Johns Hopkins Bayview Medical Center is a world-class academic medical center that has a warm community feel while being a busy level II Trauma center caring for the critically ill. CRNAs that are both starting their career and those that are experienced can find a fulfilling role here that offers schedule flexibility, ample supplemental income opportunities, and on the job autonomy.
We are seeking a CRNA who reports jointly to the Clinical Lead CRNA and the Division Chief of Nurse Anesthesia (Chief CRNA). Primary clinical responsibilities are (a) the administration of intravenous, inhalation, and other anesthetics to patients in an operating room and (b) observing the physiological condition of patients while under anesthesia. In conjunction with these primary responsibilities (a) evaluates each assigned patient's physical state and plan the course of anesthesia, (b) obtain, assemble, operate, and/ or monitor anesthesia equipment and (c) ensure that all necessary supplies, drugs, and anesthetic agents are available.
Specific Duties & Responsibilities
Independently researches new/unknown procedures, diseases, medications, and equipment functions within safe parameters for quality/good patient care. Seeks assistance from attending anesthesiologist when appropriate.
Uses critical thinking skills and adapts to changes as necessary.
Applies knowledge of pre-op, intra-op, and post-op in an effective manner under normal conditions and emergency conditions.
Demonstrates technical competence. Employs dexterity when performing anesthetic procedures.
Understands all anesthetic equipment used in the JHH OR uses items to full advantage and handles equipment carefully. Sets up all necessary equipment for a successful anesthetic course.
Pre-anesthesia Assessment & Case Preparation
Performs and documents timely pre-anesthesia assessments.
Review of medical history (including anesthesia, drug, and allergy history).
Collaborates and consults with the attending anesthesiologist before start of the case on a plan for anesthesia care (general, regional, combined, local, and sedation techniques) when applicable.
Anticipates key procedures and assures an anesthesia environment (e.g., supplies & equipment including anesthesia machine check, fluid warmers, blood, any 'special') necessary to carry out the anesthetic plan.
Orders and administers pre-anesthetic medications and fluids.
Selects, applies, and inserts non-invasive and invasive monitoring devices.
Selects and administers anesthesia, sedation, adjuncts, and accessory drugs and fluids.
Manages patient airway and pulmonary status.
Demonstrates understanding of relevant clinical issues, recognizes priorities in clinical situations; aware of own limits; appropriate use of tests and procedures.
Maintains effective communication with the team (i.e., intraoperative personnel & Attending Anesthesiologist) including briefing and debriefing discussions.
Facilitates emergence and recovery from anesthesia and transport to the recovery area, providing a thorough report to receiving unit promptly.
Post anesthesia Evaluation & Management
Implements acute and chronic pain management.
Performs and documents timely post-anesthesia evaluation and discharges the patient from recovery area when appropriate.
Provides a complete report of the patient's anesthetic course and any pertinent information necessary to accurately transfer care of the patient.
Facilitates room turnover in a timely fashion (room, medicine and equipment prep, pre-op assessment).
Provides medical services according to the JHM Service Standards to include: Patient Relations, Self-Management, Teamwork, Communications, Ownership/Accountability, and Continuous Performance Improvement.
Completion of a nurse anesthesia program approved by the MD Board of Nursing. If the program was completed after 1/1/08, a Master's Degree is required.
Current MD State RN and CRNA license required. Current CPR certification, ACLS required. Credentialing prior to the start date is required.
Special Knowledge, Skills, & Abilities
Highly developed clinical, interpersonal, and communication skills to effectively communicate frequently with peers, colleagues, managers, supervisors, other health care professionals, patients, and family members to exchange information and resolve conflict.
Technical Qualifications or Specialized Certifications
Must be certified by the Council on Certification of Nurse Anesthetists (or Recertification) or from another certifying body approved by the Board, or in the process of acquiring such certification.
Current Maryland State RN and CRNA licensure required. Current CPR certification is required. Advanced Cardiac Life Support (ACLS) is required. Must maintain current licensure and certifications for the duration of employment. Completion of the JHH credentialing process is required prior to the start date.
Classified Title: CRNA ACRP/04/MI Starting Salary Range: $114,500-$157,370 Annually (Commensurate with experience) Employee group: Full Time Schedule: Mon-Fri with possible weekend/evening hrs Exempt Status: Exempt Location: Johns Hopkins Bayview Department name: SOM Ane Bay Bayview CRNA Personnel area: School of Medicine
Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines:
*JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.
**Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.
The successful candidate(s) for this position will be subject to a pre-employment background check.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
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