Certified Registered Nurse Anesthetist (CRNA)

About the job

Pullman Regional Hospital in Pullman is hiring a full-time Certified Registered Nurse Anesthetist (CRNA) as it builds its own in-house CRNA team. The CRNA gives anesthesia care before, during and after surgical, obstetric, diagnostic and therapeutic procedures, and also cares for patients in the hospital's Pain Clinic.

At Pullman Regional Hospital the CRNA coordinates care with surgeons, proceduralists and obstetric providers, along with nursing, pharmacy, respiratory therapy and other clinical teams.

What you'll do

• Do and document pre-anesthesia assessments, covering history, exam, airway, medications, allergies, test results and anesthesia risk, and consult or refer when a patient needs optimizing
• Build an individual anesthesia plan, walk the patient through options, risks, benefits and alternatives, then get informed consent and record it
• Check anesthesia equipment, medications, monitors and emergency supplies before each case and report any equipment problems
• Provide general anesthesia, neuraxial and regional anesthesia, sedation and monitored anesthesia care within your privileges
• Manage airway, ventilation, oxygenation, hemodynamics, fluids and blood products, and perform vascular access and regional blocks
• Monitor patients throughout, adjust the plan, spot complications and start emergency treatment, resuscitation or transfer when needed
• Order, give and, when authorized, prescribe medications, following controlled substance security and waste procedures
• Provide post-anesthesia care, including pain and nausea control, and hand off each patient fully to the receiving team
• Assess patients in the Pain Clinic, create and evaluate pain management plans and perform procedures within CRNA scope
• Keep accurate anesthesia records and take part in patient safety, peer review, quality improvement and emergency preparedness work

What you need

• Graduation from an accredited nurse anesthesia program, with education that meets Washington requirements for CRNA licensure
• A current, unrestricted Washington ARNP (advanced registered nurse practitioner) license carrying the CRNA designation
• An active Washington RN license or a multistate RN license that allows practice in Washington
• Current CRNA certification through the NBCRNA, kept active throughout employment
• Current BLS and ACLS certification, plus PALS and NRP when required for assigned patients and privileges
• Ability to obtain and keep hospital credentialing and clinical privileges before seeing patients
• Skills in airway management, pharmacology, resuscitation, advanced assessment and anesthesia planning
• Clear communication, solid handoffs, accurate EHR documentation and sound judgment about when to consult or escalate

Preferred

• Past work as a CRNA at a hospital or critical access hospital, including making independent decisions and handling emergencies
• Experience with obstetric, regional, ultrasound-guided and pediatric anesthesia
• A doctorate in nurse anesthesia practice or another related field
• Experience in quality improvement, staff education or precepting

Schedule

• Full-time; the exact full-time schedule has not been set yet
• Includes on-call coverage, and may include nights, weekends and holidays

Benefits

• Medical, vision and dental coverage and a health savings account
• Paid leave time
• Employer-paid life insurance and long-term disability
• A retirement plan with employer matching contributions
• Voluntary life, critical illness, accident and short-term disability insurance
• A services discount and employee assistance program (EAP) resources