Advanced Practice Registered Nurses / Physician Assistants
As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.
This leadership position is an integral part of the anesthesia department and its function. The Lead CRNA will: Provide oversight of activity and supervision of CRNA staff as well as provide oversight of other matters related to anesthesiology activity in the surgical suite. Work collaboratively with the Division Chief, Medical Director, anesthesiologists, and CRNAs on department clinical, operational, and administrative matters. Participate in quality improvement and educational projects. Demonstrate thorough knowledge, skills and abilities necessary to provide anesthesia care appropriate to the neonatal, pediatric and adolescent population.
1. In collaboration with the Anesthesia Coordinator, direct CRNA staff and CRNA utilization on a daily basis, providing direction and oversight to daily activities.
Adhere to the standards of practice consistent with the philosophy and objectives of the Department of Anesthesiology and Critical Care Medicine and Nemours Children’s Hospital
Ensure compliance with all aspects of patient safety, infection control and asepsis relative to care by CRNA staff.
Ensure that CRNA Staff works cooperatively with team members, medical staff and other hospital departments in providing patient care in the Operating Room (OR).
Assign staff according to knowledge, skill and competency level; as appropriate, delegate specific duties and tasks.
Work cooperatively with Division Director to assess and meet successful daily operation of the OR.
2. Provide leadership to CRNA Staff:
Participant in the interview process and recruitment of CRNA’s in collaboration with department leadership; Select CRNA Staff
Maintain oversight of a comprehensive plan for CRNA orientation; maintain oversight of proctoring for new CRNA staff.
Ensure the maintenance of all staff CRNA licensure, certifications and updates; ensure employee compliance with hospital-wide standards.
Conduct regular group meetings for CRNA staff.
Provide staff direction, guidance and counseling as appropriate. Assist in formulating and meeting performance management goals; Perform end of year reviews; Maintain ongoing OPPE evaluations
3. Prepare working schedules for CRNA’s, managing vacation time reports and documentation of work schedules.
4. Maintain a program of continuing education for CRNA Staff. Provide in-services and coordinate provision of inservices by CRNA’s to Surgical Services and hospital staff and student trainees.
5. Display a thorough knowledge of equipment and supplies and physician and department preferences.
Be knowledgeable of the use, handling and care of equipment and supplies used by anesthesiology personnel
Work cooperatively with personnel from Clinical Engineering, Facilities Engineering, and Surgical Support Technicians to assure that equipment is maintained in optimum condition.
Troubleshoot equipment problems with appropriate individuals
6. Provide direction to and oversight of contracted student nurse anesthetist programs. Work collaboratively with SRNA clinical coordinator(s).
7. Regularly provide staff CRNA clinical service as appropriate to staffing need.
Communicate verbally and in writing clearly, completely, accurately, succinctly and timely.
Serve as a resource to physician and hospital personnel on CRNA and anesthesia services.
Ensure that hospital, Surgical Services and department information as pertinent to CRNA practice is communicated in a timely fashion.
Establish and maintain working relationships with other departments that affect Surgical Services operations.
Assist with development, revision, and implementation of Department of Anesthesiology and Department of Surgical Services policies and procedures.
Schedule and assign staff to increase efficiency and coordination; provide staffing according to established standards.
Demonstrate knowledge of disaster and emergency policies and procedures and all infection control standards.
Help maintain operating room and anesthesia regulatory requirements.
Serve as a representative of the department at hospital meetings/functions as requested or assigned.
Provide reports as requested by Chair or Chief of Anesthesia, Division Director or Practice Administrator
Performs an individualized pre-anesthetic assessment and evaluation of the patient to include review of consultations, history and physical, and relevant diagnostic studies; Selects, obtains, orders, and administers pre-anesthetic medications and fluid; obtains informed consent for anesthesia.
Develops and implements an anesthetic plan based on the patient’s physiological response.
Initiates anesthetic technique that may include, general, regional, local and sedation.
Selects, applies and insets appropriate non-invasive and invasive monitoring modalities for continuous evaluation of the patient’s physical status throughout the perioperative experience.
Appropriately documents pertinent information in the patient’s electronic medical record, providing timely and accurate anesthetic records
Facilitates emergence and recovery from anesthesia by selecting, obtaining, ordering and administering medications, fluids and ventilation support.
Adhere to the standards of practice consistent with the philosophy and objectives of the Department of Anesthesiology and A.I. duPont Children’s Hospital
Provides appropriate handoff communication to receiving unit postoperatively e.g. PACU, NICU/PICU
Implements acute and chronic pain modalities individualized to the patient
Discharges patients from the post-anesthesia care area and provides post-anesthesia follow-up evaluation and care as appropriate.
Responds to emergency situations by providing airway management, administration of emergency fluids and medications using basic or advanced cardiac life support techniques.
Graduate from a Nurse Anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Program (COA) or its predecessor
Current Delaware Registered Nurse License
Current Delaware Advanced Practiced Registered Nurse
Delaware Controlled Substance Registration (CSR)
Active DEA certificate for Delaware
Current Certification from the National Board of Certification and Recertification for Nurse
Anesthetists or its predecessor with biannual recertification required
Basic Life Support
Pediatric Advanced Life Support
Advanced Cardiac Life Support
Five years related job experience as CRNA 2 prior years in Pediatric Anesthesia preferred Prior leadership experience preferred
Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.
Nemours is committed to improving the health of children. As a non-profit children’s health organization, we consider the health of every child to be a sacred trust. Through family-centered care in our children’s hospitals and clinics in Delaware, New Jersey, Pennsylvania and Florida, as well as world-changing research, education and advocacy, Nemours fulfills the promise of a healthier tomorrow for all children — even those who may never enter our doors. Nemours began more than 70 years ago with the vision of Alfred I. duPont to improve the lives of children and to do whatever it takes to prevent and treat even the most disabling childhood conditions. Today, through our children’s hospitals and health system, we directly care for 250,000 children annually in Delaware Valley and Florida, including families who travel from across the country and world to see our specialists — treating every child as we would our own. We also reach beyond the walls of our hospitals and clinics to be a voice for children on a national and international level, and to lead the way in prevention, intervention, education, and research. Nemours is growing to better serve the children and families in our ca...re. We have 1.1 million square feet of space currently devoted to providing children’s healthcare or under construction, all designed with significant input and advice from our patients and families.