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UnityPoint Health Certified Registered Nurse Anesthetist in Des Moines, Iowa

A qualified Anesthesia professional (Advanced Practice Nurse) involved in the administration of anesthesia and related services as delineated by the clinical and nonclinical responsibilities described herein. Collaborates with Physicians/Surgeons and Anesthesiologists to manage the anesthetic needs of the patient. Scope goes from initial evaluation (pre-operative assessment) to discharge, including care in PACU.

An Advanced Practice Nurse ensures proper anesthesia and pain management. Oversees patient intra-operatively throughout recovery and responds immediately to patient needs.

The following is a list of anesthesia, and related clinical services, responsibilities of the individual anesthetist.

  • Preanesthesia/patient assessment, requesting laboratory/diagnostic studies and preanesthetic medication

  • Anesthesia plan: General/Regional/Sedation

  • General anesthesia and adjuvant drugs

  • Regional anesthesia techniquesEpiduralLower extremity, poplitealTopical/Local per Surgeon

  • TAP Blocks (abdominal procedures) – intra: Surgeon, post: Anesthesia

  • Upper extremity, interscalene, axillary

  • Subarachnoid/Spinal

  • Cardiopulmonary resuscitation management – part of preparation as well as management.


  • Patient assessment including:Evaluation of labs, diagnostic studies ordering additional as needed.Reassures patient that the CRNA will be with the patient from start to finish, induction to emergence.Place IV’s as needed.

  • Give pre-anesthetic medications as needed.

  • Building rapport with patient and family, and answering questions.

  • Systemic evaluation and discussion of procedure.

  • Anesthesia plan:Discussion of anesthesia options and risks/benefits of each, (General vs Regional vs Sedation/ and what is safest.

  • Discussion of patient health history as it relates to anesthesia

  • Anesthesia Preparation:Monitors patient throughout procedure and makes anesthetic adjustments as needed according to patient reaction.Patient will be monitored in recovery for any adverse reactions to anesthesia.

  • Assesses patient after procedure is done and transfers them to recovery.

  • All needed drugs, IV fluids, and equipment made ready in OR prior to patient arrival (as well as any emergency, CPR drugs and equipment).

  • Management of Patient:Invasive and non-invasive managementIV’s, arterial lines, central linesPost Anesthesia care


  • CPR/Resuscitation management

  • Pain management trauma

  • Fluids, electrolytes, acid-base management, blood products

  • Airway management, including oxygen therapy and mechanical ventilation.

  • OR

  • Radiology

  • Endoscopy

  • ECT

  • Labor and Delivery, C-Sections

  • Cardiac Catheterization Procedures

  • Eye Center/Sedation for Cataracts

  • ER

  • ICU

  • OPS - Pre-op Assessments and Phase II prior to discharge.

  • PACU



  • Holds current state licensure as a registered nurse in the state of Iowa, and complies with any applicable state statutory or regulatory requirements concerning advanced practice registered nursing.

  • Graduate of a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor.

  • Complies with one of the following requirements regarding certification eligibility, initial certification or recertification:

  • Meets criteria 1 and 2 above, and is awaiting initial certification (some states limit this period of time); or

  • Is currently certified by the Council on Certification of Nurses Anesthetists or its predecessor; or

  • Is currently recertified by the Council on Recertification of Nurse Anesthetists.


Requisition ID: 2020-79333

Street: 700 E University Ave

Name: 3020 UnityPoint Health Des Moines

Name: Anesthesiology Group- Luth

FTE (Numeric Only; Ex. 0.01): 1.0

FLSA Status: Exempt

Scheduled Hours/Shift: Days with call - 40 hours/week

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