Nurse Anesthetist

Also called: Certified Registered Nurse Anesthetist (CRNA), Certified Registered Nurse Anesthetist (CRNA), Chief Certified Registered Nurse Anesthetist (Chief CRNA), Chief Nurse Anesthetist, Doctor of Nurse Anesthesia Practice (DNAP)

Varies

estimated salary

Nurse anesthetists administer anesthesia, monitor patient's vital signs, and oversee patient recovery from anesthesia. May assist anesthesiologists, surgeons, other physicians, or dentists. Must be registered nurses who have specialized graduate education.

 

 

  • Manage patients' airway or pulmonary status, using techniques such as endotracheal intubation, mechanical ventilation, pharmacological support, respiratory therapy, and extubation.
  • Select, prepare, or use equipment, monitors, supplies, or drugs for the administration of anesthetics.
  • Select, order, or administer anesthetics, adjuvant drugs, accessory drugs, fluids or blood products as necessary.
  • Monitor patients' responses, including skin color, pupil dilation, pulse, heart rate, blood pressure, respiration, ventilation, or urine output, using invasive and noninvasive techniques.
  • Perform pre-anesthetic screenings, including physical evaluations and patient interviews, and document results.
  • Respond to emergency situations by providing airway management, administering emergency fluids or drugs, or using basic or advanced cardiac life support techniques.
  • Develop anesthesia care plans.
  • Obtain informed consent from patients for anesthesia procedures.
  • Assess patients' medical histories to predict anesthesia response.
  • Select, order, or administer pre-anesthetic medications.
  • Perform or evaluate the results of diagnostic tests, such as radiographs (x-rays) and electrocardiograms (EKGs).
  • Perform or manage regional anesthetic techniques, such as local, spinal, epidural, caudal, nerve blocks and intravenous blocks.
  • Prepare prescribed solutions and administer local, intravenous, spinal, or other anesthetics, following specified methods and procedures.
  • Administer post-anesthesia medications or fluids to support patients' cardiovascular systems.
  • Calibrate and test anesthesia equipment.
  • Evaluate patients' post-surgical or post-anesthesia responses, taking appropriate corrective actions or requesting consultation if complications occur.
  • Select and prescribe post-anesthesia medications or treatments to patients.
  • Insert peripheral or central intravenous catheters.
  • Discharge patients from post-anesthesia care.
  • Read current literature, talk with colleagues, and participate in professional organizations or conferences to keep abreast of developments in nursing.
  • Request anesthesia equipment repairs, adjustments, or safety tests.
  • Insert arterial catheters or perform arterial punctures to obtain arterial blood samples.
  • Instruct nurses, residents, interns, students, or other staff on topics such as anesthetic techniques, pain management and emergency responses.
  • Disassemble and clean anesthesia equipment.
Work Context
  • Indoors, Environmentally Controlled — 100% responded "Every day".
  • Face-to-Face Discussions — 100% responded "Every day".
  • Wear Common Protective or Safety Equipment such as Safety Shoes, Glasses, Gloves, Hearing Protection, Hard Hats, or Life Jackets — 91% responded "Every day".
  • Freedom to Make Decisions — 88% responded "A lot of freedom".
  • Exposed to Disease or Infections — 87% responded "Every day".
  • Importance of Being Exact or Accurate — 91% responded "Extremely important".
  • Consequence of Error — 88% responded "Extremely serious".
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Work Activities
  • Assisting and Caring for Others — Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.
  • Making Decisions and Solving Problems — Analyzing information and evaluating results to choose the best solution and solve problems.
  • Documenting/Recording Information — Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
  • Getting Information — Observing, receiving, and otherwise obtaining information from all relevant sources.
  • Updating and Using Relevant Knowledge — Keeping up-to-date technically and applying new knowledge to your job.
  • Inspecting Equipment, Structures, or Material — Inspecting equipment, structures, or materials to identify the cause of errors or other problems or defects.
  • Identifying Objects, Actions, and Events — Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.
  • Establishing and Maintaining Interpersonal Relationships — Developing constructive and cooperative working relationships with others, and maintaining them over time.
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Detailed Work Activities
  • Administer intravenous medications.
  • Administer blood or other fluids intravenously.
  • Monitor patient conditions during treatments, procedures, or activities.
  • Collaborate with healthcare professionals to plan or provide treatment.
  • Collect medical information from patients, family members, or other medical professionals.
  • Examine patients to assess general physical condition.
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Knowledge

Medicine and Dentistry
  • Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
Biology
  • Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
Chemistry
  • Knowledge of the chemical composition, structure, and properties of substances and of the chemical processes and transformations that they undergo. This includes uses of chemicals and their interactions, danger signs, production techniques, and disposal methods.
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Skills

Reading Comprehension
  • Understanding written sentences and paragraphs in work related documents.
Critical Thinking
  • Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Active Listening
  • Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Speaking
  • Talking to others to convey information effectively.
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Abilities

Problem Sensitivity
  • The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
Oral Comprehension
  • The ability to listen to and understand information and ideas presented through spoken words and sentences.
Near Vision
  • The ability to see details at close range (within a few feet of the observer).
Speech Clarity
  • The ability to speak clearly so others can understand you.
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Personality

People interested in this work like activities that include ideas, thinking, and figuring things out.
They do well at jobs that need:
  • Achievement/Effort
  • Persistence
  • Initiative
  • Leadership
  • Cooperation
  • Concern for Others
  • Social Orientation
  • Self Control
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Technology

You might use software like this on the job:

Medical software
  • MEDITECH software Hot Technology
  • Medscribbler Enterprise
  • MicroFour PracticeStudio.NET EMR
  • NextGen Healthcare Information Systems EMR
  • Skyscape AnesthesiaDrugs
  • SOAPware EMR
  • StatCom Patient Flow Logistics Enterprise Suite
  • SynaMed EMR
  • AetherPalm InfusiCalc
  • GE Healthcare Centricity EMR
  • EDImis Anesthesia Manager
  • Allscripts Professional EHR
  • Amkai AmkaiCharts
  • Bizmatics PrognoCIS EMR
  • Cerner Millennium
  • ChartWare EMR
  • Drug database software
  • e-MDs software
  • eClinicalWorks
  • Texas Medical Software SpringCharts EMR
Word processing software
  • Microsoft Word Hot Technology