Schedule: 24 Hour Call (7a-7a), Day Shift (7a-3p), Night Call (3p-7a)
Call: One night call shift per week; rotating weekend call coverage
Shifts Per Month: 1-2 weeks per month
Open Dates:
10/12-16
12/21-24
12/28-31
Clinical Details
Practice Settings: Acute care hospital; OR setting
CRNAs practice independently with surgeon supervision based on case; responsible for managing and preparing their own cases
Support Staff: 2.5 full-time MDs; 1 full-time CRNA
7 Operating Rooms & 1 Cystoscopy Room; typically run 4 ORs daily, and keep 1 room reserved for OB
Beds: 83
Types of Procedures/Cases: ENT, Eyes, GS, Ortho, Urology, OB; Epidurals; neuraxial anesthesia; regional anesthesia; single-shot interscalene blocks for shoulder surgery (no catheter placements); occasional regional blocks
Responds to code situations only when airway management assistance is required
Central line placement is rare
Pediatric cases: No patients under 1 year of age unless discussed directly between the surgeon and anesthesia provider prior to scheduling; Healthy children 6 months and older may be seen for ear tube procedures
ENT: Tonsillectomy patients under age 3 are admitted overnight for observation
Orthopedics: Total hip and knee procedures are routinely performed under spinal anesthesia with same-day discharge
Endoscopy and TEE anesthesia support is infrequent and typically scheduled in advance for higher-acuity patients
Facility averages approximately one delivery per day
Call Coverage:
Primary call responsibilities are OB-related
After placing an epidural, the provider may return to the hotel while remaining on call
Nursing staff can manage epidural infusions, but any medication adjustments or boluses require the anesthesia provider to return to the hospital
For emergency C-sections, providers must be able to arrive within 17 minutes when taking call from a hotel
During VBAC deliveries (approximately 1 per month), the anesthesia provider must remain in-house
Backup call is primarily utilized for:
Additional epidural needs
Emergency C-sections
Situations where the primary call provider is occupied with a complex case
Requirements
Board Certified
Certifications: ACLS
Experience with OB anesthesia, epidurals, spinal anesthesia, and routine regional blocks preferred
Comfortable practicing with a high degree of autonomy
Able to provide call coverage in a rural/community hospital setting with emphasis on obstetric support preferred