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Advanced Practice Registered Nurses / Physician Assistants
Internal Number: 25008619
Current sign on bonus for Marble Falls - $75,000 for 3-year commitment
Are you ready to embark on an exciting journey in anesthesia care? Baylor Scott & White Medical Center - Marble Falls, TX, invites skilled Certified Registered Nurse Anesthetists (CRNAs) to join our recognized team. With cutting-edge facilities, and a commitment to excellence, this opportunity promises both professional fulfillment and personal growth.
Baylor Scott & White Medical Center Marble Falls is a 46-bed hospital with a Level IV Trauma designation. The 188,000-square-foot facility offers a wide network of medical and surgical services, including orthopedics, ENT, ophthalmology, general, urology, GI, pain, podiatry, OB, and rare radiology cases-NO hearts, heads, or spines. Our growing team of anesthesia providers consists of four CRNAs and four physicians. Currently, anesthesia practice is a combination of an ACT model and independent practice.
Anesthetizing locations include 3 OR rooms, 2 endoscopy suites, 1 urology suite, and a C/S room. Call responsibilities are 1:6-7 from home (30-minute call back) with the MD as a backup call. Weekend call is from Friday to Sunday, mostly OB and orthopedics on weekends-post-call days off 95% of the time. We are seeking CRNA with any degree of experience to join our established group of anesthesia providers who value work camaraderie as well as a healthy work life balance. We are willing to train if anyone lacks experience in regionals or needs a refresher. Nestled in the heart of the picturesque Texas Hill Country, Marble Falls is a vibrant city located just 45 miles northwest of Austin. Despite its modest population of 6,514 residents, Marble Falls boasts a rich cultural heritage and a thriving community spirit. Recognized as a Certified Film Friendly Community by the Texas Film Commission, Marble Falls offers residents and visitors a charming blend of natural beauty, cultural attractions, and recreational opportunities.
Job Summary
The Certified Registered Nurse Anesthetist (CRNA) is a licensed nurse with advanced training in anesthesia. The CRNA administers, monitors, and adjusts anesthetic doses for patients of all ages during surgery and other procedures.
Limited to select locations based on unique workplace dynamics.
Essential Functions of the Role
Interprets physician's pre-anesthetic evaluation and lab data.
Reviews health history, including psychosocial as well as biophysical. Reviews all current laboratory data.
Performs pre-induction examination and inspection of body parts or organ systems related to an anesthetic plan. Reviews the proposed surgery with the patient.
Perform a brief physical assessment of the patient, dentures, prosthetic devices, allergies, and NPO status. Verify that all prescribed safety standards have been met before anesthesia induction. Check the machine checklist, functional suction equipment, airway management equipment, proper placement of monitoring and electrosurgical electrodes, and physical positioning.
Induces and maintains general anesthesia at safe levels. Uses techniques prescribed by the staff anesthesiologist or customary department methods.
Selects and administers anesthetic techniques, medications, and adjunctive drugs according to accepted departmental guidelines.
Performs intratracheal intubation and extubation protecting the patient at all times.
Identifies and manages emergency situations according to departmental policies and procedures.
Performs regional anesthesia using techniques prescribed by the assigned staff anesthesiologist or techniques customarily used within the department.
Selects and administers regional anesthetic techniques, medications, and adjunctive drugs according to accepted departmental guidelines.
Identifies and manages emergency situations according to departmental policies and procedures.
Monitors life support functions, recording various data, and verifies equipment is working. All available noninvasive monitoring equipment will be used on patients receiving general anesthesia (i.e., BP, EKG, oximeter, pre-cardial stethoscope/esophageal stethoscope, temperature, oxygen analyzer, and SARA). All data will be recorded. BP and pulse will be recorded every 5 minutes. Other pulses will be recorded every 15 minutes. A pre-anesthetic machine checklist will be performed and documented for every procedure involving the Department of Anesthesia.
Manage fluid, blood, and electrolyte loss and replacement within the guidelines of the Department of Anesthesia policies and procedures.
Performs basic perioperative diagnostic testing and documents it in the anesthetic record. Closely helps and monitors life functions. In case of an adverse drug response, takes corrective action and consults the senior Staff Anesthesiologist promptly. Records all important events during the procedure, including tourniquet time and pressure, changes in the operation site, and drug injections by the surgeon. All unusual events must be clearly documented in the anesthetic record.
Terminates anesthesia in a timely fashion, ensuring patient safety to post-anesthetic recovery room. Reverses anesthetic according to departmental guidelines.
Protects the patient during transportation to the Recovery Room. Gives a detailed report to the assigned Recovery Room personnel. Informs the Recovery Room Anesthesiologist and assigned Staff Anesthesiologist of any complications. Follows the post-anesthetic course to recognize anesthetic-related complications. Documents post-anesthetic visits in the Progress Note form up to 24 hours post-anesthetic. This note includes the date, time, patient status information, and the visitor's signature.
Key Success Factors
Obtains 40 CEUs every two years.
Maintains certification and registration.
Keeps informed of current trends and updated procedures.
Knows about the current concepts of cardiopulmonary resuscitation.
Demonstrates ability to accept and initiate change.
Demonstrates ability to communicate effectively and work collaboratively with others.
Functions as part of a health care/anesthesia team.
Ability to work variable hours.
Ability to share "on call" duties and be able to respond in the acceptable time frame.
Belonging Statement
We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.
QUALIFICATIONS
EDUCATION - Bachelor's
EXPERIENCE - Less than 1 Year of Experience
CERTIFICATION/LICENSE/REGISTRATION - Nurse Anesthetists (CRNA) ACLS (ACLS): ACLS in 30 days of hire or transfer. Basic Life Support (BLS): BLS in 30 days of hire or transfer.
Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!