Advanced Practice Registered Nurses / Physician Assistants
Internal Number: 22021957
*60K SIGN ON BONUS*
Baylor Scott & White Medical Center – Hillcrest is a 236-bed acute-care Level II Trauma hospital with the only Level III neonatal intensive care unit in the Waco region. The hospital also has the largest network of primary care physicians on its medical staff. The medical center has achieved the distinguished Magnet®status, the highest national recognition awarded to a hospital or medical center for excellence in nursing. The hospital offers a wide range of specialties including neurosurgery, urology, sports medicine and orthopedics, and plastic and reconstructive surgery.
This is a full time position. Good mix of cases with excellent work environment. ACT model. Position is located at BSW Hillcrest in Waco, TX.
Nestled on the banks of the Brazos River, and conveniently located between Dallas and Austin in the heart of Texas, Waco is a diverse and bustling city with small town charm. Waco boasts a dynamic economy and thriving academic community with five colleges and award-winning school districts. Waco has something for everyone with a flourishing urban downtown and tourism mecca featuring Magnolia Market, Cameron Park Zoo, numerous museums, and endless shopping and dining options. A tremendous setting for outdoor recreational activities, Waco is home to Cameron Park, one of the largest municipal parks in Texas, which spans 416 acres and contains 20 miles of hiking and biking trails. It’s easy to see why Waco, the heartbeat of Texas, is the perfect place to call home.
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.
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!