Certified Registered Nurse Anesthetist (CRNA)

CentralCare is seeking a highly skilled and experienced Certified Registered Nurse Anesthetist (CRNA) to provide Full Time or Part Time (PRN) services at Carl R. Darnall Army Medical Center in Fort Cavazos, Texas. This is a great opportunity for Certified Registered Nurse Anesthetist (CRNA) to support our military and their families as civilian contractors (no military service required).

A Texas medical license is required for this position. If you do not currently hold a Texas license, we are happy to assist with the licensing process.

Certified Registered Nurse Anesthetist (CRNA) Details:

Pay: Hourly (1099)

Availability: Full Time | Part Time / PRN Considered for local candidates

Shift: Self-Schedule

Pager Call: YES

In-House Call: No

Contract Length: 1 year Preferred (opportunity to extend)

Estimated Credentialing Timeframe: 45-60 days

Certified Registered Nurse Anesthetist (CRNA) Experience:

The contract CRNA shall…

Have two years’ experience in the last three years, prior to contract execution, as a CRNA (outside of training).

Be able to close encounters within seventy-two (72) hours of the patient encounter.

Have experience in the delivery of and monitoring of all types of anesthesia utilized in the delivery of obstetrical, epidural labor, and surgical anesthesia (i.e. general endotracheal, subarachnoid block and epidural, and IV regional techniques).

Have current experience (3 months or more in the past 12 months) in all anesthesia techniques.

Certified Registered Nurse Anesthetist (CRNA) Responsibilities:

Perform clinical duties equivalent to military/government CRNAs of similar experience within the assigned MTF unit.

Primarily perform duties in the main OR, with limited obstetrical anesthesia responsibilities (including but not limited to epidural for elective, non-elective, and emergency obstetrical procedures).

Maintain professional practice standards equivalent to physicians in the same discipline.

Perform duties within MTF-granted clinical privileges and based on service demand.

Maintain productivity comparable to other CRNAs with similar scope of practice.

Workload scheduled by the MTF.

Proficient in English (reading, writing, speaking) for effective communication with patients and staff.

Meet all CME requirements at personal expense.

Maintain OSHA training, provide documentation to the COR.

Be a U.S. Citizen (or meet AR 25-2)

Proficient in computer use (Microsoft), and possess strong interpersonal skills for diverse patient interactions. MTF provides system-specific training.

Sufficient experienced in obstetrical and surgical anesthesia (general endotracheal, subarachnoid block and epidural, and IV regional techniques); maintain current certifications; obtain/maintain CRDAMC privileges; invoice for actual hours worked (subject to patient census and mission needs).

Manage all aspects of anesthesia care, including pre/post-op 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, as privileged by the MTF.

Conduct pre-anesthetic assessments/evaluation of patient, obtain informed consent, and order necessary pre-anesthetic medications/consults.

Develop and implement anesthetic care plans.

Conduct pre-induction assessments, including medical record review, lab data, medication review, and patient condition updates, noting prior anesthetic experiences and complications.

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 via noninvasive monitoring.

Manage the patient's airway and pulmonary status.

Manage patient emergence and recovery, including pain/complication management, via medication, fluids, or ventilator support.

Document all anesthesia-related events, including agent dosages, fluids, and blood components.

Document post-anesthetic visits, noting any complications.

Serve as a resource and assist in training staff and student nurse anesthetists in clinical phases.

Adhere to CDC and MTF infection control guidelines.

Ensure cleanliness and maintenance of anesthesia equipment.

Certified Registered Nurse Anesthetist (CRNA) Qualifications:

Degree: Master's degree in nursing.

Education: Graduate from an academic program, approved by the Council on Accreditation of Nurse Anesthesia Programs (COA).

Must have and maintain certification by the Council on Certification of Nurse Anesthetist. Certified as a Registered Nurse Anesthetist from the American Association of Nurse Anesthetists (AANA) or the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA).
Current, unrestricted license to practice medicine in the state of Texas.
Active BLS, PALS, and ACLS.

Must meet continuing medical education (CME) requirements

About CentralCare Inc:

CentralCare Incorporated is a leading SBA certified, woman-owned small business dedicated to providing exceptional medical professionals to support the needs of military and civilian healthcare facilities.

CentralCare Incorporated is an equal opportunity employer. We encourage applications from candidates of all backgrounds and experiences.

