Senior Nurse Anesthetist - Anesthesia

Certified Registered Nurse Anesthetist (CRNA)

To administer anesthesia to patients undergoing surgical and obstetrical procedures in an operating room, or to patients undergoing diagnostic or therapeutic procedures outside the operating room (OR), under the medical direction billing collaboration of a faculty member of the Department of Anesthesia & Perioperative Care at UCSF Medical Center.

 

Union Information: This classification is represented by the California Nurses Association (CNA

REQUIRED

• Active, unrestricted Nurse Anesthetist licensure in California

• Active, unrestricted Registered Nurse licensure in California

• Current National Certification by the National Board of Certification and Recertification of Nurse Anesthetists

• Current American Heart Association BLS certification for healthcare providers

• Current American Heart Association ACLS certification

• Current American Heart Association PALS certification

• Graduation from an accredited school of nursing and possession of the legal requirements to practice as a 

• Registered Nurse as determined by the California Board of Registered Nursing

• Graduation from a school of anesthesia accredited by the Council of Accreditation of Schools of Anesthesia

• At a minimum a master's degree from an accredited Nurse Anesthetist program

• Knowledge and abilities essential to the successful performance of the duties assigned to the position

 

UCSF Medical Center requires all Advanced Practice Providers (APPs) to be credentialed through its Office of Medical Affairs and Governance (OMAG) to practice and function in their clinical role. This applies to both adult and pediatric APPs in the inpatient and outpatient clinical settings. Credentialing takes between 60-90 days and must be completed prior to the first working day. You will be assigned a FPPE template of procedures for CRNAs but may add additional privileges on request with an explanation of the purpose.

DUTIES & ESSENTIAL JOB FUNCTIONS  (Percentage of Time 60-100%)

1.   Determines the condition of patients prior to a procedure by reviewing medical records, assessing patient’s
status, conducting a thorough preoperative evaluation, and physical exam of the patient.
2.    Plans for and administers anesthetics, including inhalation, intravenous, and regional techniques.
3.    Observes, monitors, and records vital signs and other parameters.
4.    Inserts invasive monitoring lines for an anesthetic, and for interpretation of physiologic data.
5.    Maintains patients in a surgical anesthetic state.
6.    Determines the need for, and administers fluids, blood products, and adjunct drugs.
7.    Keeps the surgeon and attending anesthesiologist informed of the patient’s condition.
8.    Takes necessary remedial action to correct unacceptable changes in vital signs.
9.    Documents anesthetic in accordance with legal requirements; records type of anesthetic used.
10.    Performs post-operative follow-up in the recovery room
11.  Communicates with the attending anesthesia faculty member, as needed, before, during, and after surgery.
12.  When not assigned to a case, is available for work as needed, determined by the Daily E1 anesthesia faculty physician.
13.  Work with the physician/surgeons/Advanced Practice Provider (APP) colleagues and other clinical and administrative staff to ensure efficient patient management based on accepted practice, including but not limited to, performing histories and physicals, pre-operative planning/coordinating with outside providers and PCPs as applicable, responding to change in patient status, treatments as permitted under scope of practice. Provide patient and family education and engage in any approved privileges after the APP has demonstrated competency through proctoring or Focus Professional Practice Evaluation (FPPE) process. All UCSF APPs are credentialed and privileged by the Office of Medical Affairs and Governance (OMAG) after approval by Committee on Interdisciplinary Practice (CIDP) Executive Medical Board (EMB), Governance Advisory Council (GAC). 
14. Answer clinically relevant patient medical advice calls or during bedside communications or in coordination with health care professionals, patients and their families as necessary.
15.    Be able to interpret and act upon ordered test, procedures, and radiographic studies.
16.    Assist in formulating and implementing protocols to improve efficiency in the clinical specialty.
17.    Effectively communicate with family or patients in person, telephone and/or other electronic modalities in a timely manner. Ensure in their absence, appropriate coverage has been arranged for patient management and communication as appropriate.
18. At all times adhere to all policies and procedures of USCF Health in terms of HIPPA/Communication/Privacy/Code of Conduct, and any other UCSF or Medical Center Policies, which includes meeting the encounter closure requirements of the Medical Staff Bylaws.
19.   Some duties, essential or intrinsic to the job, but are performed routinely or periodically may be unique to the specific clinical services provided.
20.  Provides anesthesia care to patients at all the UCSF locations where anesthesia services are currently used, and where anesthesia services will be required in the future.
21. All shifts are variable to meet operational needs and patient care and are subject to change with the required union notice.
22.  This position requires flexibility to orient and work at all UCSF Medical Center campuses