Certified Registered Nurse Anesthetist (CRNA) administers intravenous and inhalation anesthetics to render person insensible to pain during surgical procedures or other medical procedures.
1. Monitors the vital signs and condition of patients undergoing surgical or medical procedures under general anesthesia or regional and local anesthetic block of moderate sedation.
2. Prepares prescribed solutions and administers anesthetic following specified methods and procedures.
3. Informs Physician of patients condition during anesthesia.
4. Performs pre- and post anesthesia patient visits and documents anesthesia ore on patient records.
5. Checks patients pulse, blood pressure, respiration and notes general condition of patient and any physical characteristics that might predispose to difficulty during the anesthetic period.
6. Checks patient chart for indication of patients primary surgical problem and any other significant co-existing medical problems. Also ascertains if patient has received prescribed preoperative medication, if patient has cross-matched blood available if needed, and if results of routine laboratory studies are acceptable values.
7. Review nurses notes and question patient regarding last time of ingestion of food or drink.
8. May start intravenous infusion or assist operating physician in doing so in preparation for induction of anesthesia. May induce anesthetic state, secures the patients airway with mask, oral pharyngeal airway, laryngeal mask airway or endotracheal tube.
9. Upon accomplishing anesthetic state, secures the patients airway with mask, oral pharyngeal airway, laryngeal mask airway or endotracheal tube.
10. In the usual setting, the staff nurse anesthetist is supervised by the operating physician at time of induction of anesthesia and periodically throughout the case as may be needed to maintain a favorable condition of the patient in response to the stresses of surgery and anesthesia.
11. The anesthetic state and appropriate muscular relaxation, from slight to muscle weakness to flaccid paralysis with artificial ventilation, is maintained in response to the needs of the procedure.
12. Intravenous fluids, blood products, and stimulant drugs may be administered from time to time as is necessary to mains the most favorable condition of the patient throughout the duration of the procedure.
13. At termination of anesthetic state, patient is recovered under observation of the nurses of that unit if patients condition is satisfactory, or remains under observation and care of nurse anesthetist if condition of patient is in jeopardy.
14. Provides competent care and ensures the provision of a safe and comforting environment resulting in a high level of patient satisfaction.
15. Provides education to patients/families/significant others, incorporating age-specific criteria and assessment of readiness to learn.
16. Maintains patient confidentiality.
17. Maintains standard universal precautions.
18. Maintains and completes all required patient record documentation.
19. Utilizes critical thinking skills and decision making at an advanced level, i.e., lab, diagnostic test interpretation, etc.
Education: Graduate of an accredited Masters level program of nursing education that fulfills completion requirements for Certified Registered Nurse Anesthetist.