CRNA Exempt - Anesthesiology

Selects and administers intravenous, spinal and other anesthetics prior to and during surgical or medical procedures as a member of the anesthesia care team. Monitors patient reactions and vital signs during and after anesthesia, takes remedial action when warranted, and maintains records of anesthetics administered. Performs procedures outside of the operating room in accordance with Kaiser Permanente policies and procedures, established competency, and physician orders.

Responsibilities

• Conducts and/or reviews anesthetic evaluation of patients prior to surgical proceedings, deliveries, or other pertinent medical procedures; consults with anesthesiologists and/or surgeons.
• Reviews patients' charts, including permits, pre-operative medications, lab work, and any significant variations (e.g., hearing aids, dentures, contact lenses, prostheses) in accordance with Kaiser Permanente policies and departmental policy.
• Evaluates patients to identify potential difficulties with airway control and ensures all pre-anesthesia evaluations are documented thoroughly.
• Explains tests, procedures, disease processes, and major anesthetic risks to patients and their families as indicated; documents that risks are explained.
• Develops and reviews the care regimen with the supervising physician, implements the anesthesia plan, starts IV solutions, and administers selected anesthetics based on patient safety, surgical needs, and patient history.
• Monitors patients' vital signs (e.g., blood pressure) and observes physical changes; informs anesthesiologist and/or surgeon of patient condition and takes remedial action, including infant resuscitation if necessary.
• Mixes solutions to required concentrations (e.g., pentothal, succinylcholine, vaso-active drugs).
• Maintains current, accurate, and complete records of procedures performed and patients' conditions prior to anesthesia administration.
• Performs procedures outside of the operating room (e.g., intubation, arterial line placement) in accordance with policies, competencies, and physician orders; charts details on progress notes.
• Participates in patient safety-oriented transitions with post-anesthesia care unit personnel when transferring patients from the surgery suite.

Requirements

• Graduate of an accredited registered nursing program.
• Graduate of an accredited school of anesthesia by date of hire.
• High School Diploma or General Education Development (GED) required.
• Certified Registered Nurse Anesthetist (California) certification required at hire.
• Registered Nurse License (California) required at hire.
• Advanced Cardiac Life Support certification required at hire.
• Basic Life Support certification required at hire.
• National Provider Identifier required at hire.
• Must be eligible for Medicare/Medi-Cal enrollment; Medicare enrollment requires current certification by the Council on Certification of Nurse Anesthetists or the Council on Recertification of Nurse Anesthetists.

Skills

• Demonstrated understanding of all regulatory requirements and legal consequences of anesthesia care.
• Proven ability to exercise professional prerogatives based on sound clinical judgment.
• Demonstrated track record of following precautionary and preventive measures in patient care.
• Strong teamwork, communication, and listening skills.
• Knowledge of and skill in interpersonal relations, customer service, adaptability, and change management.
• Ability to work in a Labor/Management Partnership environment.

Pay

$243,700 - $315,370 / year. Kaiser Permanente strives to offer a market-competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.

Schedule

• Scheduled Weekly Hours: 40
• Shift: Variable
• Workdays: Sun, Mon, Tue, Wed, Thu, Fri, Sat
• Working Hours Start: 12:01 AM
• Working Hours End: 11:59 PM
• Job Schedule: Full-time