Graduate Registered Nurse Anesthetist (GRNA), Downey (Full Time)Downey, CA, Onsite, Full-time, Variable

Under the medical supervision of a physician Anesthesiologist, administers general and regional anesthesia for all types of surgical, obstetrical and other procedures that require anesthesia services, to patients of various age groups including: neonatal, pediatric, adolescent, adult and geriatric in accordance with hospital and departmental standards of care. Such intervention may include, but not be limited to: airway management; maintenance of fluid balance; homeostasis; monitoring; response to emergencies related to airway management and cardiopulmonary resuscitation; and management of patients on ventilators.

• Administers anesthesia to all age groups.
• Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
• Complies with organizational rules, policies and procedures (i.e. TJC, Title 22, Regional and Department requirements).
• Evaluates patients pre-operatively by interviewing and examining patient.
• Reviews chart for relevant information.
• In collaboration with MD selects anesthetic for patient based on pre-operative examination.
• Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of each age group served: neonatal, pediatric, adolescent, adult and geriatric.
• Selects anesthetic for patient based on pre-operative examination.
• Evaluates patients response to pre-medication.
• Communicates with surgeon and physician anesthesiologist regarding special concerns of patient.
• Checks anesthesia equipment daily and between cases to assure safe operating condition.
• Prepares drugs for administration.
• Administers anesthesia in accordance with delineated clinical privileges and any conditions or restrictions imposed thereof.
• Monitors the patient intraoperatively.
• Evaluates operative and post-operative condition of patient and takes necessary action to maintain stability.
• Evaluates the patients postoperatively (within 24 hours).
• Maintains an accurate accounting of controlled substances in accordance with departmental guidelines.
• Maintains equipment and supplies as outlined in department policies and procedures.
• Complies with organizational rules, policies and procedures (i.e. TJC, CAC Title 22, Regional and Department requirements).
• Establishes and maintains courteous and cooperative relations when interacting with public, patients, staff and other personnel.
• May perform other duties within scope of licensure/certification as required.
• Note: Must be able to work within an Anesthesia team model, work with MDAs, CRNAs and Anesthesia TECHs.