W‑2 full-time

Full details

The position provides anesthetic care to patients across all types of procedures, working alongside the supervising or medically directing physician in line with hospital policies. The CRNA administers anesthesia so patients feel no pain during surgery or procedures, and maintains constant watch on each patient's reaction to sedatives, analgesics, and anesthetic agents, alerting the surgeon or anesthesiologist to any adverse change that could threaten safety.

Eligibility requires a current Registered Nurse license in West Virginia or in whichever state the services will be performed, along with certification or recertification from the National Board of Certification and Recertification for Nurse Anesthetists.

Core responsibilities include keeping patients safe at all times, managing airways skillfully with a range of adjuncts such as the Bullard scope, fiberoptic scope, and ILMA, and working strictly within delineated clinical privileges. The CRNA takes infection precautions, protects patient confidentiality, takes part in pre-anesthetic evaluations and the choice of agents and techniques, and places intravenous and invasive monitoring catheters per protocol. Other duties include intubation and extubation, arterial punctures for blood gas analysis, and managing induction, maintenance, and emergence for general, regional, and monitored cases.

The CRNA also evaluates and treats patients in the immediate postoperative period, gives IV fluids suited to each patient's history and procedure, and gives blood products only after a hematocrit and consultation with the surgeon or anesthesiologist. Documentation in the anesthesia record, safety and performance checks on equipment, and verification of supplies before care begins are expected, as is confirming consent and the correct surgical site through briefings and the surgical pause. In a life-threatening emergency, the CRNA provides anesthesia care when no anesthesiologist is present, and may help teach and evaluate newly hired CRNAs, student registered nurse anesthetists, and graduate registered nurse anesthetists. The role carries accountability for controlled substances under hospital, state, and federal rules.

Physically, the work requires close visual detail, calm performance under high stress, and reliability, along with flexibility toward change and varied conditions. The environment may involve exposure to infectious agents and hazardous compounds and medications, strict safety protocols against needle sticks and radiation, and possible back strain when moving patients. The role may include on-call duty, nights, weekends, or holidays.

The position is a 40-hour weekly role at RMH Reynolds Memorial Hospital's Nursing Anesthesia department in Glen Dale, West Virginia, and is offered as full-time, part-time, per-diem, or as a call-based option.