The Department of Anesthesiology & Critical Care Medicine (ACCM) is seeking an enthusiastic and motivated Certified Registered Nurse Anesthetist (CRNA) for their expanding Ambulatory Division.  This CRNA will work in the northern Baltimore region. The cases at these sites are rapid turnover and require a CRNA who is driven and engaged in patient care, quality, and clinical efficiency.

This position reports jointly to the Ambulatory 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 and/or procedure 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.

Pre-Anesthesia Assessment & Case Preparation:

• Perform and documents timely pre-anesthesia assessments:
• Review of medical history (including anesthesia, drug and allergy history); Focus 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-Op 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, recognizing 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 emergences 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.
• Facilitate room turnover in a timely fashion (room, medicine and equipment prep, pre-op assessment).
   

Service Standards: Provides Medical service according to the JHM Service Standards to include:

• Patient Relations
• Self-Management
• Teamwork
• Communications
• Ownership/ Accountability
• Continuous Performance Improvement

Minimum Qualifications:

Complete the requirements for a degree or diploma from an education program in nurse anesthesia approved by the Maryland Board of Nursing. If the nurse anesthesia program was completed after January 1, 2008, then the program must be at a master’s degree or higher. A minimum of a Master’s degree is preferred.

Must be certified by the Council on Certification of Nurse Anesthetists or from another certifying body approved by the Board, or in the process of acquiring such certification. Current Maryland State RN and CRNA licensure required. Current CPR (BLS & ACLS) certification required. Must maintain current licensure and certification during duration of employment. Completion of the JHH credentialing process is required prior to start date.

This is a Required Attendance position. In the event of unexpected university closings, the employee in this position is required to report and/or remain at work.

Additional Knowledge, Skills and Abilities:

Highly developed clinical, interpersonal and communication skills to effectively interact with peers, colleagues, managers, supervisors, other health care professionals, patients and family members to exchange information and resolve conflict.

Appropriate fund of knowledge, sufficient understanding of disease processes/drug effects and implications for anesthetic care.

Physical Requirements: Must be able to remain in a stationary position for an extended period of time. Must be able to move throughout the hospital as needed for patient care. Must be able to wear lead apron weighing up to 15.5 lbs. Ability to push and pull objects weighing 50 lbs. or more. Ability move or transport objects weighing 50 lbs. or less. (e.g. transport monitors from ICU to OR, medical equipment from workroom to OR).   Able to lift 20lbs. Ability to transfer patients between beds and stretchers. Ability to adjust and raise the head of a hospital bed.

Classified Title: CRNA   ​​​​​
Role/Level/Range: ACRP/04/MI 
Starting Salary Range: Competitive; Commensurate with experience
Employee Group: Full Time 
Schedule: Monday - Friday 
Exempt Status: Exempt  
Location: School of Medicine, East Baltimore Campus 
Department Name: Anesthesiology & Critical Care Medicine (ACCM) 
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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