Anesthesiologist Assistant Job Description
Texas State Board of Medical Examiners: Anesthesiologist Assistant
Suggested Job Description
This list delineates the basic functions and roles of the
Anesthesiologist Assistant within the perioperative and hospital
setting. This list includes the functions, tasks and medical
procedures which Anesthesiologist Assistants may perform under
anesthesiologist supervision, as well as tasks which may be performed
under life threatening circumstances.
1. Anesthesiology is the practice of medicine; Anesthesiologist
Assistants administer anesthesia under the medical direction of an
anesthesiologist.
2. Anesthesiologist Assistants may introduce themselves as
"Anesthesiologist Assistant" but may not refer to themselves as a
physician or physician assistant.
3. Anesthesiologist Assistants perform initial CPR/ACLS in emergency
situations until the supervising anesthesiologist is summoned.
4. Anesthesiologist Assistants establish a comprehensive patient
database (by chart/medical record review and patient examination and
interview) to assist in anesthetic planning. Anesthesiologist
Assistants may order appropriate pre-op evaluations and premedications
after consultation with the anesthesiologist, who is then responsible
for these orders.
5. Anesthesiologist Assistants initiate multi-parameter monitoring
prior to anesthesia or in other acute care settings. Modalities
include, but are not limited to, ASA Standard Monitors, arterial and
venous catheters. Anesthesiologist Assistants may manipulate and
interpret data from central venous, pulmonary artery and intracranial
catheters and other monitors or devices that are indicated.
6. Anesthesiologist Assistants administer the prescribed anesthetic
with particular care to the cardiovascular, respiratory and metabolic
health of the patient.
7. Anesthesiologist Assistants utilize advanced treatment modalities
to effect Section 6, including but not limited to advanced airway
interventions and intubation of the trachea; starting and adjusting
doses of vasoactive infusions; administering vasoactive and anesthetic
drugs; administering blood; and any other treatment modalities which
are prescribed by the supervising anesthesiologist.
8. Anesthesiologist Assistants will summon the supervising
anesthesiologist for the induction of anesthesia, for extubation of
the trachea, for consultation during unexpected or adverse
perioperative events or at any other time when the prescribed
anesthetic deviates significantly from its expected course.
9. Anesthesiologist Assistants assist in the post-operative management
of patients by managing post-op ventilatory support and acute pain
management in conjunction with existing protocols or the attending
anesthesiologist.
10. Anesthesiologist Assistants recognize that the choice of
anesthetic drugs and techniques are prescribed by the attending
anesthesiologist preoperatively. Exceptions exist when standard orders
for a given situation exist or when life-threatening situations arise
requiring the use of standard therapeutic or resuscitation techniques
until the attending anesthesiologist arrives or is consulted by phone.
11. The anesthetic prescription may consist of a verbal discussion
between the Anesthesiologist Assistant and the supervising
anesthesiologist; in this instance the anesthetic record is considered
to reflect the anesthetic prescription in the absence of other
notations in the medical record.
12. The supervising anesthesiologist will remain at all times
immediately available to the Anesthesiologist Assistant in the
operating area and is reachable by beeper or overhead page.
13. The Anesthesiologist Assistant may engage in teaching and research
functions as deemed appropriate by the supervising anesthesiologist.
By Texas State Board of Medical Examiners -
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