LOCATION: Geisinger Community Medical Center, Scranton, PA
WORK SCHEDULE: Rotation
WORK TYPE: Full Time (1.0 FTE)
Provides anesthesia care in support of surgical, diagnostic, and therapeutic procedures under general supervision of a physician. Provides preoperative evaluation and postoperative follow-up. Performs duties to provide the highest level of patient care and maximize patient satisfaction.
MAJOR DUTIES AND RESPONSIBILITIES:
*1. Plans and carries out anesthesia support. Confers with supervising physician to coordinate clinical management of patients.
*2. Conducts preoperative patient assessment. Assesses patient's condition, and reviews the patient's chart, consultations, and lab reports. Interprets the data to evaluate and assess patient's needs as to the type of anesthesia to use and potential effects. Makes recommendations. Communicates with patients to answer questions and lessen patient's fears.
*3. Prepares the anesthesia process. Plans for the management of the anesthetic and selects appropriate anesthesia based on patient's history, needs, and preferences and the surgeon's requirements.
*4. Arranges for support equipment and proper procedures. Acquires the equipment, monitors, and drugs used for the procedure. Sets up equipment, checks for working order, and makes simple diagnostic checks if malfunctions occur. Notifies supervisor or designated person if equipment is not operational to assure repairs are made. Applies monitoring equipment following standard safety precautions and interprets data from monitors to use in clinical decisions. Coordinates with OR personnel to prepare OR for patients relative to surgeon and operation needs for positioning of patient, equipment, and anesthetist.
*5. Anesthetizes the patient. Prepares the patient for anesthesia, selects drugs for anesthesia and emergency treatment. Induces and maintains anesthesia. Monitors the patient's condition through observation of the patient and monitors. Makes adjustments as necessary. Informs surgeon of patient's condition during the process. Treats variants of the anesthesia and requests consultation from supervising physician as required, keeping the supervising physician informed of case progress.
*6. Concludes the anesthetic process. Conducts process to have patient at proper level of consciousness at the end of the case and terminates the anesthetic. Transports or assists with transport of patient to recovery room or an intensive care unit. Oversees movement of patient to stretcher. Assures necessary monitoring equipment accompanies patient and provides airway management during transport.
*7. Provides a hand-off report to a recovery room or intensive care nurse, including the patient's condition and needs, anesthetics, medications and fluids administered, surgery performed, and complications. Works with the nurse to plan the recovery care of the patient in conjunction with the supervising physician. Assumes responsibility for recovery room care of patient in absence of the supervising physician, following hospital protocol to provide appropriate follow-up.
*8. Performs documentation. Documents all anesthetic care, including medications and interventions, observations, etc., in patient's chart or other records. Documents post anesthesia visits and reports complications to supervising physician. Maintains a complete Anesthesia Record.
*9. Provides anesthesia support to Labor and Delivery Suite. Provides anesthesia coverage along with the anesthesiologist for C-sections in Labor and Delivery Suite. Assures availability of equipment and assistance before inducing anesthesia.
*10. Instructs students. Provides instruction and acts as a preceptor to student nurse anesthetists or other learners as required. Serves on school committees as able. Attends meetings to assist with identification and meeting student's educational needs.
*11. Provides staff development support. Provides instruction in airway management and anesthesia for nurses and other personnel as required to assure basic understanding and appropriate technique to apply to the care they provide on their units.
*12. Provides global airway management support. Responds to requests from doctors or nurses to establish or check patency of patient's airways.
13. Acts as a member of Cardiopulmonary Resuscitation team as required. Acts as a member of monthly Morbidity and Mortality Conference and provides input, as able, regarding complications, etc.
14. Performs other duties as required or assigned by emergency or other operational reasons for which the employee is qualified to perform.
*Denotes essential job functions.
COMPETENCIES AND SKILLS:
Ability to start arterial lines, as well as peripheral and central lines.
Ability to secure airways using advanced airway management techniques and adjuncts.
Experience with regional anesthesia.
Computer competency including EMR proficiency.
Demonstrated ability to work in a team environment.
Demonstrated flexibility with staffing needs.
Demonstrated concern for the health and well-being of others.
EDUCATION AND/OR EXPERIENCE:
Graduate of an accredited school of nurse anesthesia and an RN license, or license-eligible, in the State of Pennsylvania required.
BLS and ACLS certification required. PALS required if at a facility which takes care of children.
Knowledge of anesthesia practice and procedures required.
Maintenance of continuing education standards required.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Work is typically performed in a clinical environment.
Call duties and rotating shifts may be required.
Travel to other entities as indicated.
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
OUR PURPOSE & VALUES:Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
GEISINGER-COMMUNITY MEDICAL CENTER (G-CMC), Scranton, Pa., is an acute care hospital licensed for 297 beds and houses the only Level II Trauma Center in Lackawanna County and Scranton’s only neurosurgery program and adult in-patient behavioral health unit. It is also home to comprehensive cardiovascular and orthopaedic services, as well as a broad range of other surgical and radiological services.
ABOUT GEISINGER: One of the nation’s most innovative health services organizations, Geisinger serves more than 1.5 million patients in Pennsylvania and New Jersey. The system includes 13 hospital campuses, a nearly 600,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. A physician-led organization, with approximately 32,000 employees and more than 1,800 employed physicians, Geisinger leverages an estimated $12.7 billion positive annual impact on the Pennsylvania and New Jersey economies. Repeatedly recognized nationally for integration, quality and service, Geisinger has a long-standing commitment to patient care, medical education, research and community service. For more information, visit geisinger.org or connect with us on Facebook, Instagram, LinkedIn and Twitter.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.*
*Domestic partner benefits not applicable at Geisinger Holy Spirit.
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
Internal Number: 66790
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.