CRNA Part-time

Anesthesia 
Part Time 
Day Shift 
Day Shift


Sign-On Bonus: $50,000 

Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. Ranked #1 in the Columbia metro area by U.S. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina and the first hospital in the state to achieve Magnet with Distinction status for excellence in nursing care.

The 607-bed teaching hospital anchors a health care network that includes six community medical centers and employs more than 8,700 health care professionals. The network includes a cardiovascular program recognized by the American College of Cardiology as South Carolina’s first HeartCARE CenterTM and an accredited Cancer Center of Excellence affiliated with MUSC Hollings Cancer Center for research and education. The network also features an occupational health center, the largest skilled nursing facility in the Carolinas, an Alzheimer’s care center and nearly 80 physician practices.  Its postgraduate medical education programs include family medicine and transitional year residencies. 

Job Summary

The job responsibilities for Certified Registered Nurse Anesthetists at Lexington Medical Center must be performed under medical supervision. CRNAs provide anesthesia services for all patients from birth through geriatrics. Anesthesia services are provided for all types of patients incorporating pre-anesthesia, intra-op anesthesia, post anesthesia and emergency airway intervention.

Minimum Qualifications

Minimum Education: None
Minimum Years of Experience: None
Substitutable Education & Experience: None.
Required Certifications/Licensure: Current RN licensed in the state of South Carolina;
Current Advanced Practice Registered Nurse in the state of South Carolina;
Board certified by the American Association of Nurse Anesthesia Council on Certification;
ACLS and PALS certifications.
Required Training: None.

Essential Functions

  • Qualified nurse anesthetists must be able to provide anesthesia care under the direction of a supervising anesthesiologist who has been granted privileges at Lexington Medical Center.
  • A CRNA may administer a regional anesthetic only with permission from the attending anesthesiologist.
  • The nurse anesthetist may exercise independent judgment within the area of his/her professional competence and may participation directly in the medical management of patients under the supervision of an anesthesiologist or a specified physician. The nurse anesthetist may perform the following medically delegated tasks:        
    • General Anesthesia and Analgesia          
      • Pre-operative preparation and evaluation        
      • Intravenous agents           
      • Inhalation agents            
      • Intramuscular agents           
      • Post-operative evaluation         
    • Regional Anesthesia            
      • Infiltration             
      • Intravenous            
      • Upper extremity blocks           
      • Lower extremity blocks          
    • Procedures             
      • Intravenous catheter replacement         
      • Intravenous administration of:  fluids, blood, plasma, plasma expanders, muscle relaxants, vasoactive drugs          
      • Placement of arterial lines          
      • Mechanical ventilation          
      • Resuscitative techniques and therapy
  • Performs and documents pre-anesthetic assessment and evaluation of the patient.
  • Consults with attending Anesthesiologist regarding plan of care
  • Performs complete safety and working order check of all anesthesia equipment prior to initiating an anesthetic.
  • Selects and applies appropriate monitoring for continuous evaluation of patient status.
  • Selects and administers appropriate drugs, fluids, and supplies for the safe conduction of anesthesia.
  • Manages the patient airway and pulmonary status using current practice modalities
  • Facilitates smooth induction, case management, and emergence from anesthesia by selecting and administering appropriate drugs, fluids, and airway management techniques
  • Initiates necessary intravenous access lines including arterial lines appropriate for case management

Duties & Responsibilities

  • Responds appropriately to emergency conditions and situations making appropriate decisions for airway management, fluid, and drug administration
  • Provides accurate report to licensed personnel appropriate for their field of expertise for the safe maintenance and or recovery of the patient
  • Provides accurate report to license personnel appropriate for their field of expertise for the safe maintenance and or recovery of the patient
  • Actively participates in post anesthesia assessment and department quality assurance program
  • Follows the current scope and standards for Nurse Anesthesia Practice
  • Follows the current Code of Ethics of Nurse Anesthesia Practice
  • Follows Department and Hospital policies
  • Presents to work in an appropriate and timely fashion
  • Follows hospital policy for meeting service expectations providing courteous and respectful treatment of all customers including but not limited to: co-workers, patients, families, medical personnel, and vendors
  • Follows hospital and departmental Anesthesia and Surgery dress code policy displaying a non-defaced badge and professional attire to include but not limited to: clean scrubs, appropriate head wear or cap, and removing shoe covers and masks prior to leaving the perioperative area.
  • Employee understands, agrees, and recognizes that the department functions in a 24-hour, 7-day a week capacity and that there is an off-shift and call provision and staff obligation to meet department needs.
  • Ensure Hazardous Waste or Hazardous Waste Pharmaceuticals are discarded, stored, and managed with other compatible waste streams in containers that are properly labeled and closed prior to being shipped offsite for proper disposal.  Initial RCRA training is received within 6 months of the hire date and continuing with annual RCRA training.
  • Performs all other duties as assigned.

