Advanced Practice Registered Nurses / Physician Assistants
Internal Number: 23000137
*60K SIGN ON BONUS*
Advent Health in Central Texas is a 230-bed acute-care hospital with a Level IV Trauma designation. Located in Killeen, the medical center offers a wide range of clinical and surgical services that include an emergency department open 24/7, cardiovascular care, orthopedics, diagnostic imaging, and other services, and plays a central role in community wellness. Through various contracts with Advent Health, Baylor Scott & White Health provides hospitalist, anesthesiologist, physician, nurse practitioner, and CRNA support to name a few, to help with their staffing needs. In addition, five Baylor Scott & White Health clinics including three care clinics, a specialty clinic, and McLane Children’s Scott & White Clinic – Killeen provide physician services to patients in the Killeen community. About the Community Killeen–Temple is a metropolitan area in the Central Texas region of Bell County. Located about an hour from Austin, Killeen is a family-friendly city known for its proximity to Fort Hood, one of the largest military bases in the U.S. Not surprisingly, Killeen has a thriving economy and a cost of living lower than the U.S. national average. Bordering the Texas Hill Country, the area is well known for its rolling hills, bluebonnets, and spring wildflowers in the Grand Prairie to the west. Residents have access to down-home barbecue, an abundance of outdoor and recreational activities, and a fun live music scene. Killeen is ranked in the top 100 as one of the Best Places to Live and Best Places to Retire by the U.S. News & World Report
ESSENTIAL FUNCTIONS OF THE ROLE
Interprets physician's pre-anesthetic evaluation and lab data. Reviews health history, including psychosocial as well as biophysical. Reviews all current laboratory data.
Performs pre-induction examination and inspection of anatomical parts or organ systems related to a formulated anesthetic plan. Reviews with the patient the proposed surgery. Performs a brief physical assessment of the patient, dentures, prosthetic devices, allergies, and NPO status. Verifies that all prescribed safety standards (i.e., machine check list, functional suction equipment, airway management equipment, proper placement of monitoring and electrosurgical electrodes, physical positioning, have been complied with prior to induction of anesthesia.
Induces and maintains general anesthesia at required and safe levels, using techniques prescribed by the assigned staff anesthesiologist or techniques customarily used within the department. Selects and administers anesthetic techniques, medications, and adjunctive drugs according to accepted departmental guidelines. Performs intratracheal intubation and extubation protecting the patient at all times. Identifies and manages emergency situations according to departmental policies and procedures.
Performs regional anesthesia using techniques prescribed by the assigned staff anesthesiologist or techniques customarily used within the department. Selects and administers regional anesthetic techniques, medications, and adjunctive drugs according to accepted departmental guidelines. Identifies and manages emergency situation according to departmental policies and procedures.
Monitors life support functions, recording various data, also verifies equipment is in working order. All available noninvasive monitoring equipment will be used on all patients receiving general anesthesia (i.e., BP, EKG, oximeter, pre-cardial stethoscope/esophageal stethoscope, temperature, oxygen analyzer, and SARA). All data will be recorded; BP and pulse, no less than every 5 minutes; other pulses, no less than every 15 minutes. Pre-anesthetic machine checklist will be performed and documented for every procedure involving the Department of Anesthesia. Manage fluid, blood and electrolyte loss and replacement within the guidelines of the Department of Anesthesia policies and procedures.
Performs basic perioperative diagnosis testing and documentation to the anesthetic record. Closely supports and monitors life functions. In the case of adverse response to any drug, takes corrective action and seeks consultation from the senior Staff Anesthesiologist in a timely fashion. Records all pertinent events occurring during the procedure, including tourniquet time and pressure, change in site of operation in multiple system procedures and injection of drugs into the operative site by the surgeon. All unusual events must be concisely documented on the Anesthetic record.
Terminates anesthesia in a timely fashion, ensuring patient safety to post-anesthetic recovery room. Reverses anesthetic according to departmental guidelines. Protects the patient during transportation to Recovery Room. Gives a detailed report to the assigned Recovery Room personnel. Informs the Recovery Room Anesthesiologist and assigned Staff Anesthesiologist of any complications. Follows the post-anesthetic course as long as necessary to recognize the presence or absence of anesthetic related complications. Documentation of post-anesthetic visits will be made in the Progress Note form to 24 hours post anesthetic. This note will include date/time of post-anesthetic visit and any information pertaining to patient status and signature of person doing the visit.
KEY SUCCESS FACTORS Obtains 40 CEUs every two years. Maintains certification and registration. Keeps informed of current trends and updated procedures. Understands the current concepts of cardiopulmonary resuscitation. Demonstrates ability to accept and initiate change. Demonstrates ability to communicate effectively and work collaboratively with others. Functions as part of a health care/anesthesia team. Ability to work variable hours. Ability to share "on call" duties and be able to respond in the acceptable time frame.
BENEFITS Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level
Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!