To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
A CRNA is a registered nurse and advanced practice nurse who works in collaboration with anesthesiologists ,
surgeons and other physicians and medical professionals to deliver anesthesia for medical and surgical procedures.
A certified registered nurse anesthetist cares for a patient before, during and after a medical procedure or surgery by
performing a patient assessment, preparing the patient for anesthesia, administering and maintaining the anesthesia
to ensure proper sedation and pain management, overseeing patient recovery from anesthesia and caring for the
patient's immediate post-operative needs. A lead CRNA collaborates with the CRNA manager on specific activities assigned by the CRNA manager.
Responsibilities: 1. Pre anesthesia Preparation: The Certified Registered Nurse Anesthetist provides the following services to ensure appropriate anesthesia care will be provided. 1.1. Reviews the health history and physical examination conveying pertinent information to the anesthesiologist. 1.2. Determines that relevant laboratory data tests have been completed. 1.3. Verifies patient identification. 1.4. Establishes a personal rapport with the patient to diminish stress often associated with surgical interventions 1.5. Works with coordinator for clinical quality to ensure that all departmental and hospital QI needs are addressed. 1.6. Collaborates with the attending anesthesiologist to develop an anesthesia care plan based on pre operative assessment and interpretation of laboratory data and special studies 2. Anesthetic Management: To plan for safe intraoperative anesthesia management. 2.1. Completes a thorough anesthesia apparatus safety test, including the anesthesia machine and all monitoring equipment which will be used during the delivery of a given anesthetic. Documents the anesthesia record accordingly. 2.2. Performs and documents the specifics of anesthesia care during the course of a given anesthetic to include, but not limited to, monitoring, drug administration, therapeutic interventions, fluid intake and elimination, anesthetic techniques and other relevant anesthetic procedures. 2.3. Continuously observes and asses ventilation, oxygenation, and circulation and, when appropriate when appropriate, temperature and neuromuscular function. 2.4. Collaborates with appropriate surgical/anesthesia care team members as necessary. 2.5. Maintains appropriate anesthetic and treatment modalities during the course of anesthesia leading to satisfactory patient outcomes. 2.6. Demonstrates clinical expertise in implementing the anesthesia care plan within the scope of practice in accordance with the Department of Anesthesiology policy. 2.7. Demonstrates a willingness to care for a broad cross section of patients. 3. Post Anesthesia Care: Provides post anesthesia care and proper hand off to ensure safe recovery of the patient. 3.1. Safely transports patient from operating room to post anesthesia care unit, surgical intensive care unit, or other predetermined area. 3.2. Provides a thorough report of the patient's psychological and physical condition and peri-anesthetic course. Communicates any anticipated problems to the post anesthetic healthcare provider. 3.3. Provides post anesthesia follow up and evaluation of patient's response to anesthesia. Takes appropriate corrective actions and requests consultation when indicated. 3.4. Assess patient's post anesthetic condition and makes recommendations to PACU personnel regarding fluid management, respiratory and cardiovascular support, pain management, or consultation with other medical personnel. 4. Personal and Professional Development: The following are necessary for the continual professional growth of the CRNA. 4.1. Meets requirements of 40 continuing education units every two years as required by the American Association of Nurse Anesthetists. 4.2. Compiles with Yale New Haven Hospital medical staff policy of attending a minimum of 50% of Anesthesiology Grand Rounds or educational in-services. 4.3. Demonstrates an interest in learning current anesthesia techniques and integrates new information in the provision of anesthesia. 4.4. Attends conferences and classes in areas of clinical interest and shares acquired knowledge with peers and other healthcare personnel. 4.5. Provides documentation on morbidity and mortality 4.6. Maintains patient confidentiality while supporting a dignified and compassionate patient care environment. 4.7. Completes all hospital mandatory training in a timely manner. 4.8. Provides and maintains current copies of all mandatory licenses in their personal files located within perioperative services. 