Advanced Practice Registered Nurses / Physician Assistants
This position is located in the Anesthesia Department of Tuba City Regional Health Care Corporation (TCRHCC) and is a full professional member of the Operating Room (OR) team providing anesthesiology services.
Answers to the Chief of Anesthesia and follows all pertinent policies and procedures. Abide by all Medical Staff Bylaws and Rules & Regulations including meeting attendance, educational and quality assurance and process improvement activities.
The purpose of the work is to provide full range of anesthetic management in an operating room and post operative setting. The Nurse Anesthetist is an on-site consultant and expert in anesthesiology.
Contact with patients, their families, physicians and surgeons, pharmacist, quality assurance staff, nursing staff, and other hospital personnel must reveal excellent interpersonal skill.
Contact with patients establishes rapport and health history. Contact is also made with the patient’s family to elicit information, provide emotional support, and ensure cooperation. Contact with surgeons and other hospital personnel are to exchange information and provide consultation before, during, and after surgery.
The Anesthetist at TCRHCC is responsible for administering anesthesia for all types of surgical procedures. Patients range from the neonate (currently not less than 1 year) to the centurian. The acuity of our patients covers a wide range from the healthy to the gravely ill. The Anesthetist must be proficient in diagnosing the degree of illness and anesthesia related risks, in order to properly select techniques and agents. Reviews patient’s charts for pertinent information such as lab, EKG’s, x-ray, allergies, and history and physical examination, and previous anesthetics with related complications. Interviews patients and family members if available. Explains anesthesia procedures, discusses risks involved, and what to expect post anesthesia. Employs the services of interpreters when necessary.
The Anesthetist administers anesthetic by inhalation, endotracheal intubation, regional, intravenous or topically. Induces anesthesia to the proper state and manages throughout surgery. Determines need for and administers parenteral fluids, including plasma and blood. Administers medications as required and monitors the patient during surgery by maintaining hemodynamics and preventing overdose. Diagnosis problems such as cardiac failure, respiratory insufficiency, fluid and electrolyte imbalance, and corrects same.
Gives immediate post operative care to patients for the extent of time required to insure clear airway and freedom from the possibility of shock or other adverse reactions.
Recommends new drugs to the Pharmacy Committee for anesthesia. Administers and evaluates actions of new drugs. Manages actions of new drugs once they are administered. Implements results of new anesthesia methods and techniques after receiving approval from medical committee.
Responsible for all techniques, drugs, and equipment used in the administration of anesthesia to all patients undergoing any and all forms of surgical and/or diagnostic procedures. Assumes responsibility for care, sanitation, and inspection for proper functioning of all equipment used in performance of work, enforcing rules and safety with respect to anesthetics or gases such as grounding of patient and venting of gases during surgery. Attempts to maintain a quiet orderly induction and emergence.
Responds to medical emergencies such as codes or intubation in the ICU, ER, or any other location in the hospital as availability permits.
Graduate from an accredited school of nursing.
Completion of a Nurse Anesthetist training program sponsored or approved by the American Association of Nurse Anesthetists (AANA)
Must possess and maintain a valid, current, full and unrestricted license to practice as a nurse in any state within the United States, District of Columbia or the Commonwealth of Puerto Rico.
Certification by the AANA (American Association of Nurse Anesthetists)
Employer will assist with relocation costs.
Additional Salary Information: Malpractice Insurance (Federal Tort Occurrence Plan).Professional Fees and DuesDrug Enforcement License (DEA)Continuing Medical Education (CME)Board Certification
• The Tuba City Regional Health Care Corporation (TCRHCC) is a 73-bed, acute and outpatient regional health system organized as a private nonprofit healthcare organization
• TCRHCC serves a large geographic area, primarily encompassing over 6,000 square miles on the western Navajo Nation and adjacent Hopi and other communities.