Clinical Component

A Versatile, Low-Trauma CRNA Practice with High Autonomy

In this CRNA role, your clinical day begins with the assurance that you’re part of a supportive, highly autonomous team trusted to manage a wide array of cases across two distinct hospital settings. You’ll provide anesthesia services for elective and emergent procedures, regional blocks, and obstetrics at the 25-bed Douglas critical access hospital and the more modern Summit facility in Casper. Each location has its unique pace and patient profile, offering the variety and stimulation many rural providers seek—without the overwhelming trauma volume found in larger urban centers.

While trauma cases do occur, they are infrequent and often redirected to tertiary care centers in Denver or Rapid City. Your daily schedule typically consists of a full slate of surgical services during standard hours, with lighter days common in the summer. A low call burden, self-managed schedules, and the ability to live in either Douglas or Casper provide unmatched lifestyle balance.

Patient Care Environment

Your patients span all demographics typical of a rural community, with an emphasis on general surgery, orthopedics, OB, podiatry, and occasional neurosurgery. You’ll encounter a blend of employed and independent surgeons—especially in Casper—some of whom bring their own preferences to the OR (including interest in indwelling catheters and specific regional techniques).

Technology and Workflow

You’ll work with multiple operating rooms across both sites: four ORs at Summit (Casper), and an equivalent setup in Douglas, plus several procedure rooms and a dedicated OB room in Douglas. CRNAs operate independently under Wyoming law, with the flexibility and respect that status affords. While EMR details were not discussed, the team dynamic emphasizes clinical safety, mutual respect, and functional independence.

Team and Support

You’ll collaborate with a well-established team of CRNAs, including providers who have worked together for over a decade. Many team members live locally and are committed to their community and patients. A physician Medical Director of Anesthesia helps coordinate the service line across both campuses.

Key Clinical Details

  • Patient mix: OB, general surgery, orthopedics, podiatry, and neurosurgery
  • OB services and call: currently limited to Douglas; no OB at Summit
  • Regional blocks: performed by CRNAs; experience preferred, but mentorship available
  • Elective cases: Monday–Thursday in Douglas; Monday–Friday at Summit
  • Trauma: light volume; higher acuity patients transferred out
  • Scheduling: block scheduling and flexible case mix with daily surgical variability
  • Call: no in-house call—CRNAs take call from home with rapid response times
  • Culture: team-oriented structure with high autonomy and minimal micromanagement

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