DEPARTMENT OF HEALTH SERVICESEXAM NUMBER: Y5172TOPEN COMPETITIVE JOB OPPORTUNITYORIGINAL POSTING DATE: 3/14/2013REBULLETIN INFORMATION:THIS ANNOUNCEMENT IS A REBULLETIN TO UPDATE THE EXAMINATION CONTENT INFORMATION REGARDING NOTIFICATION OF EXAM RESULTS. PERSONS WHO HAVE ALREADY APPLIED NEED NOT REAPPLY, BUT MAY CONTACT THE EXAM ANALYST IF THEY WOULD LIKE TO SUBMIT ADDITIONAL INFORMATION.
THIS EXAMINATION WILL REMAIN OPEN UNTIL THE NEEDS OF THE SERVICE ARE MET AND IS SUBJECT TO CLOSE WITHOUT PRIOR NOTICE.ABOUT LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICESThe Los Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its integrated system of 25 health centers and four acute hospitals – and expanded network of community partner clinics – DHS annually provides direct care for 600,000 unique patients, employs over 23,000 employees, and has an annual budget of over $6.9 billion.
MISSION
To advance the health of our patients and our communities by providing extraordinary care.
DEFINITION:Performs preoperative anesthesia management of patients undergoing surgical or therapeutic procedures, airway management or cardiopulmonary resuscitation, under the administration of a physician or dentist.
Preanesthetic Preparation and Evaluation of the Patient- Obtaining an appropriate health history.
- Conducting an appropriate physical screening assessment.
- Recommending or requesting pertinent diagnostic studies and evaluating the results.
- Selecting, obtaining, ordering, and administering preanesthetic medications.
- Documenting the preanesthetic evaluation and obtaining a comprehensive informed consent for anesthesia and related services.
Intraoperative Care- Obtaining, preparing, and using all equipment, monitors, supplies and drugs used for the administration of anesthesia and sedation techniques; performing and ordering safety checks as needed.
- Selecting, obtaining or administering the anesthetics, adjuvant drugs, accessory drugs, fluids and blood products necessary to manage the anesthetic.
- Performing all aspects of airway management, including fiberoptic intubation.
- Performing and managing regional anesthetic techniques including, but not limited to, subarachnoid, epidural and caudal blocks; plexus, major and peripheral nerve blocks; intravenous regional anesthesia; transtracheal, topical and local infiltration blocks; intracapsular, intercostal and ocular blocks.
- Providing appropriate invasive and noninvasive monitoring modalities using current standards and techniques.
- Recognizing abnormal patient response during anesthesia; selecting and implementing corrective action and requesting consultation whenever necessary.
- Evaluating patient response during emergence from anesthesia and instituting pharmacological or supportive treatment to ensure patient stability during transfer.
Postanesthesia Care- Providing postanesthesia follow-up and evaluation of the patient's response to the anesthesia and surgical experience; taking appropriate corrective actions and requesting consultation when indicated.
- Initiating, ordering, and administering respiratory support to ensure adequate ventilation and oxygenation in the postanesthesia period.
- Initiating, ordering, and administering pharmacological or fluid support of the cardiovascular system during the postanesthesia period to prevent morbidity and mortality.
- Initiating, ordering, and administering acute postanesthesia pain management techniques.
- Discharging patients from a postanesthesia care unit (PACU) according to facility policy.
Clinical Support Functions- Inserting peripheral and central intravenous catheters.
- Inserting pulmonary artery catheters.
- Inserting arterial catheters and performing arterial puncture to obtain arterial blood samples.
- Managing emergency situations, including initiating or participating in cardiopulmonary resuscitation.
- Providing consultation and implementation of respiratory and ventilatory care.
- Management of interventional pain therapy using drugs, regional anesthetic techniques, or other accepted pain-relief modalities.
- Selecting, obtaining, ordering and/or administering medications or treatments related to the care of the patient, using consultation when appropriate.
- Accepting additional responsibilities which are within the expertise of the individual CRNA and appropriate to the practice setting.
SELECTION REQUIREMENTS:To qualify, candidates must meet all of the following requirements:
- State licensure by the California Board of Registered Nursing as a Registered Nurse.
- State certification by the California Board of Registered Nursing as a Nurse Anesthetist.
- Graduation from a program of nurse anesthesia education accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs of the American Association of Nurse Anesthetists.
- Certification or Recertification by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA).
Please see Special Requirement Information for additional information regarding the requirements.
LICENSE:A license to practice as a Registered Nurse issued by the California Board of Registered Nursing.
PHYSICAL CLASS:Physical Class II – Light:Light physical effort which may include occasional light lifting to a 10 pound limit, and some bending, stooping or squatting. Considerable walking may be involved.
DESIRABLE QUALIFICATIONS:Experience as a Certified Registered Nurse Anesthetist (CRNA).
Applicants claiming experience as a Certified Registered Nurse Anesthetist in a state other than California must include their certification number on the application for verification at the time of filing. Experience claimed without a valid certification number will not be considered.
SPECIAL REQUIREMENT INFORMATION:Applicants who will successfully complete the selection requirements within twelve (12) months of filing their application may compete in this examination. However, their names will be placed on withhold status pending completion and submission of the education, licensure and certification requirements. In the event candidates fail to provide proof of meeting the selection requirements within twelve (12) months, they will be removed from the withhold list.
APPLICATION AND FILING INFORMATION:APPLICATIONS MUST BE FILED ONLINE ONLY. APPLICATIONS SUBMITTED BY U.S. MAIL, FAX OR IN PERSON WILL NOT BE ACCEPTED.
Apply online by clicking the "APPLY" button for this posting. You can also track the status of your application using this website.
All information is subject to verification. We may reject your application at any time during the examination and hiring process, including after appointment has been made. Falsification of any information may result in disqualification or rescission of appointment.
This examination will remain open until the needs of the service are met. Application filing may be suspended at any time with or without advance notice.
Applications electronically received after 5:00 p.m., PST on the last day of filing will not be accepted.
NOTE: If you are unable to attach documents to your application, you must email the Exam Analyst within 15 calendar days of filing online.
DEPARTMENT CONTACT:Luz Pascual, Exam Analyst
E-mail: Lpascual@dhs.lacounty.gov
HR ESC Phone Number: (213) 288-7000
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