Certified Registered Nurse Anesthetist

Location: United States
URM #: 1883
# of openings: 1



The Role:


This project site is located at the U.S. Army Garrison Hospital on the island of Kwajalein Atoll.  The hospital serves more than 1,400 residents, which include military personnel, Army Civilians, contractors, and family members.  Kwajalein is home to one of the world’s largest coral atolls and surrounds one of the largest lagoons in the world.  Kwajalein’s year round warm, sunny weather supports a variety of activities, such as scuba diving, sport fishing, sailing, and water skiing.  Kwajalein also boasts entertainment areas like a movie theater, bowling alley, gym, and small shopping areas. Bicycles are the primary mode of transportation on the island. 

The Certified Registered Nurse Anesthetist is responsible for the adminstration of anesthetics to patients undergoing surgical procedures (both medical and dental), accurately measuring and monitoring anesthesia is administration while monitoring patient vital signs to ensure safety. In addition, the CRNA may be required to perform additional tasks during the surgical procedure including, stabilization and evacuation.

Duties include:

  • Conducting all pre-anesthetic screenings, including physical evaluations, patient interviews, and documenting all results.
  • Creating, recommending, and implementing standard operating instructions and practices pertaining to the administration and management of anesthetics that ensure client safety, and privacy in timely fashion in accordance with confidentiality protocol.
  • Selecting and preparing equipment, monitors, supplies, or drugs for the administration of anesthetics. Calibrating and testing all equipment.
  • Prescribing and administering post-anesthesia medications or treatments to patients including, medications or fluids to support patients cardiovascular system.
  • Monitoring and evaluating patients post-surgical or post-anesthesia responses and reactions, taking appropriate corrective actions or requesting consultation if complications occur.
  • Deciding, ordering, and or administering pre-anesthetic medications, anesthetics, adjuvant drugs, accessory drugs, fluids or blood products as required.
  • Performing and evaluating the results of diagnostic tests such as radiographs (X-Rays)
  • and electrocardiograms (EKGs).
  • Inserting arterial catheters or arterial punctures to obtain arterial blood samples and peripheral or central intravenous catheters.
  • Maintaining patients airway or pulmonary status using techniques such as endotracheal intubation, mechanical ventilation, pharmacological support, respiratory therapy, and extubation.
  • Monitoring patients' responses, including skin color, pupil dilation, pulse, heart rate, blood pressure, respiration, ventilation, or urine output, using invasive and noninvasive techniques.
  • Discharging patients from post-anesthesia care.
  • Educating staff on topics such as anesthetic techniques, pain management and emergency responses.
  • Routinely performing safety tests on anesthesia equipment and requesting repairs or adjustments as needed. Active participation in day to day office activities, including a variety of meetings and task force groups to improve procedural processes, obtain approvals, and remain abreast of new developments and policy requirements and regulations.
  • Active participation in Mass Casualty exercises and events.




  • Must have a minimum of five (5) years of experience as a Nurse Anesthetist.
  • Completion an accredited Nurse Anesthetist school in the United States.
  • Possession of a current unrestricted US (State) license as a Certified Registered Nurse Anesthetist.
  • Possession of National Board of Certification and Recertification for Nurse Anesthetists.
  • Current American Heart Association Basic Life Support (BLS) certification and Advanced Cardiac Life Support (ACLS).
  • Certification by the American Heart Association - Advanced Trauma Life Support (ATLS) is preferred
  • Proficiency in English both in reading and writing.


Additional Requirements:

  • Must be able to read, write & speak English to effectively communicate
  • This position is unaccompanied.
  • US Citizen or Permanent Resident Card is required. 
  • US DOD NACI or the ability to obtain one is required.
  • Must be able to relocate to the United States Army Garrison - Kwajalein Atoll.
  • A valid passport is required and must be in your possession prior to relocation. You must maintain a current passport during your stay on Kwajalein Atoll.


Physical Requirements:


  • Work is normally performed in a typical interior/office work environment.
  • Work involves sitting and standing for prolonged periods of time.
  • May require bending, stooping and lifting up to 15 lbs.


International SOS is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state and local laws.

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