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MUSC Charleston, SC

Job Description Summary The MUSC Shawn Jenkins Children’s Hospital is a pediatric level-one academic trauma center in Charleston, SC. There are eight operating suites and two cardiac cath labs on level 3. The second-floor procedure area includes two endoscopy suites, two minor procedure rooms and in development is an interventional radiology suite. Other non-operating room sites covered include CT, MRI, nuclear medicine, radiation oncology and a heme-oncology procedure room. Coverage includes all pediatric surgical specialties including cardiovascular, trauma, oncology, transplant, orthopedics, neurosurgery, ENT, GU-GYN, ophthalmology, general surgery, dental and plastics. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC000379 CHS - CRNA (Certified Registered Nurse Anesthetists) (SJCH) Pay Rate Type Hourly Pay Grade Health-37 Scheduled Weekly Hours 40 Work Shift Job Description This position qualifies for a location stipend. The Certified Registered Nurse Anesthetist prepares prescribed solutions and administers anesthetic following specified methods and procedures. The CRNA informs the physician of patient's condition during anesthesia. Performs pre- and post-anesthesia patient visits and documents anesthesia notes on patient records. Hours per week: 40 Fair Labor Standards Act Status: Hourly Provide anesthesia care to a wide variety of patients from pre-term neonates to geriatrics. Administers appropriate anesthetics in consultation with the attending anesthesiologist in a manner consistent with standards of practice. Familiar with the use of anesthesia machines and related equipment, assist in transport of patients, maintain adequate patient records, participate in the teaching activities of the department, participate in a variety of continuing education program, and demonstrate a high level of professionalism in the performance of duties. Provide resuscitative care as indicated. Minimum Training and Education: Must be a graduate of Council on Accreditation of Nurse Anesthesia Education Programs approved programs of anesthesia, and certified, or recertified by the National Board on Certification and Recertification for Nurse Anesthetists, and insurable by the medical malpractice insurer of MUSC for the required limits. The minimum education requirement for those hired after March 1, 2019 is a master’s degree, or higher, with the concentration in Nurse Anesthesia. Must demonstrate current competency in the clinical privileges extended. Must be proficient in the operation of anesthesia equipment. Current knowledge in anesthesia practice. Must exhibit basic knowledge of safety in a health care facility. Knowledge and practice of universal precautions in patient contact is required. Must be able to establish and maintain an effective working relationship with surgeons, residents, anesthesia personnel, and nursing staff. Guidelines for practice are described in the departmental policy and procedure book. CRNAs practice under the clinical supervision of the anesthesiologist and the administrative supervision of the CRNA manager. Required Licensure, Certifications, Registrations: Must be recognized as an APRN, or eligible, with current license to practice, or eligible to obtain practice in the state of South Carolina. Current certification in Basic Life Support (BLS) for Healthcare Providers from the American Heart Association. Additional Job Description Physical Requirements: Ability to perform job functions while standing. (Continuous) Ability to perform job functions while sitting. (Continuous) Ability to perform job functions while walking. (Continuous) Ability to climb stairs. (Infrequent) Ability to work indoors. (Continuous) Ability to work outside in temperature extremes. (Infrequent) Ability to work from elevated areas. (Frequent) Ability to work in confined/cramped spaces. (Frequent) Ability to perform job functions from kneeling positions. (Infrequent) Ability to bend at the waist. (Continuous) Ability to twist at the waist. (Frequent) Ability to squat and perform job functions. (Frequent) Ability to perform "pinching" operations. (Frequent) Ability to perform gross motor activities with fingers and hands. (Continuous) Ability to perform firm grasping with fingers and hands. (Continuous) Ability to perform fine manipulation with fingers and hands. (Continuous) Ability to reach overhead. (Frequent) Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Continuous) Ability to fully use both legs. (Continuous) Ability to use lower extremities for balance and coordination. (Frequent) Ability to reach in all directions. (Continuous) Ability to lift and carry 50 lbs. unassisted. (Infrequent) Ability to lift/lower objects 50 lbs. from/to floor from/to 36 inches unassisted. (Infrequent) Ability to lift from 36" to overhead 25 lbs. (Infrequent) Ability to exert up to 50 lbs. of force. (Frequent) Examples include: To transfer a 100 lb. patient that can not assist in the transfer requires 50 lbs. of force. For every 100 additional pounds, assistance will be required from another healthcare worker. 20 lbs. of force is needed to push a 400 lb. patient in a wheelchair on carpet. 25 lbs. of force is required to push a stretcher with a patient with one hand. Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. (Continuous) Ability to see and recognize objects close at hand or at a distance. (Continuous) Ability to match or discriminate between colors. (Continuous) Ability to determine distance/relationship between objects; depth perception. (Continuous) Good peripheral vision capabilities. (Continuous) Ability to maintain hearing acuity, with correction. (Continuous) Ability to perform gross motor functions with frequent fine motor movements. (Continuous) Ability to deal effectively with stressful situations. (Continuous) Ability to work rotating shifts. (Frequent) Ability to work overtime as required. (Frequent) Ability to work in a latex safe environment. (Continuous) Ability to maintain tactile sensory functions. (Continuous) (Selected Positions) *Ability to maintain good olfactory sensory function. (Continuous) *(Selected Positions) *Ability to be qualified physically for respirator use, initially and as required. (Continuous) (Selected Positions) If you like working with energetic enthusiastic individuals, you will enjoy your career with us! The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need. Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees