Major Responsibilities:
- Acts as a mentor and expert resource to advanced practice clinicians (APCs), which includes training, orienting, onboarding, providing clinical work direction, and ensuring effective, efficient workflow and staffing coverage. Participates in recruitment, interviewing and hiring of employees, staff development, resolution of employee concerns, and employee morale. Participates in or conducts annual merit-based evaluation process. Provides clinical and professional performance feedback to each APC for the practice. Obtains additional feedback regarding clinical and professional performance from other colleagues, including but not limited to, physicians, APCs, RNs, MAs, other support staff.
- Develops and maintains orientation plans, work improvement plans if necessary, clinical competencies, various communication tools, practice protocols, and scope of practice documents. Develops and monitors a quality improvement plan with physicians. Collaborates with professional and ancillary staff to ensure the provision of high quality and efficient patient care.
- Acts as liaison for communication between ancillary departments and actively participates in meetings/updates with Coding and Billing, Compliance, Pharmacy, other specialties as related to APC practice. Assists in program development by participation in practice goal setting, new program/service development/deployment, resource allocation, and community outreach in collaboration with physicians and operational leaders. Coordinates education for APCs related to specialty practice changes and updates. Supports excellence in patient care through sharing timely, up-to-date, evidence based research.
- Provides clinical guidance to advanced practice clinicians regarding the continued care of patients. Follows through with staff to ensure patient receives recommended care. Responsible for narcotic accounting and distribution.
- Provides anesthesia services, including general, regional, and monitored anesthesia care to patients which includes: the induction of anesthesia; the maintenance of anesthesia at the required levels; the support of life functions during the administration of anesthesia, including induction and intubations; the recording of all pertinent events during the induction of, maintenance of and emergence from anesthesia; the recognition and the taking of appropriate corrective action (including requesting consultation when necessary) for abnormal patient responses to anesthesia or to any adjunctive medication or other form of therapy; and the professional observation and resuscitative care (including requesting consultation when necessary) until the patient has regained control of his/her vital functions.
- Performs pre-anesthesia functions including: determining that an appropriate pre-anesthetic examination has been made; insuring that relevant tests have been completed and a thorough assessment of the patient has been performed; reviewing the patient's condition immediately prior to the induction of an anesthesia; checking the readiness, availability, cleanliness, sterility when required and working conditions of all the equipment used in the administration of anesthetic agents prior to administering anesthesia.
- Performs post-anesthesia duties including: remaining with the patient until it is safe to transfer responsibility for care to other qualified individuals; advising personnel responsible for post-anesthetic care of specific problems presented by the patient's condition; administering post-operative epidural pain relief and other post-operative analgesia in collaboration with the surgeon and making post-anesthetic visits regarding the presence or absence of anesthesia related complications.
- Responds to life threatening, Code Blue/Code 4 and respiratory emergencies if available by establishing and maintaining an airway. Assists nursing units with difficult intravenous (IV) insertions when requested, when available and when attempts by other professionals have been unsuccessful.
- May administer anesthesia in collaboration with the anesthesiologist. May provide labor analgesia in the Birth Day Center. Performs various patient positioning and transporting duties, which require lifting and pushing/pulling, while utilizing proper technique.
- Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.
Licensure, Registration, and/or Certification Required:
- Registered Nurse license issued by the state in which the team member practices, and
- Nurse Anesthetist certification (CRNA) issued by the American Association of Nurse Anesthetists, and
- Advanced Practice Nurse Prescriber license issued by the state of Wisconsin, and
- Drug Enforcement Administration (DEA) registration issued by the Drug Enforcement Administration (DEA) Registration, and
- Advanced Cardiac Life Support certification (ACLS) issued by the American Heart Association (AHA) needs to be obtained within 6 months unless department leader has determined it is not required, and
- Pediatric Advanced Life Support (PALS) certification issued by the American Heart Association (AHA) needs to be obtained within 6 months unless department leader has determined it is not required, or
- Neonatal Resuscitation Program (NRP) certification issued by the American Heart Association (AHA)/American Academy of Pediatrics (AAP).
Education Required:
- Master's Degree in Nursing.
Experience Required:
- Typically requires 3 years of experience in providing and coordinating care for patients with acute, critical and/or chronic health conditions as a nurse anesthetist or in a leadership capacity.
Knowledge, Skills & Abilities Required:
- Demonstrated leadership skills including delegation, team building, managing multiple priorities, problem solving, and decision making.
- Demonstrated high level of clinical proficiency.
- Must be able to fulfill department schedule needs, which may include 24/7 call and weekend coverage, as needed.
Physical Requirements and Working Conditions:
- Must have functional vision and hearing.
- Must be able to:
- - Lift up to 50 lbs. from floor to waist.
- - Lift up to 20 lbs. over the head.
- - Carry up to 40 lbs. a reasonable distance.
- Must be able to:
- - Push/pull with 30 lbs. of force.
- - Perform a sliding transfer of 150 lbs. with a second person present.
- Will be required to use foot pedals on carts or machines.
- Will be exposed to the following hazards on a continuous basis: mechanical, electrical, chemical, radiation, blood and body fluids.
- Will be required to wear gloves, goggles and gowns on an as-needed basis.
- Must be able to sit, stand, walk, lift, squat, bend, reach above shoulders, and twist frequently during work shift.
- Operates all equipment necessary to perform the job.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
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