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Under general supervision of the Anesthesia Provider, Anesthesia Manager or a designee and following established procedures, the Lead Anesthesia Technician assures the quality of service and monitoring for patients undergoing anesthesia in all anesthetizing locations throughout the hospital. Maintains, services, sets up, tests, and troubleshoots equipment and provides technical assistance to the Anesthesia staff in the care of patients. Assumes supervisory responsibility for the department on a daily basis at the request of or in the absence of the Anesthesia Manager. Proficient in all skill sets with yearly validation of competencies by the Manager or Clinical Educator.
Job Description:
Essential Duties & Responsibilities including but not limited to:
Performs duties of Anesthesia Technician II:
- Sets-up anesthetizing locations with required equipment and supplies according to the type of cases and ages of the patients not limited to high acuity high risk patients.Consults with Anesthesiologist or CRNA for specific setup needs as necessary or requested. Locations include but not limited to Operating Rooms (21 rooms) , Interventional Radiology Suites, Neurointerventional Radiology Suites, CTI,Litho, EP Labs, Cath labs, MRI, and Endoscopy (5rooms), Pulmonary, PET Scan, CT Scan and Radiation oncology. Some areas require additional equipment and setup with EPIC connections as they are not equipped as a full time anesthetizing location.Sets up equipment for use in the work area such as, but not limited to, connecting input and output hoses, bronchoscopes, and assembling breathing circuits. Delivers required anesthesia equipment as needed. Sets up IV solutions, transducers, medical pump tubing and all required equipment, for cardiac monitoring. Performs leak testing ,calibration replaces 02 sensors and flow sensors of anesthesia machines. Provides troubleshooting and service corrections. Changes tanks on machines and C02 absorbent canisters as needed.Cleans anesthesia machines and other anesthesia equipment after each case to meet operating room target times.
- Prepares blood pressure transducers. Calibrates them to the appropriate machine. Sets up IV solutions and IV infusions. Demonstrates proficiency with functionality of various hemodynamic monitoring systems. Performs Cardiac output injectate process and reports numeric to the provider. Enters all patient data for calculations. Follows calibration sequence for SVO2 catheters. Demonstrates proper set up of non invasive cardiac output monitoring systems entering all data and aseptically assembling kit.
- Assists the anesthesia staff in the set up and initialization of hemodynamic monitoring equipment including arterial lines, central venous catheters, PA catheters, TEE. Assists anesthesia providers with arterial line and central line placement. Comfortable and knowledgeable about each kit available at LHMC. Based on case type and provider directives, follows proper patient sterile prep procedures, open kits using sterile technique.Calibrates equipment such as Arterial, Central line and PA transducers ensures correct labeling and monitor profiles. Demonstrates ability to aseptically connect pulmonary artery catheter and assist with placement of the PAC. Able to set up and prepare TEE machine for patient use.
- Assists Anesthesiologists in care of patients before, during, and immediately after anesthesia which involves the following: transfer of patients from stretchers to operating table; attachment of vital signs monitoring equipment; position and hold patients for procedures, i.e spinal, epidurals; assist in endotracheal intubations by preparing and holding equipment. Assists Anesthesiologists and CRNAs with airway management, including set up of fiberoptic scope, LMA, single and double lumen tubes, jet ventilation system, atomizer and topical solutions for awake intubation. May assist with cricoid pressure during rapid sequence induction. Assists with transport monitoring of critically ill patients to intensive care units.
- Tests, sets up, maintains sterile technique and process autologous blood products for reinfusion. Package, label and report to the Anesthesiologist the volume, estimated blood loss (EBL) and returned processed unit volume.
- Set up and primes rapid infuser systems and maintains aseptic technique.
- Following established protocols and using proper sterile technique, in cardiac and hepatic cases draws blood from lines for labs for laboratory analysis
- Sets up and prepares Anesthesia machines for malignant hyperthermia cases, installs appropriate filters, replaces absorbent, removes vaporizers, runs ventilator at appropriate settings for recommended period of time.
- Conducts performance tests, performs calibration and first level repairs (i.e. battery changes, cable swapping, monitor checks) of anesthesia equipment.
- Troubleshoots routine problems with equipment in OR during use, repairing or replacing as necessary.
- Maintains yearly competency with High Level Disinfection processes. Proficiently follows all regulations as established by the HLD committee and regulatory agencies. This process applies to processing of Trans Esophageal Echo probes. Can speak to all components of this process and all quality control aspects.
Lead Responsibilities:
- Ensures appropriate technical coverage by assigning staff appropriately and resolves operational problems with appropriate inter- and intra- departmental personnel in the absence of the supervisor.
- Acts as a liaison to clinical support departments to ensure that all Anesthesia clinical needs are met in the most efficient and effective manner. Orders tanks of gases or other anesthesia supplies as necessary; notifies supervisors when stock items need to be ordered. Maintains an extensive inventory of critical supplies and devices with regard to Pyxis Med stations, emergency airway carts prior to use.
- Takes responsibility for verifying timesheets for technical staff on any shift for which they provide supervisory coverage.
- Assists Manager and Clinical Educator in orientation and on-the-job training of employees.
- Participates fully in call rotation to provide technical support for anesthesia services after hours and on weekends/holidays.
Minimum Qualifications:
Education:High school diploma or equivalent education and experience
Licensure, Certification, Registration: None
Skills, Knowledge & Abilities: In the absence of any of these skills, demonstrates the ability to be thoroughly trained to meet organizational standards.
Experience:Six months to one year of Anesthesia Technician II experience.
Pay Range:
$25.47 - $37.84
The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled