POSITION DUTIES: SUPERVISORY CONTROLS Works under the supervision of the Chief, Anesthesia. The Chief, Anesthesia determines caseload, teaching assignments, administrative assignments and work schedule. The incumbent exercises independent judgment and skills commensurate with contemporary anesthetic practice. The quality of professional and administrative work will be evaluated utilizing quality assurance principles, policies, and regulations as mandated by the Joint Commission on Accreditation of Hospitals and as structured by appropriate Army and local regulations and policies. MAJOR DUTIES: As a professional in the field of anesthesiology is assigned the full range of cases in the field. The physician is licensed to practice medicine as an Anesthesiologist and is credentialed by Brooke Army Medical Center to provide the services described. 1. Provides anesthesia services to all categories and types of patients requiring surgical or procedural intervention at Brooke Army Medical Center. Provides anesthesia services for general surgery, gynecology, ear/nose/throat, neurosurgery, oral surgery, obstetrics, ophthalmology, orthopedics, pediatrics, plastic surgery, thoracic surgery, urology, vascular surgery, trauma and burn-trauma. Performs the most advanced diagnostic and treatment procedures without professional direction. Assignments involve the full range of cases and problems including the very difficult. Responsible for making treatment recommendations for the full treatment regimen involving knowledge of new techniques or the use of prolonged or complicated procedures or advanced and delicate skills. Participates in the handling of other catastrophic problems where the skills of an anesthesiologist are also applicable, e.g., drug overdoses, cardiac arrest, and respiratory problems. Supervises the administration of anesthesia by nurse anesthetist to include their performance; administers anesthesia to patients whose condition poses a particular anesthetic difficulty. Administers appropriate diagnostic and therapeutic nerve blocks in the treatment of acute and chronic pain. Oversees the activities of the recovery room and administers appropriate drug and respiratory therapy in the recovery room setting. Implements the proper use of mechanical ventilators in the recovery room, and as necessary in the intensive care units. Provides consultation regarding preoperative preparation, intro and postoperative anesthetic management. Incumbent is responsible for accurate completion of required forms, reports, and medical records. Reviews anesthetic records and charts of personnel supervised to assure proper professional quality control. Performs administrative tasks as delegated by the service chief. 2. Serves as adjunct faculty for Student Registered Nurse Anesthetists. Responsible for teaching and counseling of medical students rotating through the Anesthesiology Service in the proper administration of anesthesia. Teaches all aspects of anesthesia to medical students, residents, student nurse anesthetists, and other anesthesia staff as required. Participates in Continuing Medical Education. 3. Provides anesthesia consultation to the medical, surgical, and anesthesia staff as requested or required. Ensures the operating room's prompt and safe accomplishment of its mission. Efficiently and fairly schedules and allots operating room time to the surgical specialties. Helps direct and administrate the responsibilities of the BAMC Anesthesia Service. Coordinates the Operating Room Services with physicians, nurses and technicians. Maintain high level of quality assurance.. Helps function as ward officer for Surgical Recovery Room. PERFORMS OTHER DUTIES AS ASSIGNED.