Under general supervision of the Clinical Director (Anesthesia trained MGH clinical staff) incumbentprovides anesthesia services to patients. Reviews patients medical history assists in selection of type of anesthesia administers anesthetic monitors patient during procedure and provides immediate postanesthesia care. Incumbent is responsible for supplying documentation of continued registration as a CRNA (Certified Registered Nurse Anesthetist).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 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 anesthesiaMonitored anesthesia careNeuraxial anesthesiaRegional anesthesiaArterial linesCentral venous linesPulmonary artery cathetersSpinalsEpiduralsBlood TransfusionCertified Registered Nurse Anesthetists provide anesthesia care to patients of all ages in all settings across the continuum of care. Certified Registered Nurse Anesthetists are licensed registered advanced practice nurses who have completed a post graduate certificate or a masters 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 recertified 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
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