Graduate Registered Nurse Anesthetist (GRNA), Downey (Per Diem)

Under the medical supervision of a physicianAnesthesiologist, administers general and regional anesthesia for all types of surgical, obstetrical and other procedures that require anesthesia services, to patients of various age groups including: neonatal, pediatric, adolescent, adult and geriatric in accordance with hospital and departmental standards of care. Such intervention may include, but not be limited to: airway management; maintenance of fluid balance; homeostasis; monitoring; response to emergencies related to airway management and cardiopulmonary resuscitation; and management of patients on ventilators.

• Administers anesthesia to all age groups.


• Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.


• Complies with organizational rules, policies and procedures (i.e. TJC, Title 22, Regional and Department requirements).


• Evaluates patients pre-operatively by interviewing and examining patient; reviews chart for relevant information.


• In collaboration with MD selects anesthetic for patient based on pre-operative examination.


• Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of each age group served: neonatal, pediatric, adolescent, adult and geriatric.


• Selects anesthetic for patient based on pre-operative examination.


• Evaluates patients response to pre-medication.


• Communicates with surgeon and physician anesthesiologist regarding special concerns of patient.


• Checks anesthesia equipment daily and between cases to assure safe operating condition.


• Prepares drugs for administration.


• Administers anesthesia in accordance with delineated clinical privileges and any conditions or restrictions imposed thereof.


• Monitors the patient intraoperatively.


• Evaluates operative and post-operative condition of patient and takes necessary action to maintain stability.


• Evaluates the patients postoperatively (within 24 hours).


• Maintains an accurate accounting of controlled substances in accordance with departmental guidelines.


• Maintains equipment and supplies as outlined in department policies and procedures.


• Complies with organizational rules, policies and procedures (i.e. TJC, CAC Title 22, Regional and Department requirements).


• Establishes and maintains courteous and cooperative relations when interacting with public, patients, staff and other personnel.


• May perform other duties within scope of licensure/certification as required.


• Note: Must be able to work within an Anesthesia team model, work with MDAs, CRNAs and Anesthesia TECHs.