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Certified Registered Nurse Anesthetist - General Anesthesia

Job Summary:
This role is a member of the anesthesiology care team which administers anesthesia to patients. The CRNA's in this role work with the General Anesthesia team here at CHOP.

All case assignment is determined by an Anesthesiologist by demonstrating the knowledge, skills and abilities necessary to provide anesthesia care appropriate to the neonatal, pediatric and adolescent population. This role implements the mission, vision, and values of The Children’s Hospital of Philadelphia, Department of Anesthesiology and Critical Care Medicine and Children’s Anesthesiology Associates, Ltd. This role participates in departmental and hospital programs for Quality Assessment and Improvement by identifying opportunities to improve services, making recommendations and implementing actions as appropriate and consistent with the goals of The Children Hospital of Philadelphia, Department of Anesthesiology and Critical Care Medicine and Children’s Anesthesiology Associates, Ltd.

Job Responsibilities:
Patient Management – Anesthesiology
All performed under the direct supervision of an attending Anesthesiologist
  • Pre-anesthetic evaluation, determination of appropriateness of preparation and physical status of patient for anesthesia and operation as scheduled, physical exam, appropriate lab and radiological studies as indicated, and discussion of anesthesia management and risks
  • Conduct of general, regional, or local anesthesia and monitored anesthesia care in appropriate locations, including:
  • selection, ordering, and administration of anesthetics, muscle relaxants, and other adjuvant drugs
  • monitoring and support of vital functions, including but not limited to, management of ventilation and administration of fluids and blood products
  • ordering and administration of potent analgesics and sedatives to control pain in the perioperative period
  • Airway management and cardiopulmonary resuscitation
  • Vascular access by percutaneous techniques as required, including arterial cannulation and catheterization of central veins, pulmonary arteries, and internal jugular veins
  • Provision of post-anesthetic care including:
  • Airway management and cardiopulmonary resuscitation
  • Determination of recovery from anesthesia including level of consciousness, cardiopulmonary stability, and recovery from neuromuscular blockade
  • Level of surveillance required by the patient’s condition
  • Approval of patient discharge from the Post Anesthesia Care Unit

This section for those with privileges in Cardiac Anesthesia:
Conduct of general and regional anesthesia, including the selection and administration of anesthetics, muscle relaxants, and other adjuvant drugs and monitoring and support of vital functions for:
  • cardiothoracic procedures requiring cardiopulmonary bypass
  • closed cardiac procedures
  • catheterization lab procedures in patients with pulmonary hypertension instititution of ECMO, Ventricular Assist Devices
  • Vascular access by arterial cut down

Job Requirements: