CRNA in Michigan

Job description

Facility & Support Structure
Outpatient surgery center setting

Typically staffed with two anesthesia providers per day

Some Wednesdays and Thursdays staffed with three providers

EMR system: HST

Case Mix & Clinical Expectations
Heavy orthopedic volume; proficiency with regional blocks required

Eye cases with required block capability, though 98% are topical with light sedation

Mixed endoscopy cases using MAC

Pediatric ENT cases (PALS required)

Average case length: 75 minutes; eye cases average 20 minutes

Total joint ortho cases being added this month

Ortho/total shoulder surgeon begins in February on the 2nd and 4th Tuesdays

Pediatric ENT Details
Highly structured and conservative pediatric ENT process

Surgeon is selective and does not rush cases

Thorough PAT screening for all pediatric patients

No cases with sleep apnea

No tonsil cases under age 3

Typically 1–2 pediatric ENT cases on Tuesdays

No additional CRNA in PACU, but many pediatric patients are fully awake before leaving the OR

Workflow & Scheduling
First OR starts at 7:00 a.m.; second room starts at 7:30 a.m.

Very low frequency of late days

Only 49 cases in the past year wheeled out after 4:00 p.m.