Nurse Anesthesiology in Alaska, Anchorage

Responsibilities Nurse Anesthetist:

• prepare respiratory and control-diagnostic equipment for use, control its serviceability, proper operation;
• prepare a set of intubation;
• pick up the mask, nasal catheters;
• complete systems for transfusion therapy;
• assess the effectiveness of premedication;
• prepare for the work a Cardiomonitor, defibrillator;
• implement venipuncture and catheterization of peripheral venous;
• perform disinfection and sterilization of anesthesia and respiratory equipment, anesthetic equipment;
• monitor the status of the patient during intensive care, observation over the patient after anesthesia;
• to assist the physician in complex medical-diagnostic manipulations;
• a set of activities on prevention of nosocomial and particularly dangerous infections;
• control of sterility of the resulting material and medical instruments, comply with the terms of storage of sterile material;
• to provide first aid in case of emergency;
• inform your doctor about complications connected with carrying out medical intervention, with medication.

A nurse anesthetist may also conduct anesthesia under the supervision of a physician anesthesiologist, depending on its level of training and experience.

 A Nurse Anesthetist must perform the following manipulations:

• determine the tidal volume;
• extubation;
•  to count the pulse and heart rate, determine the pulse deficit, a technique for measurement of blood, pulse, central venous pressure;
• conducting tests on individual compatibility and Rh compatibility by blood transfusion, the rate of infusion of crystalloid, colloid, protein preparations of blood and blood components;
• implement airway, toilet airway by suction, the introduction of air duct, ventilation by using a mask;
• chest compression technique, a combination of chest compressions with lung ventilation, evaluate the effectiveness of resuscitation;
• vibration massage technique;
• determination of the pulse at the carotid and femoral arteries;
• oxygen therapy, the oxygen supply through the alcohol;
• tracheal instillation;
• tube feeding, introduction of nasogastric tube;
• blood sampling for clinical and biochemical studies.

System of a permanent mutual control helps to increase the safety of anesthesia and reduce the likelihood of complications. In the case of any complications Nurse immediately measures the blood pressure of a patient, counts the frequency of pulse, heart rate, informs about it the doctor, and at his team implements measures required for the elimination of complications.

 After completing the operation and termination of anesthesia Nurse Anesthetist helps the doctor make a sanitation of the tracheobronchial tree, administered intravenously the necessary drugs, verifies the level of arterial and central venous pressure, heart rate and pulse, informs the results of the doctor.