4.9. Maintains all Immunizations and PPD requirements determined by hospital policy. 5. Lead CRNA Specific responsibilities administrative responsibilities 5.1. Coordinates all aspects of CRNA service including assisting with staffing, training and regulatory compliance in conjunction with the CRNA manager. 5.2. Assists new nurse anesthetists in the adjustment and departmental orientation process. 5.3. Participates and leads regular CRNA staff meetings. 5.4. Ensures compliance with all YNHH policies and procedures. 5.5. Ensures an equitable CRNA schedule within budget constraints. 5.6. Attends administrative and clinical meetings. 5.7. Addresses staff issues with CRNA manager. 6. Lead CRNA Specific responsibilities operational 6.1. Coordinates schedules for CRNAs and assures coverage balancing departmental needs with PTO requests and education requests. 6.2. Assists with staffing plan and personnel allocations of nurse anesthetists to ensure departmental needs are met. 6.3. Assists in implementing and maintaining programs to increase work flow productivity. 6.4. Educates staff on OR initiatives to promote patient safety. 6.5. Actively participates in departmental research activities where appropriate. 6.6. Works with coordinator for clinical quality to ensure that all departmental and hospital QI needs are
addressed. 6.7. Serves as educational resource and promotes Continuing Educational Programs. 6.8. Assists with compliance for billing of services/procedures performed. 6.9. Participates in department and/or section educational conferences. 6.10. Ensure CRNA competency and compliance with HIPAA, CME, regulatory and accreditation standards. 7. Lead CRNA Specific responsibilities educational & training responsibilities 7.1. Actively participates in departmental research activities where appropriate. 7.2. Works with coordinator for clinical quality to ensure that all departmental and hospital QI needs are addressed. 7.3. Serves as educational resource and promotes Continuing Educational Programs. 7.4. Assists with compliance for billing of services/procedures performed. 7.5. Participates in department and/or section educational conferences. 7.6. Ensure CRNA competency and compliance with HIPAA, CME, regulatory and accreditation standards.
Graduate of a Nurse Anesthesia Educational Program accredited by the American Association of Nurse
Anesthetistists Council on accreditation of Nurse Anesthesia Programs. Current State of Connecticut Nursing
License, Advanced Practice Registered Nurse (APRN) licensure in the State of Connecticut.
Graduate from a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse
Anesthesia Educational Program.
Employed as a Certified Registered Nurse Anesthetist. Must have 4,000 continuous hours of employment as a
CRNA in the YNHH health system.
RN, APRN, CRNA, ACLS, BLS
CRNA's must have sharp concentration and focus, along with the ability to stay calm under stressful conditions.
CRNAs must be able to communicate clearly and effectively with surgeons and the surgical support team, as well as
with patients and their families. A calm and reassuring manner is one way to inspire trust in patients, who may be
apprehensive about surgery, as well as the surgical team.
Anesthetic patient management must be immediate and responsive. Flexibility and adaptability are required.
The ultimate responsibility for patient care is the responsibility of the provider. Certified Registered Nurse Anesthetist
are independently licensed health professionals, and accountable for their practice. CRNAs applying to the clinical
ladder must be accountable to maintain the clinical aldder otherwise risk being demoted from the clinical ladder .
CRNAs applying must also be responsible for maintaining and managing their portfolio.
COMPLEXITY (describe planning, problem solving, decision making, creative activity, or other special factors
inherent in the responsibilities of this position):
In personal and job-related decisions and actions, consistently demonstrates the values of integrity (doing the right
thing), patient-centered (putting patients and families first), respect (valuing all people and embracing all differences),
accountability (being responsible and taking action), and compassion (being empathetic).
The ability to solve complex problems is typically a valued skill for CRNAs, as are critical -thinking and the ability to
react quickly when a patient's condition changes. Considerable independent judgment to be exercised, within
Scope of Supervision: Certified Registered Nurse Anesthetist practice according to their expertise, and institutional
policy. Certified Registered Nurse Anesthetists work medically directed by an attending anesthesiologist .