Pediatric CRNA Fellow Rotating Shift FT Children's Hospital of Michigan
Company: Detroit Medical Center Shared Services
Posted on: September 20, 2023
The Detroit Medical Center (DMC) is a nationally recognized
health care system that serves patients and families throughout
Michigan and beyond. A premier healthcare resource, our mission is
to help people live happier, healthier lives. The hospitals of the
Detroit Medical Center are the Children's Hospital of Michigan,
Detroit Receiving Hospital, Harper University Hospital, Hutzel
Women's Hospital, the DMC Heart Hospital, Huron Valley-Sinai
Hospital, the Rehabilitation Institute of Michigan and Sinai-Grace
DMC's 150-year legacy of medical excellence and service provides
patients and families world-class care in cardiovascular health,
women's services, neurosciences, stroke treatment, orthopedics,
pediatrics, rehabilitation, organ transplant and other general and
DMC is a key partner in Detroit's resurgence, which continues to
draw national and international attention. A dedicated corporate
citizen with strong community ties, DMC is one of the largest and
most diverse employers in Southeast Michigan.
Under general supervision and in collaboration with a physician,
the CRNA will fulfill responsibilities according to educational
preparation, clinical expertise and established standards,
protocols and practices of advanced practice nurses.
Responsibilities include the administration of anesthetics and
adjunctive medications to render patients insensible to pain;
monitoring patient's condition while under anesthesia; initiation
of corrective actions using professional judgment; and functioning
as a team member to perform preoperative reassessment, preoperative
assessment, anesthetic management and post-anesthesia care of the
patient. Responsibilities also include leadership and educational
PRINCIPAL DUTIES AND RESPONSIBILITIES:
1. Establishes preoperative rapport with patients and patients'
families; provides clear/concise explanations to patients'
questions and/or concerns, using tact and sensitivity in all
interactions. Informs patient of the anesthetic options and
associated risk and benefits.
2. Develops, in collaboration with a physician, a comprehensive and
individualized anesthetic care plan based on complete review of
patient history, planned procedure and the physical status of the
patient. Requests or orders additional tests as indicated.
Reassesses patient condition and proposed anesthetic plan
immediately prior to surgery.
3. Assesses and documents the integrity of all equipment and
necessary supplies prior to the initiation of anesthesia.
4. Determines the need for invasive and non-invasive
techniques/procedures and monitoring equipment. Selects, applies
and/or inserts the necessary equipment, catheters and/or monitors
to deliver continuous and safe patient care.
5. Implements the anesthetic plan and technique as developed which
includes the administration of intravenous, inhalation, Monitored
Anesthesia Care (MAC), local and/or regional anesthetic agents
and/or adjunctive medications to produce and maintain general
anesthesia, regional anesthesia, sedation, analgesia and/or
6. Uses quantitative/qualitative methods to calculate fluid/blood
loss during surgery. Administers intravenous fluids, blood and/or
blood products based on above criteria and including sound judgment
and in accordance with specific patient rights and preference.
7. Provides continuous monitoring according to established
guidelines and documentation of significant events occurring during
induction of, maintenance of and emergence from anesthesia;
evaluates and interprets patient's responses and various test
results via the use of a variety of monitoring modalities such as
precordial or esophageal stethoscope, temperature monitor, gas
analyzer, pulse oximetry, capnography, electrocardiography, blood
pressure, spirometry, blood gases, central venous pressure and
pulmonary artery pressure. Adjusts the anesthetic care plan
according to direct patient observation and/or information from
various monitoring methods.
8. Transports patients to the recovery area, conducts assessment
and provides summary report of the patient's condition to the
recovery room personnel for continuum of care; assesses and treats
adverse reactions to anesthesia in postoperative area.
9. Uses established criteria to evaluate and discharge patients
from recovery room according to established departmental
guidelines. Provides a summary of post anesthetic condition
following surgery including reference to anesthesia-related
10. Provides professional support and resuscitative care, including
tracheal intubation on an emergency/urgent basis throughout the
hospital and adjacent facilities
11. Demonstrates skill in the use of a variety of anesthetic
equipment including trouble-shooting and basic maintenance. Follows
appropriate procedure to identify, label and report defective
12. Develops and demonstrates ongoing professional growth and
development; serves as an expert and/or consultant for other
personnel in the system.
13. Actively participates with physicians as a team member to
manage patients with acute and/or chronic pain.
14. Demonstrates active involvement in required educational
experiences and assignments (e.g., supervising, mentoring and
evaluating students and other health care personnel.
15. Maintains a working knowledge of the DMC and department
policies, procedures, goals and objectives. Actively participates
in departmental quality assurance, committees and continuous
16. Conducts research independently and/or in collaboration with
students or other disciplines. Uses research data and continuous
quality improvement processes to make recommendations for changes
in clinical practice that will result in improvement of patient
outcomes and system changes
17. Integrates clinical and management skills with fiscal
18. Provides leadership for committees/task forces to address
departmental, regional and system concerns.
19. Functions in a collaborative manner to precept and mentor
individuals involved in patient care.
20. Demonstrates active involvement in community activities and
those activities that are congruent with the mission of the
21. In addition to the general responsibilities, CRNA's may seek
application for affiliation to the academic program with
responsibilities for didactic education for students/residents
associated with certified anesthesia programs.Qualifications:1.
Graduate from an accredited school of nursing.
2. Graduate from an accredited school of anesthesia.
3. National CRNA certification and/or re-certification.
4. Michigan license to practice as a registered nurse.
5. Michigan Specialty Certification in Anesthesia.
6. Current member of American Association of Nurse
7. Masters degree in anesthesia or other related area,
Detroit Medical Center Shared Services
2305000649Employment practices will not be influenced or affected
by an applicant's or employee's race, color, religion, sex
(including pregnancy), national origin, age, disability, genetic
information, sexual orientation, gender identity or expression,
veteran status or any other legally protected status. Tenet will
make reasonable accommodations for qualified individuals with
disabilities unless doing so would result in an undue hardship.
Keywords: Detroit Medical Center Shared Services, Detroit , Pediatric CRNA Fellow Rotating Shift FT Children's Hospital of Michigan, Healthcare , Detroit, Michigan
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