CRNA

Johns Hopkins, founded in 1876, is America's first research university and home to nine world-class academic divisions working together as one university.

We are seeking a CRNA. This position reports jointly to the Clinical Lead CRNA and the Division Chief of Nurse Anesthesia (Chief CRNA). Primary clinical responsibilities are (a) the administration of intravenous, inhalation and other anesthetics to patients in an operating room and (b) observing the physiological condition of patients while under anesthesia. In conjunction with these primary responsibilities (a) evaluates each assigned patient's physical state and plans the course of anesthesia, (b) obtains, assembles, operates, and/ or monitors anesthesia equipment and (c) ensures that all necessary supplies, drugs and anesthetic agents are available.

Specific Duties & Responsibilities:

• Independently researches new/unknown procedures, diseases, medications, and equipment.
• Functions within safe parameters for quality/good patient care. Seeks assistance from attending anesthesiologist when appropriate. Uses critical thinking skills and adapts to changes as necessary.
• Applies knowledge of pre-op, intra-op, and post-op in effective manner under normal conditions and under emergency conditions.
• Demonstrates technical competence. Employs dexterity when performing anesthetic procedures.
• Understands all anesthetic equipment used in the JHH OR, uses items to full advantage, and handles equipment carefully. Sets up all necessary equipment for a successful anesthetic course.

Performs & Documents timely pre-anesthesia assessments:

• Review of medical history (including anesthesia, drug and allergy history)
• Focused physical examination (heart, lungs, airway, ASA classification)
• Plan for anesthesia care
• Obtains anesthesia informed consent
• Collaborates and consults with attending anesthesiologist prior to start of case on plan for anesthesia care (general, regional, combined, local, and sedation techniques) when applicable
• Anticipates key procedures and assures an anesthesia environment (e.g., supplies & equipment including anesthesia machine check, fluid warmers, blood, any 'special') necessary to carry out anesthetic plan
• Orders and administers pre-anesthetic medications and fluids

Intra-012 Assessment:

• Selects, applies and inserts non-invasive and invasive monitoring devices.
• Selects and administers anesthesia, sedation, adjuncts and accessory drugs and fluids.
• Manages patient airway and pulmonary status.
• Demonstrates understanding of relevant clinical issues, recognizes priorities in clinical situations; aware of own limits; appropriate use of tests and procedures.
• Maintains effective communication with team (i.e., intraoperative personnel & Attending Anesthesiologist) including briefing and debriefing discussions.
• Facilitates emergence and recovery from anesthesia and transport to recovery area, providing thorough report to receiving unit in a timely manner.

Post Anesthesia Evaluation & Management:

• Implements acute and chronic pain management.
• Performs and documents timely post anesthesia evaluation and discharges patient from recovery area when appropriate.
• Provides a complete report of patient's anesthetic course and any pertinent information necessary to accurately transfer care of the patient.
• Facilitates room turnover in a timely fashion (room, medicine and equipment prep, pre-op assessment).
• Provides medical services according to the JHM Service Standards to include: Patient Relations, Self-Management, Teamwork, Communications, Ownership/Accountability, and Continuous.

Minimum Qualifications

• Completion of a nurse anesthesia program approved by MD Board of Nursing. If program was completed after 1/1/08, a Master's Degree is required.
• Current MD State RN and CRNA license required.
• Current CPR certification, ACLS required.
• Credentialing prior to start date required.

Classified Title: CRNA
Job Posting Title (Working Title): CRNA
Role/Level/Range: ACRP/04/MI
Starting Salary Range: $202,878 - $213,926 - $241,663 (Commensurate with experience)
Employee group: Full Time
Schedule: Varies
Exempt Status: Exempt
Location: JH at Howard County Hospital
Department name: 60006228-SOM Anethesiology HCGH CRNA
Personnel area: School of Medicine

The successful candidate(s) for this position will be subject to a pre-employment background check.

If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office at jhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711.

The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.

During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.

The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.

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