Certified Registered Nurse Anesthetist (CRNA)

Summary

• CHENEGA PRO SERVICES
• LLC

• Fort Hood
• TX

THIS IS AN INDEPENDENT CONTRACTOR 1099 POSITION

The Certified Registered Nurse Anesthetist shall provide services under this contract shall perform the same clinical duties as those required of any military or government civil service nurse of similar experience and in similar duty assignments. The majority of CRNA duties will be performed in obstetrical anesthesia, to include, but not limited to epidural for elective, non-elective, and emergency obstetrical

• Manage patient anesthesia experience, perform preoperative evaluations and preparations, administer monitored anesthesia care, regional and general anesthesia, monitor and manage patient reactions to anesthesia and surgery, manage fluid therapy, perform and manage invasive monitoring, and perform post-operative evaluations as privileged by the MTF Credentials Committee.
• Perform a pre-anesthetic assessment and evaluation of the patient. This includes obtaining an informed consent from the patient, requesting consultations and/or diagnostic studies and ordering pre-anesthetic medications.
• Develop and implement an anesthetic plan of care.
• Perform an assessment immediately prior to induction of anesthesia of the patient. This shall include a review of the medical record regarding completeness, pertinent laboratory data, time of administration and dosage of pre-anesthesia medication, together with an appraisal of any changes in the patient's condition from that noted on previous visits. This note shall include any previous anesthetic experiences and complications thereof noted in the medical record.
• Monitor anesthesia care, management of patient anesthesia experience, and performing preoperative evaluations and preparations; administering Spinal, Epidural, Bier Block, Axillary Block, and other regional anesthesia, and general anesthetics monitoring patient reactions to anesthesia and surgery, managing fluid therapy, and performing post-operative evaluations. Advise Anesthesiologist or attending physician of adverse reactions necessitating non-delegated medical decisions; takes appropriate actions as directed or required.
• Maintain the patient's physiologic homeostasis and corrects abnormal responses to the anesthesia and/or surgery.
• Collect and interpret patient physiological data by selecting, applying, or inserting noninvasive monitoring modalities.
• Manage the patient's airway and pulmonary status.
• Manage the patient's emergence and recovery from anesthesia by maintaining homeostasis, providing relief from pain and anesthesia side effects, and preventing and managing complications through selecting, obtaining, ordering and administrating medications, fluids or ventilator support.
• Record all pertinent events taking place during the introduction of, maintenance of and emergence from anesthesia, including the dosage and duration of all anesthetic agents, other drugs, intravenous fluids and blood or blood components on all patients that have received anesthesia care.
• Record post-anesthetic visits, including at least one note describing the presence or absence of anesthesia related complications of the procedure.
• Serve as a resource person and assist with the training of other staff personnel, act as clinical adjunctive faculty for student nurse anesthetists in their clinical phase, to include phase II anesthesia students, in venipuncture and intravenous therapy, respiratory care, and anesthesia.
• Technically proficient in directing and teaching other medical staff, providing educational lectures, and participating in the provision of in-service training to clinic staff members. Such direction and interaction will adhere to Government and professional clinical standards and accepted clinical protocols.
• Attend professional staff conferences/meetings and other appropriate professional activities as requested by the Chief, Anesthesia Services. Meetings will be held during scheduled work hours. HCWs will be required to attend periodic progress meetings at no additional cost to the Government. The terms at which the periodic meeting will be conducted include:
• HCWs are not authorized to attend meetings with topics discussing government business, policy/regulation making, contract matters, new or existing requirements, new programs, or any other means considered inherently government business or duties. When in attendance, HCWs must be identified as HCWs and must be excused if such meeting topics change to inherently government business or duties.
• Advising anesthesiologist or attending physician of adverse reactions necessitating non-delegated medical decisions; takes appropriate actions as directed or required.
• Maintain all required records
• Use the MHS Genesis system for keeping records, ordering ancillary procedures, ordering of medications, entering orders, and performing other required patient record functions.
• Adhere to the Centers for Disease Control guidelines concerning universal precautions and the MTF infection control program at all times while providing services under this contract.
• Ensure cleanliness and maintenance of anesthesia equipment.
• Indicate responsibility for the contents and correctness of all prepared reports/forms by affixing his/her own signature to the documents and validating their contents
• Meetings will be held during scheduled work hours.
• Serve as a resource person and assist with the training of other staff personnel, act as clinical adjunctive faculty for student nurse anesthetists in their clinical phase, to include phase II anesthesia students, in vein puncture and intravenous therapy, respiratory care, and anesthesia.
• Comply with all safety requirements of the MTF and OSHA.
• Prepare service reports and collect data.
• Participate in government Quality Assessment and Improvement Activities
• Participate in special studies on quality of care within the Anesthesia Service.

• Other duties as assigned
• Graduate of the National League of Nursing accredited school of nursing.
• Graduate of an approved anesthesia program accredited by the Council on Accreditation of Nurse Anesthetists.
• Possess and maintain certification by the Council on Certification of Nurse Anesthetist.
• Possess Basic Cardiac Life Support (BCLS) certification through a hands-on the American Heart Association approved training program.
• Possess and maintain a valid, unencumbered state license, with no limitations, stipulations, or pending adverse action, in any state in the United States, District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S. Virgin Islands.
• Minimum three (3) months experience in the past twelve (12) months providing epidural anesthesia (labor epidurals).

• Experience in the delivery of and monitoring of all types of anesthesia utilized in the delivery of obstetrical and surgical anesthesia (general endotracheal, subarachnoid block and epidural, and IV regional techniques).

• While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee may use repeated motions that include the arms, wrists, hands and/or fingers. The employee is occasionally required to walk, stand, climb, balance, stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision.

Any estimated salary provided by this job board may not align with Chenega's compensation program. Please apply to connect with a recruiter who can provide more details.