Under general supervision, administer anesthetics to patients undergoing surgical and obstetrical procedures

**PREANESTHETIC REVIEW AND PREPARATION

Standard A

• Actively seeks and accepts input and consultation from supervising physician regarding:
• Patient’s history
• Physical condition
• Allergies
• Appropriately interprets laboratory and diagnostic tests
• Other pertinent clinical information

Standard B

• Reviews preoperative evaluation performed by staff physician.
• Meets with patient and/or patient’s family preoperatively.

**INTRAOPERATIVE CARE

Standard A

• Obtains, prepares, and utilizes:

• All equipment
• Monitors
• Supplies and drugs
• Special equipment (airway cart, arterial lines, other unusual equipment)

• Selects, appropriately administers, and documents:

• Anesthetic drugs
• Blood and products
• Fluids (crystalloids and colloids)

Standard B

• Accurately documents all significant anesthesia events and the seven key elements for coding and billing purposes.

Standard C

• Performs, manages, and documents anesthetic techniques:

• Airway management
• Monitoring modalities
• Early recognition and treatment of unusual patient responses

Standard D

• Requests consultation and guidance from anesthesiologist when indicated during the intraoperative period and uses good judgment in working within the team model.

Standard E

• Effectively manages patient response during induction and emergence from anesthesia, responds rapidly and treats appropriately any complication that may occur during this time.  Delivers supportive treatment to ensure patient stability during transfer to PACU and gives accurate and detailed report to the PACU nurses.

**ABILITY TO MANAGE DIFFERENT MODES OF ANESTHIA

Standard A

• Overall ability to manage a wide range of clinical scenarios in general anesthetic settings appropriately and knowledgeably

Standard B

• Overall ability to manage a wide range of clinical scenarios in a regional anesthetic setting

Standard C

• Ability to perform ancillary procedures:

• IV catheter placement
• Double lumen tube management and placement
• Arterial line management and placement
• IV administration of vasoactive medications
• Resuscitation techniques (ACLS, unstable patients, etc.)

**PARTICIPATES IN THE CONTINOUS IMPROVEMENT OF CLNICAL, ADMINISTRATIVE AND QUALITY OUTCOMES

Standard A

• Participates in effective problem solving and follows proper channels in instituting solutions.  Is willing and eager to support quality improvement issue, leadership issues within the OR and teamwork with all applicable relationships (RR, PACU, OR staff, Surgeons, others)

Standard B

• Is effective and willing to participate in the training and education of students

**ATTITUDE AND DEMEANOR

Standard A

• Contributes to the overall positive attitude by exhibiting professional courtesy to patients, surgeons, coworkers, and all OR staff

Standard B

• Acts with integrity and confidentiality when dealing with patient and practice information

Standard C

• Willingly accepts other related duties and assignments as needed.

Standard D

• Adheres to NARMC Ethical Conduct

**TEAM CONCEPT

Standard A

• Accepts role within model regarding specific duties and responsibilities and understands the importance and benefits of the various roles the CRNAs and Physicians play in maximizing patient care and efficiency and is willing to accept this role.  Understands that each team member has certain benefits and expectations within the team model

Standard B

• Takes the initiative and is aggressive in fostering unity and support within the staff of the Anesthia Department.  Tends to de-escalate problems rather than escalating them

Education:

Graduate from an accredited school of nursing and from a school of anesthesia accredited by the Council of Accreditation of Schools of Anesthesia

Must have a copy of a diploma or offical transcript of the highest level of education

Degrees, Licensures and/or Certifications:

Has current Arkansas Advanced Nurse Practitioner’s license

Has current ACLS certification

Has current PALS certification

Has current BLS certification

Has to provide copy of diploma

Knowledge, Skills and Abilities:

Completed yearly in-services (Infection Control, Fire Safety, Safety Management, and Care Learning).

Participated in a work related in-service.

Attends special committee, department and in-service meeting when scheduled and/or required.

Presents in-service for unit.

Must be able to read, write, speak and understand English