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Anesthesiologist Assistant

NCPS-ANESTHESIOLOGY Florida-Miami-Nicklaus Children's Hospital - Main Hospital Campus Miami, Florida Requisition ID 21052

Description

Job Summary

Provides anesthetic care of the patients, exclusively under the direct supervision and guidance of a Pediatric Anesthesiologist.

Job Specific Duties

  • Obtains the patient’s medical history and performs physical exam. 
  • Verifies patient identification, procedure to be done and body site if applicable, and that the informed consent for the planned anesthetic intervention has been obtained from the parent or legal guardian. Verifies adequate NPO times. 
  • Assesses the patient’s pain management needs prior to the procedure. 
  • Assesses the patient’s medical history, physical exam, age specific needs and requirements for a safe and successful completion of the procedure and how it might affect the patient’s response to anesthesia. 
  • Discusses with the supervising anesthesiologist the patient’s specific medical needs, the physiology and technical needs of the procedure, and determines the specific pre-anesthetic medications plus medications and anesthetic techniques that will best fit the patient’s need during this procedure. 
  • Writes orders for pre anesthetic medications. 
  • Performs a pre-anesthesia machine check then sets up and organizes all rooms assigned for the full daily schedule.
  • Participates in Time Out, verification of patient’s identity, procedure and site. 
  • Together with the supervising anesthesiologist administers the anesthetic plan that was determined to be the best plan for the patient’s need. 
  • Inserts peripheral venous catheters, radial artery catheters or central venous catheter if deemed necessary under the supervision of the anesthesiologist. 
  • Performs supervised, safe and effective techniques during mask ventilation, tracheal intubation, extubation and mechanical ventilation of the patient. 
  • Provides anesthesia care consistent with infection control and anesthetic safety. 
  • Continuously monitors patient with pulse oximetry, capnograph, EKG, NIBP or arterial line, and temperature sensors if available, oxygen analyzer, neuromuscular function if applicable and documents every 5 minutes on the anesthesia record. 
  • Continuously adjusts the level of anesthesia, and alters the technique or amount of respiratory support to meet patient’s needs. 
  • Observes skin color, the color of the blood in the surgical field and performs arterial blood gas analysis when indicated. 
  • Constantly monitors blood loss, urine output when possible and records on the anesthesia record. 
  • Manages patient’s fluid, blood, electrolyte and acid base balance as discussed with the supervising anesthesiologist. 
  • Maintains vigilance and immediately notifies the supervising anesthesiologist of any unexpected or untoward patient reaction to the anesthesia or the procedure. 
  • Maintains detailed records of the medications given, techniques used and the patient’s response, on the anesthetic record. 
  • Assists in the resuscitation of critically ill, severely traumatized, or compromised patient. 
  • Works as a team member in providing breaks and lunches for other anesthesia personnel as their time allows. 
  • Provides a thorough report of the patient’s psychological and physical condition, peri-anesthetic course and anticipated problems to the post-anesthesia health care provider who assumes the patient’s care following anesthesia.
  • Provides post-anesthesia follow-up and evaluation of the patient’s response to anesthesia, and for potential post-anesthesia complications, taking appropriate corrective actions and requesting consultation as indicated. 
  • Initiates and administers respiratory support to ensure adequate ventilation and oxygenation in the immediate post-anesthesia period. 
  • Initiates and administers pharmacological or fluid support to ensure cardiovascular stability if emergently required in the post-anesthesia period. 
  • Evaluates patients for discharge from a post-anesthesia care area.

Qualifications

Minimum Job Requirements

  • Master's Degree from an Anesthesiologist Assistant program, accredited by the Commission on Accreditation of Allied Health Programs (CAAHEP) 
  • Certified Anesthesiologist Assistant designated by the National Commission for Certification of Anesthesiologist Assistants (NCCAA)
  • Anesthesiologist Assistant licensure issued by the State of Florida
  • American Heart Association BLS - maintain active and in good standing throughout employment
  • American Heart Association PALS - maintain active and in good standing throughout employment
  • American Heart Association ACLS - maintain active and in good standing throughout employment
  • Level II Background Check

Knowledge, Skills, and Abilities

  • Pediatric experience desired.
  • Demonstrates the knowledge of anesthesia practice and procedure.
  • Ability to evaluate the patient’s response to care, solve problems and adapt plan of care.
  • Competent bedside manners that instill confidence in patients and their families.
  • Effective communication skills.
  • Ability to react calmly during stressful conditions.
  • Ability to foster an amicable relationship with the patient and family, the anesthesiologist, surgeons, nurses and surgical technicians at Nicklaus Children’s Hospital.
  • Proficiency with Nicklaus Children’s Hospital requirements for social/skills that promote professionalism, pride in Nicklaus Children’s Hospital, respect, honesty, team work and a sense of responsibility towards safety and optimum patient care.


Job :

Professional

Primary Location :

Florida-Miami-Nicklaus Children's Hospital - Main Hospital Campus

Department :

NCPS-ANESTHESIOLOGY-3100-455723

Job Status


:Full Time
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Joining a new organization can be daunting or overwhelming. But at Nicklaus, your colleagues make you feel welcomed. They taught me to celebrate our accomplishments and band together during challenging times. This is not easy to find in healthcare these days, so I’m grateful to have found an amazing place to work with people and leadership who have my well-being in mind.

Lova Renee Brunson Manager Accreditation & Regulatory

Collaboration leads to success.

Alone we can do so little; together we can do so much. Working together, we find solutions and methods we would never find alone, and at Nicklaus Children’s, we have fun doing it.

Responsibility drives us.

We all take responsibility here – for the children, their families, our work and each other. We meet our responsibilities head on and motivate each other to succeed.

Empower yourself, help others.

Nicklaus Children’s encourages team members to believe in their ability to affect positive change in the world through everything they do with us.

Advocate for the right way.

Advocate for children. Advocate for families. Advocate for yourself. But most of all, advocate for getting the job done right and you will find nothing but success and support in your career here.

Transformation is growth.

At Nicklaus Children’s, change is not to be feared. When you work here, you are always working with the most advanced tools and procedures available.

Empathy is everything.

We expect our team members to have empathy for the patients and families they treat, and in turn, we have empathy for them. We take care of everyone in the Nicklaus Children’s family with competitive benefits and our supportive culture.

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As champions for children, Nicklaus Children’s is committed to putting the health and safety of our patients, families, medical staff and employees first. With the increasing number of adults and children in our community experiencing severe illness and hospitalization associated with the delta variant, our course of action is clear. All members of our team are required to be fully vaccinated against COVID-19. Vaccination offers proven protection against severe COVID-19-related illness. Accommodations are being made for those who have a medical reason that they cannot receive the vaccine or have a strongly held religious basis for not obtaining it.

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