AtMadigan Army Medical Center (MAMC), located at Joint Base Lewis-McChord (JBLM), a Certified Registered Nurse Anesthetist (CRNA) operates as anAdvanced Practice Nurse (APRN) within a high-volume, multi-specialty Level II Trauma Center.Madigan is a premier teaching facility, which means CRNAs there have a unique set of responsibilities involving both high-acuity clinical care and the instruction of residents and students. - Pre-Anesthesia Clinic:Conducting comprehensive evaluations in the Surgical Services Center to optimize patients before surgery, a critical role given the high volume of bariatric and orthopedic procedures at Madigan. - Independent Practice:Functioning with significant autonomy to develop and execute anesthetic plans, including the selection of pharmacological agents and invasive monitoring (arterial/central lines). - Interdisciplinary Pain Management:Collaborating with theInterdisciplinary Pain Management Center (IPMC)to provide advanced pain relief techniques for both acute post-surgical recovery and chronic pain conditions. - Rapid Response:Serving as a primary expert for difficult intubations and emergency resuscitations (ACLS/PALS) throughout the hospital and Emergency Department. - Clinical Instruction:Providing oversight, bedside teaching, and formal evaluations for Student Nurse Anesthetists (SRNAs) and residents. - Curriculum Support:Delivering in-services, workshops, and case studies to ensure the anesthesia staff remains current on the latest DoD anesthesia protocols. - Research & QA:Participating inQuality Assurance (QA)andPeer Reviewprocesses to maintain the high standards required for Joint Commission (TJC) accreditation.