Clinical Component

Navigating the Clinical Component

Comprehensive Case Variety with Independent Decision-Making

Your clinical practice will encompass two state-of-the-art facilities where your independent judgment drives every anesthetic decision. At the main hospital’s seven operating rooms, you’ll manage a diverse case mix that keeps you clinically engaged without the high-acuity stress of major trauma centers. Surgery Center West, nationally recognized for its design and infection control, adds three more procedure rooms emphasizing efficiency and patient satisfaction.

The daily workflow supports an ideal balance between active clinical work and individualized patient care. Free from productivity pressures found in high-volume centers, you can build meaningful relationships with patients and surgical teams. You’ll make all anesthetic decisions — from preoperative assessment through emergence — independently, without the need for physician oversight.

Regional anesthesia is central to the practice. Nerve blocks, epidurals, and spinals represent up to 50% of daily caseload, especially with the orthopedic emphasis and enhanced recovery protocols. Your skills in regional techniques will be consistently used and appreciated.

You’ll enjoy a wide scope of practice with a healthy patient population and a manageable level of acuity. The case variety spans orthopedics, general surgery, ENT (including healthy pediatric cases), urology, and endoscopy — without the crisis-prone complexity of neurosurgery, cardiac, or thoracic specialties.

  • Independent case management: Full autonomy in all anesthetic decisions
  • Regional anesthesia focus: Extensive use of nerve blocks, epidurals, and spinals
  • Healthy patient mix: Focus on high-quality care, not high-risk rescue
  • Epic EMR transition: Upgrading from Meditech for improved workflow and documentation
  • OB services: Manage epidurals and C-sections with rare overnight emergencies
  • Diverse procedures: Orthopedics, general surgery, ENT, urology, and endoscopy

The 1:13+ home call rotation respects your time, with only two calls per month on average and low callback frequency. Most calls are for epidurals or C-sections, and post-epidural, you often return home immediately. No extended monitoring demands.

Scheduling is structured for predictability: 7 AM start with systematic tapering to three rooms by 3 PM and one by 5 PM. Emergencies are accommodated through a flex room system, currently being enhanced through ongoing construction.

You’ll work alongside five anesthesiologists in a truly collaborative model — not supervisory. Monthly meetings at 6:30 AM are well-attended because they offer genuine discussion and value all provider voices equally.

Your input also extends into operations. Providers rotate “board running” duties to guide daily case flow and resource allocation. This shared governance ensures your professional voice directly influences daily operations.

The practice’s shift from CRNA-heavy staffing to a balanced team of CRNAs and anesthesiologists has strengthened rather than reduced autonomy, fostering a setting of shared expertise and mutual respect.

This is nurse anesthesia at its finest — independent clinical decision-making, meaningful collaboration, and the opportunity to fully realize your training and capabilities in a setting that genuinely values your contributions.

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