Under the medical supervision of a physician Anesthesiologist, administers general and regional anesthesia for all types of surgical, obstetrical and other procedures that require anesthesia services, to patients of various age groups including: neonatal, pediatric, adolescent, adult and geriatric in accordance with hospital and departmental standards of care. Such intervention may include, but not be limited to: airway management; maintenance of fluid balance; homeostasis; monitoring; response to emergencies related to airway management and cardiopulmonary resuscitation; and management of patients on ventilators.

• Administers anesthesia to all age groups.


• Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.


• Complies with organizational rules, policies and procedures (i.e. TJC, Title 22, Regional and Department requirements).


• Evaluates patients pre-operatively by interviewing and examining patient.


• Reviews chart for relevant information.


• In collaboration with MD selects anesthetic for patient based on pre-operative examination.


• Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of each age group served: neonatal, pediatric, adolescent, adult and geriatric.


• Selects anesthetic for patient based on pre-operative examination.


• Evaluates patients response to pre-medication.


• Communicates with surgeon and physician anesthesiologist regarding special concerns of patient.


• Checks anesthesia equipment daily and between cases to assure safe operating condition.


• Prepares drugs for administration.


• Administers anesthesia in accordance with delineated clinical privileges and any conditions or restrictions imposed thereof.


• Monitors the patient intraoperatively.


• Evaluates operative and post-operative condition of patient and takes necessary action to maintain stability.


• Evaluates the patients postoperatively (within 24 hours).


• Maintains an accurate accounting of controlled substances in accordance with departmental guidelines.


• Maintains equipment and supplies as outlined in department policies and procedures.


• Complies with organizational rules, policies and procedures (i.e. TJC, CAC Title 22, Regional and Department requirements).


• Establishes and maintains courteous and cooperative relations when interacting with public, patients, staff and other personnel.


• May perform other duties within scope of licensure/certification as required.


• Note: Must be able to work within an Anesthesia team model, work with MDAs, CRNAs and Anesthesia TECHs.

• N/A.

• Graduate of an educational program in Nurse Anesthesia accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs and Schools by date of hire.

• Registered Nurse License (California)

• Certified Registered Nurse Anesthetist (California) within five (5) months of hire

• Advanced Cardiac Life Support required at hire from American Heart Association

• Basic Life Support required at hire from American Heart Association

• New Graduate. Experience in anesthesia for major procedures involving extensive monitoring and fluid, blood, and electrolyte replacement for various age group patients.


• GRNAs must demonstrate both technical/clinical and professional skill and ability along with all related techniques and procedures within the scope of practice as defined by the State of California Department of Consumer Affairs.


• Additional skills are required in charting and documentation, knowledge of equipment and supplies, productivity, job and personal maturity communication, and education and staff development.

• General and Regional administration, deep sedation, Hemodynamic monitoring, use of all Anesthesia related equipment's, communication skills and a team player.

• Scheduled hours and days of the week vary.

PrimaryLocation : California,Downey,Downey Medical Center
HoursPerWeek : 40
Shift : Variable
Workdays : Sun, Mon, Tue, Wed, Thu, Fri, Sat
WorkingHoursStart : 12:01 AM
WorkingHoursEnd : 11:59 PM
Job Schedule : Full-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : B12|KPNAA|KPNAA
Job Level : Entry Level
Job Category : Nursing Licensed & Nurse Practitioners
Department : Downey Medical Center - Anesthesiology-Inpatient - 0806
Travel : Yes, 75 % of the Time
Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

For jobs where work will be performed in unincorporated LA County, the employer provides the following statement in accordance with the Los Angeles County Fair Chance Ordinance. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment:

Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente's policies and procedures.

Models and reinforces ethical behavior in self and others in accordance with the Principles of Responsibility, adheres to organizational policies and guidelines; supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty, shows consistency in words and actions; follows through on commitments.

Job duties with at least occasional or possible access to: (1) patients, the general public, or other employees; (2) confidential protected health information and other confidential KP information (including employee, proprietary, financial or trade secret information); (3) KP property and assets, for example, electronic assets, medical instruments, or devices; (4) controlled substances regulated by federal law or potentially subject to diversion.