Certified Registered Nurse Anesthetist (CRNA) en Heart Of Texas Healthcare System

Description

Position Title: Certified Registered Nurse Anesthetist (CRNA)
Reports To: System Medical Director and CEO

FLSA Status: Exempt
Location: Brady, Texas

Position Summary

The Certified Registered Nurse Anesthetist (CRNA) is an Advanced Practice Registered Nurse (APRN) licensed in the State of Texas and nationally certified to deliver anesthesia care. CRNAs provide anesthesia services independently or in collaboration with physicians, as authorized by the Texas Board of Nursing and in accordance with facility bylaws, protocols, and Texas Medical Board delegation requirements. The CRNA ensures safe, effective, and compassionate anesthesia care for patients across surgical, obstetrical, trauma, and procedural settings.

Requirements

Key Responsibilities

Anesthesia Care Delivery

• Conduct comprehensive      pre-anesthesia evaluations, reviewing patient medical history,      medications, allergies, and diagnostic studies.
• Develop, implement, and adjust      anesthesia plans consistent with patient needs, procedure type, and      physician collaboration requirements.
• Administer general, regional,      local, and monitored anesthesia care (MAC).
• Manage patient airway,      ventilation, cardiovascular, and fluid status during anesthesia.
• Provide post-anesthesia care,      including pain management, recovery monitoring, and intervention for      complications.

Patient Safety & Compliance

• Obtain and document informed      consent for anesthesia in accordance with Texas statutes and facility      policy.
• Ensure compliance with Texas      Board of Nursing (BON) standards, Texas Medical Board (TMB) rules, and      facility policies regarding physician delegation and supervision      requirements.
• Recognize and respond to      anesthesia-related emergencies, including airway compromise,      cardiovascular instability, and resuscitation needs.
• Maintain accurate, timely      documentation in patient records and anesthesia logs as required by Texas      law.

Collaboration & Communication

• Work independently or under      physician delegation as defined by Texas law and facility policy.
• Collaborate with      anesthesiologists, surgeons, obstetricians, proceduralists, and other      healthcare professionals.
• Educate patients and families      about anesthesia risks, procedures, and recovery expectations.
• Serve as a clinical resource for      nursing staff, residents, and students.

Professional Standards & Development

• Maintain current knowledge of      Texas Nurse Practice Act, BON and TMB regulations, and federal standards      affecting CRNA practice.
• Participate in quality      improvement programs, peer review, and patient safety initiatives.
• Maintain professional      certification through the National Board of Certification and      Recertification for Nurse Anesthetists (NBCRNA).
• Engage in continuing education as      required by Texas BON and NBCRNA recertification standards.

Qualifications

Education & Licensure

• Master’s or Doctoral degree in      Nurse Anesthesia from an accredited program.
• Current, unencumbered Registered      Nurse (RN) license in Texas.
• Current recognition as an      Advanced Practice Registered Nurse (APRN) with authorization to practice      as a CRNA in Texas.
• Current certification by the      National Board of Certification and Recertification for Nurse Anesthetists      (NBCRNA).
• Active Basic Life Support (BLS),      Advanced Cardiovascular Life Support (ACLS), and Pediatric Advanced Life      Support (PALS) certifications.

Experience

• Minimum 5 years of experience as      a CRNA preferred (facility may accept new graduates with strong clinical      training).
• Broad exposure to anesthesia care      across multiple specialties (e.g., general surgery, obstetrics,      orthopedics, pediatrics, trauma, cardiovascular) preferred.

Skills & Competencies

• Strong knowledge of anesthesia      pharmacology, physiology, and pathophysiology.
• Ability to work independently      within Texas scope-of-practice guidelines.
• Excellent critical thinking,      clinical judgment, and problem-solving abilities.
• Strong communication and      collaboration skills.
• Commitment to patient safety,      ethical standards, and continuous professional growth.

Working Conditions

• Practice settings may include      hospital operating rooms, outpatient surgery centers, labor and delivery      units, emergency/trauma departments, and procedural areas.
• May involve variable shifts,      on-call rotations, nights, weekends, and holidays.
• Frequent exposure to high-stress,      emergency, and life-threatening situations.
• Requires standing for long      periods, patient positioning, and rapid response to critical events.

Physical Requirements

• Ability to lift and position      patients and equipment.
• Manual dexterity and vision      sufficient to manage complex anesthesia procedures.
• Ability to respond quickly and      effectively in emergencies.