Certified Registered Nurse Anesthetist (CRNA)- Mt Sinai West- FT -Days

The Nurse Anesthetist is an advanced practice nurse (CRNA). Within this role, under the supervision of an Attending Anesthesiologist, the CRNA, administers monitors and manages patient care before, during and after anesthesia.

Responsible To

Designated Attending Anesthesiologists/ Vice President, Nursing and Chief Certified Registered Nurse Anesthetist for performance appraisals and scheduling

Responsible For

The performance of pre-anesthesia assessment, induction and maintenance of and emergence from anesthesia, monitoring of the patient's physiological condition and performance of clinical intervention as necessary, under the supervision of an Attending Anesthesiologist.

Principal Duties and Responsibilities

Clinical Practice

1. In conjunction with Attending Anesthesiologist, performs a thorough and completed pre-anesthesia assessment. Responsible for obtaining and reviewing relevant tests and discussing findings with the Attending.

2. Obtains and/or verifies that an informed consent has been obtained for the planned anesthetic intervention from the patient or legal guardian. Discusses anesthetic options and risks with the patient and/or legal guardian after discussion with Attending Anesthesiologist. Documents in the patients' medical record that informed consent was obtained.

3. Formulates a patient-specific plan for anesthesia care in conjunction with the Anesthesiologist. The plan is based upon comprehensive patient assessment, problem analysis, anticipated surgical or therapeutic procedure, patient and surgeon preferences, and current anesthesia principles.

4. Induces anesthesia under the supervision of an Attending Anesthesiologist and maintains anesthesia at required levels. Assesses continuously the patient's response to the anesthetic and/or surgical intervention and must immediately notify the Attending Anesthesiologist of significant changes in the patient's condition and intervenes as required, under the supervision of an Attending Anesthesiologist to maintain the patient in a satisfactory physiologic condition.

5. Monitors the patient's physiologic condition as appropriate for the type of anesthesia and specific patient needs.

* Monitors ventilation continuously. Verifies intubation of the trachea by auscultation, chest excursion, and confirmation of carbon dioxide in the expired gas. Continuously monitors end-tidal carbon dioxide during controlled or assisted ventilation. Uses spirometry and ventilatory pressure monitors.

* Monitors oxygenation continuously by clinical observation, pulse oximetry, and if indicated, arterial blood gas analysis.

* Monitors cardiovascular status continuously via electrocardiogram and when appropriate, heart sounds.

* Records blood pressure and heart rate.

* Monitors body temperature continuously on all pediatric patients receiving general anesthesia and when indicated, on all other patients.

* Monitors neuromuscular function and status when neuromuscular blocking agents are administered.

* Monitors and assesses the patient positioning and protective measures.

The omission of any monitoring standards shall be documented and the reason stated on the patients anesthesia record. The CRNA shall be in constant attendance of the patient until another qualified health care provider has accepted the responsibility for care.

6. Maintains complete, accurate, and timely documentation of pertinent information on the patients' medical record. Must document all anesthetic interventions and patient responses.

7. Transfers the responsibility for care of the patient to other qualified providers in a manner that assures continuity of care and patient safety.

8. Adheres to appropriate safety precautions, as established within the institution, to minimize the risk of fire, explosion, electrical shock and equipment malfunction. Documents on the patients' medical record that the anesthesia machine and equipment were checked.

9. Inspects the anesthesia machine prior to use and monitors according to established guidelines. Checks the readiness, availability, cleanliness, and working condition of all equipment to be utilized in the administration of the anesthesia care. When the patient is ventilated by an automatic mechanical ventilator, monitors the integrity of the breathing system with a device capable of detecting a disconnection by emitting an audible alarm. Monitors oxygen concentration continuously with an oxygen supply failure alarm system.

10. Takes precautions to minimize the risk of infection to the patient, the Nurse Anesthetist, and other healthcare providers.

Professional Practice

1. Participates in the ongoing review and evaluation of the quality and appropriateness of anesthesia care as a member of the Department of Anesthesiology. Evaluation shall be performed based upon appropriated outcome criteria and reviewed on an ongoing basis.

2. Participates in a continual process of self-evaluation and strives to incorporate new techniques and knowledge into practice.

3. Participates in departmental Grand Rounds, presenting relevant cases as appropriate.

4. Respects and maintains the basic rights of patients.

5. Assists in research projects as directed by an anesthesiologist.

6. Participates in the instruction and supervision of Student Registered Nurse Anesthetists (SRNAs).

Administrative Practice

1. Collaborates with members of the health care team in the development, implementation and ongoing review of policies, procedures and standards of care for a designated patient population.

2. Evaluates and documents the patient care outcomes for the Department of Anesthesia and influences Departmental changes in staffing, patient assignment and standards of care.

3. Participates in the identification of performance improvement indicators and develops quality improvement programs with the health care team.

4. Participates in risk management activities including the identification and communication of risk in a timely manner.

5. Responds to budgetary constraints and incorporates financial principles into program development, patient care activities and allocation of resources.

6. Formulates trends and identifies potential problems in the delivery of patient care in the perioperative setting and implements action plans and educational programs for faculty and staff.

NYS RN with BSN and Master?s Degree in nurse anesthesia, current BCLS and  ACLS, and CRNA certificate. 

Collective bargaining unit: NYSNA-SLW

NYSNA at Mount Sinai St. Luke's and Mount Sinai West, BQX - Anesthesiology Nursing - WST, Mount Sinai West

Strength through Unity and Inclusion

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About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

Equal Opportunity Employer

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

Compensation

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $130.9174 - $130.9174 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.