**Discover Vanderbilt University Medical Center** : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. **Organization:** Anesthesiology **Job Summary:** Certified Registered Nurse Anesthetist Vanderbilt Bedford County Hospital $50,000 Signing Bonus *Relocation Incentive Available Interested in joining one of our growing regional community hospitals? Vanderbilt Bedford County Hospital has a full-time CRNA position available and looking to fill this position with a team-oriented member. This CRNA team provides care in a collaborative model in a community setting. CRNAs evaluate patients preoperatively and, in consultation with the attending anesthesiologist, formulates and carries out an anesthesia care plan including monitoring and recording patient reaction to anesthesia and modifying the anesthetic plan accordingly. Safely transports patients to and from an anesthetizing location and ensures appropriate care during the postoperative period. Call is required of the position with a great deal of autonomy experienced. *$50k signing bonus for eligible applicants. Relocation available for qualified applicants. . **Position Hours:** Full-time **Department Summary:** The Vanderbilt Department of Anesthesiology embraces the anesthesia care team approach to patient care, involving anesthesiologists and residents, certified registered nurse anesthetists (CRNAs), student registered nurse anesthetists (SRNAs) and anesthesia technicians. The more than 240 CRNAs at Vanderbilt provide anesthesia for all types of surgical procedures, including cardiac, pediatrics, vascular, trauma, neurosurgery, plastics, radiologic, and special procedures. CRNAs administer general, regional and monitored anesthesia care for scheduled and emergency surgical, obstetric, and diagnostic procedures. Team members enjoy an expansive benefits package, along with excellent CME opportunities. Salary stipends are available for specialty teams. Team members are eligible for opportunities in leadership and quality roles. Vanderbilt is a clinical affiliate of the Middle Tennessee School of Anesthesia (MTSA) in Madison, Tennessee, which is the second largest nurse anesthesia program in the country. Vanderbilt is also a clinical affiliate for Emory University and Marion University. Student nurse anesthetists assist in approximately 7,000 anesthetics per year while on Vanderbilt rotations. * **Signing Bonus Eligibility:** Candidates must not have worked for VUMC within the last 12 months to qualify. The sign on bonus is only for full-time positions. **Relocation Terms:** + $10,000 relocation bonus for eligible applicants + Must relocate from greater than 100 miles + The relocation bonus is not applicable to current VUMC staff or former staff who have worked for VUMC in the past 12 months. **Requirements:** + Graduate of an accredited/approved CRNA - Master’s program + New Graduates accepted during final semester **Licensure, Certification, and/or Registration (LCR):** + TN Registered Nurse and CRNA certification + Consideration may be given to candidates that can obtain license/certification within 90 days, in accordance with state guidelines. KEY RESPONSIBILITIES • Evaluates the patient preoperatively and prepares for the anesthetic. • Visits patients prior to surgery and compiles a complete medical history, performs a physical examination, and reviews all pertinent medical records. • Consults with the attending anesthesiologist to formulate an anesthesia care plan. Informs the patient of the anesthetic options, risks and benefits, and then answers patient questions concerning the anesthetic. Explains the anesthesia care team. • Notifies anesthesia technicians regarding special equipment requirements for the anesthetic, such as invasive monitoring, extra IVs, rapid infusion devices, etc. • Performs a complete anesthesia machine check, prepares the appropriate medications, and completes the room set up. • Transports patient to the anesthetizing location when deemed necessary. Utilizes appropriate transport monitors, oxygen, and ventilatory support. • Assures presence of patent IV access if required for the anesthetic. • Administers general, regional and monitored anesthesia care for scheduled and emergency surgical, obstetrical, and diagnostic procedures. • Transports patient to the operating room, supervises the transfer of the patient to the operating table and places appropriate monitors. • Induces general or monitored anesthesia care under the supervision and personal presence of an attending anesthesiologist. • Performs other anesthesia related procedures including neuraxial blockade, insertion of invasive lines, fiberoptic intubation, etc. at the discretion of, and under the direct supervision of the responsible staff anesthesiologist. • Assists with positioning of the patient and padding of all pressure points to prevent injury. • Develops and maintains an accurate and legible anesthetic record throughout the procedure. • Monitors appropriate patient functions according to the Anesthesia Department's standards of care and patient condition. • Identifies and assesses complications of the anesthetic, communicates with the attending anesthesiologist and initiates appropriate treatment. • Manages the patient's airway using a variety of techniques including endotracheal intubation, laryngeal mask airway, mask ventilation, etc. • Exercises vigilance, conscientiousness, and accuracy when administering anesthetics. • Ensures the security and accurate accounting of all controlled drugs used during anesthesia. • Manages the patient's care at the completion of the operative procedure, ensures safety during transport and the availability of appropriate care during the post anesthetic period. • Utilizes appropriate monitors, oxygen, and ventilatory support during transport to the post anesthesia care unit. • Gives an accurate and complete report to the post anesthetic care provider including a summary of the intraoperative course and potential post anesthetic complications. • Assesses complications and potential complications in the immediate post anesthetic period, implements appropriate actions, and notifies the attending anesthesiologist. • Remains with the patient in the care unit until vital signs are stable or a qualified individual assumes care. • Responds to calls within the hospital for emergency airway maintenance. • Responds to STAT calls and performs endotracheal intubation or otherwise manages the airway of patients in full arrest as required. • Administers medications and performs endotracheal intubation, endotracheal tube exchanges, or other airway management on patients who are not in full arrest in the presence of an attending anesthesiologist. • Provides instruction and education for affiliating student nurse anesthetists. • Effectively supervises and monitors students to ensure top quality care to patients. • Guides students in the preparation of the anesthesia care plan to ensure a safe anesthetic. • Evaluates student performance according to the guidelines furnished by the affiliated school of anesthesia. • Counsels students and reports critical incidents to the immediate supervisor as well as the program director. • Interacts with patients and staff in a way that shows compassion, respect and consideration for the individual. • Demonstrates compassion and understanding toward patients through words and deeds. • Considers the patient's needs the top priority. • Interacts with all individuals equally without regard to race, religion, national origin, or disease process. • Handles all conflicts through appropriate channels and means as designated by the Department of Anesthesiology or the Medical Center. TECHNICAL CAPABILITIES **Our Nursing Philosophy:** We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center’s mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being. As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered: + Affordable High Quality Health Plan Options + Dental and /or vision plan + 403 (b) retirement plan + Paid Time off (flex PTO) + Tuition Reimbursement and adoption assistance (maximums applied) + Short-Long term disability + Subsidized backup childcare + And many more... **Ask us about our current inpatient nursing supplemental Pay Program!** **Achieve the Remarkable:** Learn more about VUMC Nursing here (http://www.vumc.org/careers/nursing-careers) . **Core Accountabilities:** Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members. **Core Capabilities** **:** Supporting Colleagues:- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation:- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** Certified Registered Nurse Anesthetist - Council on Certification of Nurse Anesthetists, LIC-Registered Nurse - Licensure-Others **Work Experience:** Relevant Work Experience **Experience Level:** Less than 1 year **Education:** Master's _Vanderbilt Health is committed_ _to fostering an_ _environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled._