W‑2 full-time

Full details

A CRNA functions as an advanced practice registered nurse, partnering with anesthesiologists, surgeons, and other clinicians to deliver safe, effective anesthesia care before, during, and after procedures. The role serves patients of every age and acuity level in surgical, therapeutic, diagnostic, and obstetrical settings.

Candidates need a master's or doctoral degree from a nurse anesthesia program recognized by the Council on Accreditation of Nurse Anesthesia Educational Programs. The position requires a valid New Hampshire APRN license and a New Hampshire RN license, both to be secured before the start date, and the APRN license may be satisfied by an RN license from a compact state. National certification as a CRNA through the National Board of Certification and Recertification for Nurse Anesthetists must also be in place by the start date, along with ACLS, PALS, and BLS credentials. New graduates are considered.

Daily duties begin with patient assessment: taking full histories, performing physical exams, conducting pre-anesthesia evaluations, securing informed consent, and choosing and giving pre-anesthetic medications. The CRNA contributes to the patient's care plan, selects and administers anesthetic and controlled agents, and carries out general, regional, neuraxial, and monitored anesthesia care. Responsibilities also include induction, maintenance, emergence, and post-anesthesia care, placing invasive and noninvasive monitoring, managing the airway through intubation and extubation, providing ventilation, and performing venous and arterial punctures.

Ongoing work involves balancing fluids, blood, electrolytes, and acid-base status, ordering and reviewing diagnostic tests, and acting on abnormal results. The clinician uses ultrasound, fluoroscopy, and other tools to sharpen diagnosis and improve comfort and safety, provides acute, chronic, and interventional pain management, and delivers critical care and resuscitation during anesthesia. In emergencies the CRNA manages the airway and other interventions, guides recovery from anesthesia, provides medications or supportive treatment as needed, and follows patients afterward to evaluate their response and watch for complications.

Physical demands are classified as light work. The role requires frequent bending, fine motor skill, hearing, reaching, sitting, speaking, and walking, with occasional repetitive motion, squatting, and standing. Vision must include color, depth, far, near, and peripheral perception. The work carries frequent exposure to bloodborne pathogens and bodily fluids, occasional exposure to airborne pathogens, chemotherapy agents, and caustic or toxic chemicals, and generally moderate noise.