Mount Sinai Careers

Certified Registered Nurse Anesthetist - CRNA - MSH

New York, New York
Nursing


Job Description

The Mount Sinai Health System

 

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 General Summary


The certified registered nurse anesthetist is an advanced practice nurse (CRNA). Within this role, under the supervision of an Attending Anesthesiologist, the CRNA, administers, monitors and manages patient care before, during and after anesthesia.

Responsible To

Designated Attending Anesthesiologists/ Vice President, Nursing and Chief Certified Registered Nurse Anesthetist for performance appraisals and scheduling

Responsible For

The performance of pre-anesthesia assessment, induction and maintenance of and emergence from anesthesia, monitoring of the patients physiological condition and performance of clinical intervention as necessary, under the supervision of an Attending Anesthesiologist.


Duties and Responsibilities:
1. Principal Duties and Responsibilities

Clinical Practice

1. In conjunction with Attending Anesthesiologist, performs a thorough and completed pre-anesthesia assessment. Responsible for obtaining and reviewing relevant tests and discussing findings with the Attending. 

2. Obtains and/or verifies that an informed consent has been obtained for the planned anesthetic intervention from the patient or legal guardian. Discusses anesthetic options and risks with the patient and/or legal guardian after discussion with Attending Anesthesiologist. Documents in the patient’s medical record that informed consent was obtained.

2. Principal Duties and Responsibilities

Clinical Practice

1. In conjunction with Attending Anesthesiologist, performs a thorough and completed pre-anesthesia assessment. Responsible for obtaining and reviewing relevant tests and discussing findings with the Attending. 

2. Obtains and/or verifies that an informed consent has been obtained for the planned anesthetic intervention from the patient or legal guardian. Discusses anesthetic options and risks with the patient and/or legal guardian after discussion with Attending Anesthesiologist. Documents in the patient’s medical record that informed consent was obtained.

Formulates a patient-specific plan for anesthesia care in conjunction with the Anesthesiologist. The plan is based upon comprehensive patient assessment, problem analysis, anticipated surgical or therapeutic procedure, patient and surgeon preferences, and current anesthesia principles.

Induces anesthesia under the supervision of an Attending Anesthesiologist and maintains anesthesia at required levels. Assesses continuously the patient’s response to the anesthetic and/or surgical intervention and must immediately notify the Attending Anesthesiologist of significant changes in the patient’s condition and intervenes as required, under the supervision of an Attending Anesthesiologist to maintain the patient in a satisfactory physiologic condition.

Monitors the patient’s physiologic condition as appropriate for the type of anesthesia and specific patient needs.

* Monitors ventilation continuously. Verifies intubation of the trachea by auscultation, chest excursion, and confirmation of carbon dioxide in the expired gas. Continuously monitors end-tidal carbon dioxide during controlled or assisted ventilation. Uses spirometry and ventilatory pressure monitors.

* Monitors oxygenation continuously by clinical observation, pulse oximetry, and if indicated, arterial blood gas analysis.

* Monitors cardiovascular status continuously via electrocardiogram and when appropriate, heart sounds.

Records blood pressure and heart rate.

Monitors body temperature continuously on all pediatric patients receiving general anesthesia and when indicated, on all other patients.

Monitors neuromuscular function and status when neuromuscular blocking agents are administered.

Monitors and assesses the patient positioning and protective measures.

The omission of any monitoring standards shall be documented and the reason stated on the patient’s anesthesia record. The CRNA shall be in constant attendance of the patient until another qualified health care provider has accepted the responsibility for care.

3. Maintains complete, accurate, and timely documentation of pertinent information on the patient’s medical record. Must document all anesthetic interventions and patient responses.

Transfers the responsibility for care of the patient to other qualified providers in a manner that assures continuity of care and patient safety.

Adheres to appropriate safety precautions, as established within the institution, to minimize the risk of fire, explosion, electrical shock and equipment malfunction. Documents on the patient’s medical record that the anesthesia machine and equipment were checked.

4. Inspects the anesthesia machine prior to use, and monitors according to established guidelines. Checks the readiness, availability, cleanliness, and working condition of all equipment to be utilized in the administration of the anesthesia care. When the patient is ventilated by an automatic mechanical ventilator, monitors the integrity of the breathing system with a device capable of detecting a disconnection by emitting an audible alarm. Monitors oxygen concentration continuously with an oxygen supply failure alarm system.

Takes precautions to minimize the risk of infection to the patient, the Nurse Anesthetist, and other healthcare providers.

REquires:

NYS RN with BSN and Master's degree in Nursing Anesthesia as well as certification by the Council of Certification of Nurse Anesthetists required.  BCLS, ACLS, PALS and 2 years critical care RN nursing experience.  

 

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Who We Are:

 

Over 35,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.

 

Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai Roosevelt, Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.

 

The Mount Sinai Health System is committed to the tenets of diversity and workforce that are strengthened by the inclusion of and respect for our differences. We offer our employees a highly competitive compensation and benefits package, a 403(b) retirement plan, and much more.

 

The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation.


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