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Nurse Anesthetist (Casual)

Location: Kwajalein Atoll, Marshall Islands
Date Posted: 04-13-2017
  • Schedules and coordinates activities required for the administration of anesthetics to patients during surgical procedures, diagnostic procedures for pain management or the resolution of ventilatory problems. 
  • Monitors the effects of specific anesthesia, drugs, techniques, and patient reactions.
  • Develops, recommends, and implements standard operating instructions and practices pertaining to the administration and management of anesthetics that ensure client safety, confidentiality and timely, ethical and quality service.
  • Performs and documents a pre-anesthetic assessment and evaluation of the patient.
  • Formulates anesthetic plan in consultation with physician.
  • Counsels patient as to the risks and benefit of the plan and obtains written patient consent for anesthesia services.
  • Selects and initiates anesthetic technique which may include: general, regional and local anesthesia and IV sedation.
  • Selects, obtains or administers the anesthetics, adjuvant drugs, accessory drugs and fluids necessary to maintain anesthesia at appropriate levels and support life functions during perioperative period.
  • Regularly assesses the effects of specific anesthesia, applies appropriate non-invasive and invasive monitoring modalities for interpreting patient physiologic data; recognizes abnormal patient responses and takes immediate corrective action.
  • Manages patient airway and pulmonary status using endotracheal intubation, mechanical ventilation, respiratory therapy, or extubation.
  • Manages emergence and recovery from anesthesia.
  • Responds to emergency situations, providing airway management, emergency fluids or drugs, and using basic and/or advanced cardiac life support techniques.
  • Provides post-anesthesia care; provides follow-up evaluation and care related to anesthesia side effects or complications.
  • Modifies pain relief therapy through utilization of drugs, regional anesthetic techniques to include epidural analgesia.
  • Evaluates anesthesia processes and outcome in terms of utilization, quality of services provided and the attainment of objectives.
  • Establishes and maintains complete and legible documentation of perioperative course, make postoperative rounds and report complications to CMO; maintains effective and confidential record-keeping.
  • Assists Hospital Administrator in equipment evaluation; resource management and procurement recommendations.
  • Participates in staff and committee functions for risk management, product evaluation and quality assurance.
  • Works independent of anesthesiologist supervision.
  • Provides after-hours on-call response to emergency calls requiring anesthesia skills.
  • Capable of functioning independently and proven ability in exercising independent judgment. 
  • Requires administration/management experience, including planning and development.
  • Provide consultation, training and implementation of respiratory and ventilatory care.
  • Other skills include consultation skills, excellent verbal and written communication abilities, public speaking skills, proficiency with computer system.
  • Maintains continuing education activities.
  • Broad experience and expertise in selecting and providing anesthesia services in the absence of on-site anesthesia service backup.
  • Skilled using Microsoft Office and Outlook.
  • Knowledge of Six Sigma program tools and methodologies and/or Six Sigma Certification.
  • Regional and peripheral block skills with ultrasound guidance.
  • Knowledge of Aprima software.  
  • 5 years of experience and certification as a Certified Registered Nurse Anesthetist (CRNA).
  • US licensure as RN.
  • US licensure as Certified Registered Nurse Anesthetist.
  • Current certification for Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS).
  • Master of Science in Nurse Anesthesia (MSNA).
  • Common Access Card (CAC) required.
  • US Citizen or Permanent Resident Card is required.   
  • Traveling to Kwajalein Atoll, you are required to have a valid passport in your possession prior to relocation. You must maintain a current passport during your stay on Kwajalein Atoll.
  • This is a position of Public Trust.
  • This is a casual position for vacation coverages.  
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