We are committed to offering quality, cost-effective benefits choices for our employees and their families:

  • Day ONE medical, dental and life insurance benefits 
  • Health care and dependent care flexible spending accounts (FSAs)
  • Employees are eligible for enrollment into the 403(b) match plan day one.  LHI matches dollar for dollar up to 6%.
  • Employer paid life insurance – equal to 1x salary
  • Employee may elect supplemental life insurance with low cost premiums up to 3x salary 
  • Adoption assistance
  • LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
  • Tuition reimbursement
  • Student loan forgiveness

Equal Opportunity Employer
It is the policy of LMC to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. LMC strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. LMC endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.

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Annual Requirements: Annual Physical BLS Certification-must be maintained ACLS Certification-must be maintained PALS Certification-must be maintained ORCCs Education Hours Physical Qualifications: Weight Demands Lifting 26 - 50 lbs - Occasionally Carrying 26 - 50 lbs – Occasionally Pushing/Pulling 26 - 50 lbs - Occasionally Sliding/Transferring 26 – 50 lbs- Occasionally Physical Demands: Standing - Frequently Sitting - Occasionally Walking - Frequently Talking - Frequently Driving - Rarely Balancing/Climbing - Rarely Stooping/Kneeling - Frequently Crouching/Crawling - Rarely Reaching - Frequently Hearing - Frequently Seeing - Frequently Turning/Twisting/Leaning - Frequently Mental Demands: Problem Solving - Frequently Supervise - Frequently Organize - Frequently Plan - Frequently Decision Making - Frequently Interpret Data – Frequently Write - Frequently Reading - Frequently Working Conditions: Indoor - Frequently High Temperatures - Rarely Loud Noise - Frequently Confined Areas - Frequently Outdoor – N/A Cold Temperatures - Rarely Fumes – Rarely Equipment Use: Telephone - Occasionally Computer (Beginner Level) - Frequently Computer (Intermediate Level) - Frequently Computer (Advanced Level) – Occasionally Copier - Occasionally Patient Testing Equipment - Frequently Patient Transport Equipment – Frequently Fax - Occasionally Core Responsibilities: Maintains the standards of anesthesia care and implements the related policies and procedures of the medical center and the Surgery department. Is able to organize and set priorities when performing anesthesia duties and responsibilities. Performs psychological evaluations to assist in the development of rehabilitation plans for outpatients and inpatients Reviews and follows the Anesthesiologists plan of care including the pre-anesthetic assessment and evaluation, anesthetic type and risk classification. Reviews the patient's current health status and medical history, including pertinent lab work before administering any anesthetic. Refers any questions/concerns to the supervising anesthesiologist. Ensures that the supervising anesthesiologist is notified of induction and emergence from anesthesia. Demonstrates proficiency in all modes of administering general anesthesia. Competent to perform and/or monitor any procedure involving regional anesthesia, including labor epidural analgesia. Administers the anesthetics, adjuvant drugs, accessory drugs, and fluids necessary to manage the anesthetic, to maintain the patient's physiologic homeostasis, and corrects abnormal responses to the anesthesia or surgery. Capably manages the patient's airway and pulmonary status. Manages emergence and recovery from anesthesia by administering medications, fluids, or ventilator support in order to maintain homeostasis, to provide relief from pain and anesthesia side effects, or to prevent or manage complications. Capable of responding to emergency situations by providing airway management, administration of emergency fluids or drugs, or basic or advanced cardiac life support techniques. Implementation of safe and appropriate care of the patient. Checks all anesthesia equipment, i.e., gas machines, monitors, etc., prior to its use, to ensure the integrity of the system and documents. Capable of troubleshooting all anesthesia related equipment. Provides a comfortable environment for the patient and maintains patient dignity and identifies unsafe situations and reports to the appropriate person. Confers with the surgeon/supervising anesthesiologist as to the method of positioning to provide optimum safety for the patient and access for the surgeon. Adheres to all department policies, procedures and standards related to technical skills (i.e., application of monitoring equipment, drawing of ABG's, hanging blood, etc.) and is competent in performance of technical skills. Ensures that a "Time Out" occurs with active participation from the OR team. Reports pertinent patient data, observations and reactions to supervising anesthesiologist and documents observations accurately. Notifies the supervising anesthesiologist and surgeon as appropriate of any undue responses, i.e., hypotension, cardiac dysrhythmias, etc. who will assist as needed. Provides legible documentation of anesthesia care given, patient responses and relevant times. Ensures supervising anesthesiologist co-signs anesthetic record. Thoroughly and consistently completes anesthesia patient charges. Provides for continuity of patient care by reporting specific patient data to the appropriate health care providers, i.e., OR circulators, PACU, etc. Demonstrates knowledge and skills to perform safe and effective patient care and/or interaction with all age groups. Evaluates age appropriate motor skills and psychological norms. Recognizes patient's psychological development. Interview/communication techniques are age appropriate. Assesses safety needs based on age groups and provides safety measures based on that assessment. Uses appropriate sized equipment for size and age of patient. Completes age specific newsletters and associated tests. Provides a Clean and Safe Patient Environment/Work Area. OR Room organized, all equipment removed and stored in proper place to include x-ray aprons, positioning devices, etc. All equipment/instruments stored in appropriate places in center core. Actively participates in the time out and the "WHO" checklist. Behavioral Expectations : Safety Makes sure to understand every safety practice expected by the organization. Takes no shortcuts that increase the risks of accidents, personal injuries or equipment failures. Looks for unsafe practices in the workplace and takes responsibility to ensure that others are aware of the potential impact. This is distinctly different from those who are unaware of many safety expectations, take shortcuts that increase safety risks, and/or fail to recognize and take timely action to increase safe practices by others. Communication Communicates effectively and appropriately. Uses good judgment as to what to communicate to whom as well as the best way to get that accomplished. Speaks in a clear and credible manner, selecting the right tone for the situation and audience. Listens to others and allows them to make their point. Accountability Prioritizes tasks and manages time to ensure that deadlines are met. Plans his or her time and sticks to those plans. Prevents or manages interruptions until the highest priority tasks are accomplished. Accepts responsibility for his or her actions. Arrives at work on time and ready to contribute. Shows up for meetings well-prepared. Conflict Resolution Handles sensitive or difficult issues with grace and confidence. Remains clear-headed and focused and inspires others to do the same. Remains objective in the face of strong emotions. Can acknowledge strong emotions without being unduly influenced by their intensity. Interpersonal Skills Demonstrates a genuine interest in the thoughts, opinions, values and needs of co-workers and customers and views differences in these areas as both inevitable and acceptable. Avoids speaking, writing or doing other things that could be seen as disrespectful of people in their absence (or "behind their backs"). Recognizes and shows respect for the strengths and contributions of others. Responsiveness Personally demonstrates that external (or internal) customers are a high priority. Identifies customer needs and expectations and responds to them in a timely and effective manner. Anticipates and prevents delays or other things that can adversely affect the customer. Keeps customers informed about the status of pending actions and inquires about customer satisfaction with products or services. Teamwork Is an effective team player who adds complementary skills and contributes valuable ideas, opinions and feedback. Communicates in an open and candid manner and can be counted upon to fulfill any commitments made to others on the team. ADDITIONAL INFORMATION Why Work at Saint Francis? Saint Francis Healthcare System began in 1875 when three courageous Franciscan Sisters answered a call to care for those in need. What started as a 12‑bed hospital has grown into the region’s leading healthcare system—recognized nationally for exceptional quality, safety, and patient experience. Today, Saint Francis serves more than 715,000 people across five states. With a 306‑bed Medical Center , nearly 3,000 team members , and over 300 providers , Saint Francis is not only the largest healthcare system between St. Louis and Memphis—it’s a powerful economic anchor for the communities it serves. You’ll find more than 50 specialties , the region’s only Level III Emergency and Trauma Center , and southeast Missouri’s first Level III NICU . The system’s employed physician group, Saint Francis Medical Partners, supports more than 40 outreach clinics and 70% of the area’s primary care providers. A Mission That Matters At Saint Francis, you’re not just doing a job - you’re part of a Catholic healing ministry rooted in compassion, dignity, and service. Every action is inspired by a commitment to honor human life and care for every person who walks through the doors. Mission To provide a ministry of healing, wellness, quality, and love inspired by our faith in Jesus Christ. Vision To be a leading Catholic healthcare system that celebrates and protects the gift of life by providing exceptional patient outcomes in quality, safety, access and value. Values You Can Feel Every Day Integrity: Doing what’s right, even when no one is watching Stewardship: Managing resources wisely for the future Faith: Believing in a purpose greater than ourselves Hope: Lifting up those who feel discouraged Joy: Serving others with a grateful, happy heart Compassion: Seeing others through Christ's eyes Excellence: Always striving to be the best Dignity: Respecting human life from beginning to end If You’re Looking to Make a True Impact… Saint Francis offers a workplace where your work has purpose, your team feels like family, and your contributions support a mission that has been changing lives for more than 150 years. Total Rewards Our most important asset is our colleagues. That's why Saint Francis Healthcare System offers a comprehensive benefits program to meet all your needs. Colleagues working at least 24 hours per week will have access to our Total Rewards package as outlined below. Comprehensive and affordable health coverage including medical, prescription, dental and vision - available on the first of the month after hire date Saint Francis Medical Services Discount Earned Time Off (ETO) based on relevant years of work history. ETO combines vacation, sick, holidays, and personal days into one balance to allow for flexibility Retirement benefits including SFHS immediate matching Education Assistance benefits up to $5,000 per calendar year for one year of service after graduation Other benefits including: Benefit Support through Health Advocate, Employee Assistance Program, Flexible Spending Accounts, Identity Theft Protection, Pet Insurance, Earned Wage Access To learn more about our Total Rewards package and eligibility, visit www.sfmc.net/careers/benefits/ . Saint Francis Healthcare System provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, or genetics. In addition to federal law requirements, Saint Francis Healthcare System complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. In compliance with the ADA Amendments Act (ADAAA) should you have a disability and would like to request an accommodation in order to apply for a currently open position with Saint Francis Healthcare System, please call 573-331-5152 or email us at careers@sfmc.net.