Under general supervision and in collaboration with a physician, the CRNA will fulfill responsibilities according to educational preparation, clinical expertise and established standards, protocols and practices of advanced practice nurses. Responsibilities include the administration of anesthetics and adjunctive medications to render patients insensible to pain; monitoring patient's condition while under anesthesia; initiation of corrective actions using professional judgment; and functioning as a team member to perform preoperative reassessment, preoperative assessment, anesthetic management and post-anesthesia care of the patient. Responsibilities also include leadership and educational functions. PRINCIPAL DUTIES AND RESPONSIBILITIES: 1. Establishes preoperative rapport with patients and patients' families; provides clear/concise explanations to patients' questions and/or concerns, using tact and sensitivity in all interactions. Informs patient of the anesthetic options and associated risk and benefits. 2. Develops, in collaboration with a physician, a comprehensive and individualized anesthetic care plan based on complete review of patient history, planned procedure and the physical status of the patient. Requests or orders additional tests as indicated. Reassesses patient condition and proposed anesthetic plan immediately prior to surgery. 3. Assesses and documents the integrity of all equipment and necessary supplies prior to the initiation of anesthesia. 4. Determines the need for invasive and non-invasive techniques/procedures and monitoring equipment. Selects, applies and/or inserts the necessary equipment, catheters and/or monitors to deliver continuous and safe patient care. 5. Implements the anesthetic plan and technique as developed which includes the administration of intravenous, inhalation, Monitored Anesthesia Care (MAC), local and/or regional anesthetic agents and/or adjunctive medications to produce and maintain general anesthesia, regional anesthesia, sedation, analgesia and/or hypnosis. 6. Uses quantitative/qualitative methods to calculate fluid/blood loss during surgery. Administers intravenous fluids, blood and/or blood products based on above criteria and including sound judgment and in accordance with specific patient rights and preference. 7. Provides continuous monitoring according to established guidelines and documentation of significant events occurring during induction of, maintenance of and emergence from anesthesia; evaluates and interprets patient's responses and various test results via the use of a variety of monitoring modalities such as precordial or esophageal stethoscope, temperature monitor, gas analyzer, pulse oximetry, capnography, electrocardiography, blood pressure, spirometry, blood gases, central venous pressure and pulmonary artery pressure. Adjusts the anesthetic care plan according to direct patient observation and/or information from various monitoring methods. 8. Transports patients to the recovery area, conducts assessment and provides summary report of the patient's condition to the recovery room personnel for continuum of care; assesses and treats adverse reactions to anesthesia in postoperative area. 9. Uses established criteria to evaluate and discharge patients from recovery room according to established departmental guidelines. Provides a summary of post anesthetic condition following surgery including reference to anesthesia-related complications 10. Provides professional support and resuscitative care, including tracheal intubation on an emergency/urgent basis throughout the hospital and adjacent facilities 11. Demonstrates skill in the use of a variety of anesthetic equipment including trouble-shooting and basic maintenance. Follows appropriate procedure to identify, label and report defective equipment. 12. Develops and demonstrates ongoing professional growth and development; serves as an expert and/or consultant for other personnel in the system. 13. Actively participates with physicians as a team member to manage patients with acute and/or chronic pain. 14. Demonstrates active involvement in required educational experiences and assignments (e.g., supervising, mentoring and evaluating students and other health care personnel. 15. Maintains a working knowledge of the DMC and department policies, procedures, goals and objectives. Actively participates in departmental quality assurance, committees and continuous improvement programs. 16. Conducts research independently and/or in collaboration with students or other disciplines. Uses research data and continuous quality improvement processes to make recommendations for changes in clinical practice that will result in improvement of patient outcomes and system changes 17. Integrates clinical and management skills with fiscal responsibility. 18. Provides leadership for committees/task forces to address departmental, regional and system concerns. 19. Functions in a collaborative manner to precept and mentor individuals involved in patient care. 20. Demonstrates active involvement in community activities and those activities that are congruent with the mission of the organization. 21. In addition to the general responsibilities, CRNA's may seek application for affiliation to the academic program with responsibilities for didactic education for students/residents associated with certified anesthesia programs.
1. Graduate from an accredited school of nursing. 2. Graduate from an accredited school of anesthesia. 3. National CRNA certification and/or re-certification. 4. Michigan license to practice as a registered nurse. 5. Michigan Specialty Certification in Anesthesia. 6. Current member of American Association of Nurse Anesthetists. 7. Completion of COA accredited CHM Pediatric Nurse Anesthesia Fellowship.
Job: Surgical Services
Primary Location: Detroit, Michigan
Facility: Detroit Medical Center Shared Services
Job Type: Full-time
Shift Type: Rotate
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 2005008695
About Detroit Medical Center Shared Services
“Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.