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Anesthesiology- Per Diem

UTower

The Certified Registered Nurse Anesthetist may manage the health care for those patients for which he/she has been educated and credentialed either under the medical direction or supervision of an Anesthesiologist using protocols developed by the Department of Anesthesiology, Perioperative medicine, and Pain Management. This applies to all subsequent details of clinical work as set forth in privileges, protocols, and the policies and protocols of the Department of Anesthesiology, Perioperative Medicine, and Pain Management. Copies of privileges are available upon request.

Pre-Anesthetic Preparation and Evaluation

• Obtaining an appropriate examination and healthy history including biophysical and psychosocial data.

• Conducting an appropriate health history screening assessment.

• Recommending or requesting and evaluation pertinent diagnostic studies.

• Selecting, obtaining, ordering, or administering pre-anesthetic medications.

• Documenting the pre-anesthetic evaluation and obtaining informed consent for anesthesia.

Anesthesia Induction, Maintenance and Emergency:

• Obtain, prepare, or utilize all equipment, monitors, supplies and drugs used for the administration of anesthesia; perform or order safety checks as needed/

• Selecting, obtaining, or administering the anesthetics, adjuvant drugs, accessory drugs, and the fluids necessary to manage the anesthetic, to maintain the patient’s physiologic homeostasis, and to correct abnormal responses to the anesthesia or surgery.

• Performing tracheal intubation and extubation; placing supraglottic airway providing mechanical ventilation.

• Managing regional anesthetic techniques including, but not limited to subarachnoid, epidural, and caudal blocks; plexus, major and peripheral nerve blocks; intravenous regional anesthesia; transtracheal, topical and local infiltration blocks. Performance of any block requires special demonstration of competency and is conferred individually on an annual basis by the Chief of Service at the site/ Performance of any plexus, major and peripheral nerve block also requires approval on any annual basis by the Chief of Regional Anesthesia in addition.

• Providing appropriate perianesthetic invasive and non-invasive monitoring utilizing current standards and techniques and responding to abnormal findings with corrective action

• Recognizing and treating cardiac dysrhythmias through the use of perianesthetic electrocardiogram monitoring.

• Recognizing abnormal patient response during anesthesia, selecting and implementing corrective action and requesting consultation whenever necessary.

• Managing the patient’s fluid, blood, electrolyte, and acid-base balance.

• Evaluation patient response during emergency from anesthesia and instituting pharmacological or supportive treatment to ensure the adequacy of patient recovery from anesthesia and adjuvant drugs.

• Providing anesthesia care consistent with infection control and anesthetic safety principles in order to prevent the spread of disease and prevent harm to the patient, the anesthetist and others in the anesthetizing environment.

• Documenting as part of the medical record, all aspects of anesthesia-related care in thorough and timely fashion.

Post-Anesthesia Care:

• Providing a thorough report of the patient’s psychological and physical condition, perianesthetic course and anticipated problems to the post-anesthetic nurse and physician who assume the patient’s care following anesthesia.

• Providing post-anesthesia follow-up and evaluation of the patient’s response to anesthesia and for potential anesthetic complications, taking appropriate corrective action and requesting consultation whenever indicated.

• Initiating and administering respiratory support to ensure adequate ventilation and oxygenation in the immediate post anesthesia period.

• Initiating and administering pharmacological or fluid support of the cardiovascular system during the immediate post anesthesia period as necessary to maintain appropriate physiologic parameters.

Perianesthetic And Clinical Support Function:

• Inserting central intravenous catheters or pulmonary artery catheters requires special demonstration of competency and is conferred individually on an annual basis by the Chief of Service at that site.

• Inserting Peripheral venous catheters.

• Inserting arterial catheters and performing arterial puncture to obtain arterial blood samples.

• Identifying and managing emergency situations, including initiating or participating in cardiopulmonary resuscitation that involves airway maintenance, ventilation, tracheal intubation, pharmacologic cardiovascular support, and management of blood, fluid, and electrolyte and acid-base balance.

• Providing consultation and implementation of respiratory and ventilator care.

• Initiating and modifying pain relief therapy utilizing drugs, regional anesthetic techniques or other accepted pain relief modalities as directed by attending anesthesiologist.

• Selecting or prescribing medication and treatment modalities related to the perianesthetic care of the patient, with consultation or collaboration when appropriate.

• Accepting additional responsibilities appropriate to the practice setting, which are within the expertise of the individual CRNA.

• Perform any other procedures, which the CRNA has been educated to perform.

Minimum Qualifications (Essential Requirements):

A Master’s Degree and a graduate from an accredited School of Nurse Anesthesia Program (CRNA) with a current/valid State of Florida CRNA License and NBCRNA certification are required. Current ACLS, BLS, PALS, HIV, Domestic Violence, and Preventing Medical Errors continuing education certifications also required. Any combination of relevant education, work experience, and / or certifications will be considered.

#LI-PI1 #DOX-3

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here (https://www.hr.miami.edu/careers/eo-ada/index.html) for additional information.

Job Status:

Part time

Employee Type:

Temporary-Intermittent

Pay Grade:

H21

The mission of the University of Miami is to transform lives through education, research, innovation, and service. A vibrant and diverse academic and healthcare community, the University of Miami and the University of Miami Health System ("UHealth") have rapidly progressed to become one of the nation’s top research universities and academic medical centers in the nation.

The University comprises 12 schools and colleges serving undergraduate and graduate students in more than 350 majors and programs. Visit welcome.miami.edu/about-um to learn more about our points of pride.

The University ranks No. 55 on U.S. News & World Report’s 2022 Best Colleges list and ranked No. 49 in the 2022 Wall Street Journal/Times Higher Education College Rankings.

Bascom Palmer Eye Institute is ranked the #1 eye hospital in the USA and offers some of the nation's premiere eye doctors to treat every eye condition for adults. Sylvester Comprehensive Cancer, part of the Miller School of Medicine, received the prestigious National Cancer Institute designation in 2019.

The University of Miami and UHealth have also ranked among the Forbes Best Employers and Best Employers for Women on several occasions, most recently in 2022.

Transforming lives

With more than 17,000 faculty and staff, the University strives for excellence, and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe.

The University is committed to fostering a culture of belonging, where everyone feels valued and has the opportunity to add value. Through values of Diversity, Integrity, Responsibility, Excellence, Compassion, Creativity, and Teamwork (DIRECCT) the U community works together to create an environment driven by purpose, excellence, community, and service.