Certified Registered Nurse Anesthetist (CRNA), Downey (Per Diem)

Under the medical supervision of an Anesthesiologist, administers general and regional anesthesia for all types of surgical, obstetrical and other procedures that require anesthesia services, to patients of various age groups including: neonatal, pediatric, adolescent, adult and geriatric in accordance with hospital and departmental standards of care.    Such intervention may include, but not be limited to: airway management; maintenance of fluid balance; homeostasis; monitoring; response to emergencies related to airway management and cardiopulmonary resuscitation; and management of patients on ventilators.

• Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
• Complies with organizational rules, policies and procedures (i.e. TJC, Title 22, Regional and Department requirements).
• Evaluates patients pre-operatively by interviewing and examining patient; reviews chart for relevant information.
• In collaboration with the anesthesiologist selects anesthetic for patient based on pre-operative examination.
• Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of each age group served: neonatal, pediatric, adolescent, adult and geriatric.
• Selects anesthetic for patient based on pre-operative examination.
• Evaluates patients response to pre-medication.
• Communicates with surgeon and anesthesiologist regarding special concerns of patient.
• Checks anesthesia equipment daily and between cases to assure safe operating condition.
• Prepares drugs for administration.
• Administers anesthesia in accordance with delineated clinical privileges and any conditions or restrictions imposed thereof.
• Monitors the patient intraoperatively.
• Evaluates operative and post-operative condition of patient and takes necessary action to maintain stability.
• Evaluates the patients postoperatively (within 24 hours).
• Precepts student nurse anesthetists.
• Maintains an accurate accounting of controlled substances in accordance with departmental guidelines.
• Maintains equipment and supplies as outlined in department policies and procedures.
• Complies with organizational rules, policies and procedures (i.e. TJC, CAC Title 22, Regional and Department requirements).
• Establishes and maintains courteous and cooperative relations when interacting with public, patients, staff and other personnel.
• May perform other duties within scope of licensure/certification as required.