Thursday, November 10, 2022

CRNA (Certified Registered Nurse Anesthetist) FN- Balad, Iraq

Hiring Organization: Acuity International
Job Location:  Iraq

Primary Function

The Certified Registered Nurse Anesthetist (CRNA) reports to the Program Manager and will be clinically supervised by the site medical director and work under the direction of a Physician, Surgeon, or Anesthetist. The CRNA will be assigned to treat patients at the Martyr Brigadier General Ali Flaih Air Base, in Balad, Iraq.

The CRNA will administer anesthetics to patients undergoing medical, dental, and surgical procedures. They will work under the direction of the attending surgeon, dentist, or anesthesiologist. Duties will include getting supplies and equipment ready for procedures, studying, and interpreting pre-surgical tests to determine how the anesthetic will affect the patient, and assuring that an adequate blood supply is on hand in case of an emergency.

In addition to administering the prescribed anesthetic, the CRNA will monitor the patient’s vital signs and communicate the information to the physicians. They will also perform other tasks during these medical procedures, such as inserting artificial airways, administering oxygen, and attempting to prevent surgical shock. In addition, they may be required to assist with stabilization of patient and coordination of evacuation of patient to medevac center or CONUS.

CRNA will provide a U.S. standard of care for our patient care/treatment model. Will be on call 24/7 for surgical,dental,and MASCAL events. Will present educational lectures, demonstrations and scenarios when tasked by the CMO pertinent to AFAB hospital operations.

All services shall be provided in accordance with established standards, principles and ethics of the profession, applicable professional specialty organizations, and the high-quality standard for which Acuity is recognized.


Duties and Responsibilities 
Perform pre-anesthetic screenings, including physical evaluations and patient interviews, and document results.
Develops, recommends, and implements standard operating instructions and practices pertaining to the administration and management of anesthetics that ensure client safety, confidentiality, and provide timely, ethical, and quality service.
In concert with the attending provider, select and prescribe post-anesthesia medications or treatments to patients.
Administer post-anesthesia medications or fluids to support patients' cardiovascular systems.
Evaluate patients' post-surgical or post-anesthesia responses, taking appropriate corrective actions or requesting consultation if complications occur.
Monitors the effects of specific anesthesia, drugs, techniques, and patient reactions.
Select, order, or administer pre-anesthetic medications, anesthetics, adjuvant drugs, accessory drugs, fluids, or blood products as necessary.
Discharge patients from post-anesthesia care.
In concert with the attending provider, perform or evaluate the results of diagnostic tests such as radiographs (x-rays) and electrocardiograms (EKGs).
Manage, and or maintain, patient’s airway or pulmonary status using techniques such as endotracheal intubation, mechanical ventilation, pharmacological support, respiratory therapy, and extubation.
Monitor patients' responses, including skin color, pupil dilation, pulse, heart rate, blood pressure, respiration, ventilation, or urine output, using invasive and noninvasive techniques.
Assess patients' medical histories to predict anesthesia response.
Select, prepare, or use equipment, monitors, supplies, or drugs for the administration of anesthetics. Calibrate and test anesthesia equipment.
Insert arterial catheters or perform arterial punctures to obtain arterial blood samples.
Insert peripheral or central intravenous catheters.
Instruct staff on topics such as anesthetic techniques, pain management and emergency responses.
Request anesthesia equipment repairs, adjustments, or safety tests.
Maintains continuing education activities.
Comply with all applicable Acuity International standards and guidelines.
Participate and advise in Mass Casualty Exercises/Events.
Other Duties as assigned.
All Health Care Providers (HCPs) will document care delivered and follow up care required.
Attends and participates in a variety of meetings and task force groups to improve quality and outcomes, communicate issues, obtain approvals, resolve problems, and maintain specific level of knowledge pertaining to new developments, new task efforts and new policy requirements.

Other Requirements
Must have a valid Passport from their home of record country with no less than 6 months remaining before expiration.
Requires a favorable security background check.
Must sign an International Assignment Agreement (IAA) and is bound to the terms and conditions of the IAA.
Must be current in all required certifications.
Shall be proficient in the ability to speak, write and communicate in English.
Normal workweek is established by the Program Manager.
Performs duties in a safe manner, follows the corporate safety policy.
Participates in and supports safety meetings, training, and goals.
Ensures safe operating conditions within area of responsibility.
Maintains a clean and orderly work area.

Qualifications
Must have completed an accredited Nursing training program leading to a diploma, certification or bachelor’s degree from a US school or equivalent international school.
Must have completed an accredited Nurse Anesthetist program in the US or an equivalent international program resulting in a diploma or master’s degree.
Must have a minimum of 3 years of experience as a licensed Nurse Anesthetist.
Hold and maintain a current unrestricted U.S. (State) Medical license as a Nurse Anesthetist or equivalent national or international license.
Hold a current certification by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRBA) or equivalent national or international certification.
Have and maintain current certification in Advanced Cardiac Life Support (ACLS), and Basic Life Support (BLS).
Certification in Advanced Trauma Life Support is highly desirable.
All health care providers and medical support staff must have recent clinical experience in patient care for at least 6 months out of the past year.

Physical Requirements 
Must be confirmed by a medical examination to be “medically and dentally fit” in accordance Acuity’s Medical Readiness Guidelines and Policies and/or as dictated by the Client.
No conditions that would prevent the wear of personal protective equipment; including protective mask, ballistic helmet, body armor and chemical/biological protective garments or conditions that would prevent the capability of donning, lifting, or carrying of up to 70 lbs. of referenced gear while running to a bunker or protected area in the face of perceived or imminent danger.
Work is normally performed in an office environment; travel in Iraq is required by surface or air.
The climate is desert-like, hot, and prone to dust storms.

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