Nurse Anesthetist-Per Diem

Under general supervision of the Clinical Director (Anesthesia trained, MGH clinical staff) incumbent provides anesthesia services to patients. Reviews patients' medical history, assists in selection of type of anesthesia, administers anesthetic, monitors patient during procedure, and provides immediate post-anesthesia care. Incumbent is responsible for supplying documentation of continued registration as a CRNA (Certified Registered Nurse Anesthetist). Position located at MGH Danvers

Under the medical direction of an Anesthesiologist the CRNA may:

• Obtain health and medical history, perform physical examination, and construct problem lists

• Collect, record, and interpret patient data

• Order appropriate laboratory, radiologic, and other diagnostic studies Interpret studies performed/ordered

• May initiate consultation and referrals

• Assess patients to determine need for physician attention

• Provide direct patient care before, during, and after procedures requiring anesthesia

• Make professional decisions for anesthesia care based upon a comprehensive health assessment

• Maintain professional standards of health care before, during, and after an anesthetic

• Prepare and evaluate the safety of anesthetic equipment, supplies and drugs Insert invasive monitoring lines required for patient care during anesthesia and interpret the data

• Provide administration of general anesthesia (intravenous/inhalation), neuraxial anesthesia, regional anesthesia and monitored anesthesia care to appropriate patients

• Assess, interpret and treat physiologic responses to anesthesia that include oxygenation, circulation, ventilation, temperature and metabolism

• Provide postoperative analgesia for pain management

Obtain informed consent for the following anesthesia and related procedures:

• General anesthesia

• Monitored anesthesia care

• Neuraxial anesthesia

• Regional anesthesia

• Arterial lines

• Central venous lines

• Pulmonary artery catheters

• SpinalsEpidurals

• Blood Transfusion

• Registered Nurse Anesthetists are licensed, registered, advanced practice nurses who have completed a post graduate certificate or a master's degree in anesthesia.

• Nurse anesthetists must become certified by successfully completing a national qualifying examination in the specialty of anesthesia.

• To maintain their license to practice anesthesia, CRNAs must be re-certified biannually by attending 40 hours of continuing education programs.

CRNAs must:

• Have knowledge of anatomy, physiology, pathophysiology, and pharmacology as related to anesthesia.

• Have the ability to take direction from and work with personnel at all levels of the organization

• Possess a strong sense of initiative and perseverance to carry through to completion of tasks; ability to take ownership and responsibility for activities Possess skills to work efficiently and effectively and strive to do so in all aspects of position

• Have the ability to utilize appropriate problem solving and conflict resolution skills

• Possess excellent interpersonal, written and oral communication skills to work effectively with clinicians, administrators, and other professionals

• Have cultural competence and compassion for patient population

• Maintain the highest standards of professional conduct; demonstrate forthrightness and integrity

• Be highly motivated, independent and capable of performing in a complex environment

• Have the ability to handle sensitive and confidential matters discreetly and to ensure confidentiality guidelines are maintained by staff