necessary.
Applies knowledge of pre-op, intra-op, and post-op effectively under normal conditions and emergency conditions.
Demonstrates technical competence. Employs dexterity when performing anesthetic procedures.
Understands all anesthetic equipment used in the JHH OR, uses items to full advantage, and handles equipment carefully. Sets up all necessary equipment for a successful anesthetic course.
Pre-Anesthesia Assessment & Case Preparation
Performs and documents timely pre-anesthesia assessments.
Review of medical history (including anesthesia, drug, and allergy history).
Focused physical examination (heart, lungs, airway, ASA classification).
Plan for anesthesia care.
Obtains anesthesia informed consent.
Collaborates and consults with the attending anesthesiologist before the start of the case on the plan for anesthesia care (general, regional, combined, local, and sedation techniques) when applicable.
Anticipates key procedures and assures an anesthesia environment (e.g., supplies & equipment including anesthesia machine check, fluid warmers, blood, and any 'special') necessary to carry out the anesthetic plan.
Orders and administers pre-anesthetic medications and fluids.
Intra-012 Assessment
Selects, applies, and inserts non-invasive and invasive monitoring devices.
Selects and administers anesthesia, sedation, adjuncts, and accessory drugs and fluids.
Manages patient airway and pulmonary status.
Demonstrates understanding of relevant clinical issues, recognizes priorities in clinical situations; is aware of own limits; appropriate use of tests and procedures.
Maintains effective communication with the team (i.e., intraoperative personnel & Attending Anesthesiologist) including briefing and debriefing discussions.
Facilitates emergence and recovery from anesthesia and transport to the recovery area, providing a thorough report to receiving unit in a timely manner.
Post-Anesthesia Evaluation & Management
Implements acute and chronic pain management.
Performs and documents timely post-anesthesia evaluation and discharges the patient from the recovery area when appropriate.
Provides a complete report of the patient's anesthetic course and any pertinent information necessary to accurately transfer care of the patient.
Facilitates room turnover in a timely fashion (room, medicine and equipment prep, pre-op assessment).
Provides medical services according to the JHM Service Standards to include: Patient Relations, Self-Management, Teamwork, Communications, Ownership/Accountability, and Continuous.
Minimum Qualifications
Completion of a nurse anesthesia program approved by MD Board of nursing. If the program was completed after 1/1/08, a Master's Degree is required.
Current MD State RN and CRNA license required.
Current CPR certification, ACLS required.
Credentialing prior to the start date required.
Classified Title: CRNA
Job Posting Title (Working Title): CRNA
Role/Level/Range: ACRP/04/MI
Starting Salary Range: $195,000 - 213,926 - 232,279 (Commensurate with experience)
Employee group: Full Time
Schedule: Variable
Exempt Status: Exempt
Location: JH at Howard County Hospital
Department name: 60006228-SOM Anethesiology HCGH CRNA
Personnel area: School of Medicine
Equal Opportunity Employer:
Johns Hopkins University is an equal opportunity employer and does not discriminate on the basis of race, color, gender, religion, age, sexual orientation, national or ethnic origin, disability, marital status, veteran status, or any other occupationally irrelevant criteria. The university promotes affirmative action for minorities, women, disabled persons, and veterans.