Position Overview

CRNA Position Overview

We currently have a team of 5 Full-Time CRNAs, 2 locums CRNAs and 2 Full Time Anesthesiologists. We are looking to replace the 2 locums’ providers with Full-Time CRNAs to complete our team and get back up to 7. This position is going to be a very standard CRNA position. There are no Hearts, Heads, Vascular or Cardiac. Blocks are not a requirement or When asked about the practice, Leah Gibson, CRNA said, “The variety of cases you get shifts constantly, like we don't have one person that always does scopes, or one person that always does ortho. We all do everything, which is really nice, and we don't let the surgeons like pick their favorite CRNA that only does their case every week, we all work with every surgeon so there is familiarity with the whole team.”

Rebecca Heisinger, CRNA, said “We work independently and yet still very collaborative. And that is sort of hard to find in the CRNA world. Our team has always really respected each other and worked well with Dr. Domsky and Dr. Tomlinson, who have always really respected us.”

When asked what he is looking for in a new CRNA, Dr. Tomsky said “I think just being smart and safe. I would say our group of CRNAs are very good. I have not had any issues with them. They do a good job. There are quality people. They take good care of patients and are invested in their care, and one thing they say here is you’re a neighbor, not a number. Everybody you're taking care of or interacting with knows providers personally, outside of work, so I think it ups the level of care. I think it makes it all a little bit more real. So, this team is very good, and we work together to provide the best care.” 

The case volume breakdown is approximately:

  • 50% Endoscopy 
  • 30% Orthopedic Cases 
  • 25% GS, ENT, UR, OB/GYN, Ortho Spine, Trauma 
  • 5% Pediatrics 
    Mostly ENT cases
    Kids are mostly 6 Months and up 

The CRNAs do 90+% of the cases and work very closely with the surgical teams. They are the ones that manage the OR & Endoscopy suite throughout the day, they also do some of the OB epidurals & C-Sections. The department has a very streamlined approach with the two Anesthesiologists doing: 

  • Pre-Op
  • Most all of the Blocks
  • Daytime Epidurals 
  • Running the Pain Clinic 
  • Most all patient/family interaction  

With the system set up like this, the CRNAs stay in the surgical department for most of the day and focus on the main cases, the Anesthesiologists are there for support and more complex situations.  

The hospital is a 48 bed, level III trauma center with 6 ORs, 1 of which is an Endoscopy Suite, and one is for C-Sections. The department does an average of 2,750 surgeries, 8,500 ED visits and 350 deliveries per year. The daily averages for the department are: 

  • 12-16 OR cases per day
  • 10-12 Endoscopies per day 
  • 300 deliveries and we have 50% intervention rate.
    100 - 150 epidurals per year
    60-75 C-Sections per year 

The hospital does not have any full-time GIs, the General Surgeons are doing all the Endoscopies, so they take 30-45 minutes per case, hence the reason the Endo volume is not high.  

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