Facility State: All States Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming INTERNATIONAL -----OTHER-----

Duration of position: Full Time Locum Tenens Part Time PRN Fellowship

Federal Government job?

(Any State license will work)



For example:

• Veterans Affairs (VA)

• Military

• Indian Health No Yes

What percentage of the time will the CRNA be Medically Directed by an anesthesiologist?

100% 99% 90% 70% 50% 30% 10% 1% Never



If the CRNA will be Medically Directed by an Anesthesiologist, who administers the induction agents?

CRNA Anesthesiologist Sometimes CRNA, Sometimes anesthesiologist



How often will CRNA be on FIRST call?

Will NOT be on FIRST call Every night FIRST call Every OTHER night FIRST call Every THIRD night FIRST call Every FOURTH night FIRST call Every FIFTH night FIRST call Every SIXTH night FIRST call Every SEVENTH night FIRST call Every EIGHTH night FIRST call Every NINTH night FIRST call Every TENTH night FIRST call Every ELEVENTH night FIRST call Every TWELFTH night FIRST call Every THIRTEENTH night FIRST call Every FOURTEENTH night FIRST call Every FIFTEENTH night FIRST call FIRST Call frequency varies Negotiable FIRST Call Unknown FIRST Call Infrequent FIRST Call (See Full Description)



Day off after FIRST call? Always Usually Sometimes Rarely Never Negotiable Will NOT be on call Unknown

How often will CRNA be on SECOND call?

Will NOT be on SECOND call Every night SECOND call Every OTHER night SECOND call Every THIRD night SECOND call Every FOURTH night SECOND call Every FIFTH night SECOND call Every SIXTH night SECOND call Every SEVENTH night SECOND call Every EIGHTH night SECOND call Every NINTH night SECOND call Every TENTH night SECOND call Every ELEVENTH night SECOND call Every TWELFTH night SECOND call Every THIRTEENTH night SECOND call Every FOURTEENTH night SECOND call Every FIFTEENTH night SECOND call SECOND Call frequency varies Negotiable SECOND Call Unknown SECOND Call Infrequent SECOND Call (See Full Description)



Indicate how often the CRNA will be doing each of the types of cases including, "Never." Chronic Pain Management Always Usually Sometimes Rarely Never Negotiable Unknown Cardiac Anesthesia Always Usually Sometimes Rarely Never Negotiable Unknown Thoracic Anesthesia Always Usually Sometimes Rarely Never Negotiable Unknown Major Vascular Anesthesia Always Usually Sometimes Rarely Never Negotiable Unknown Obstetric Anesthesia Always Usually Sometimes Rarely Never Negotiable Unknown Pediatric Anesthesia Always Usually Sometimes Rarely Never Negotiable Unknown Neuroanesthesia Always Usually Sometimes Rarely Never Negotiable Unknown Trauma Anesthesia Always Usually Sometimes Rarely Never Negotiable Unknown Critical Care Medicine Always Usually Sometimes Rarely Never Negotiable Unknown Anesthesia for outpatient surgery Always Usually Sometimes Rarely Never Negotiable Unknown Office based Anesthesia Always Usually Sometimes Rarely Never Negotiable Unknown Administrative/ Leadership Duties Always Usually Sometimes Rarely Never Negotiable Unknown Regional Anesthesia Always Usually Sometimes Rarely Never Negotiable Unknown Preop Screening Clinic Always Usually Sometimes Rarely Never Negotiable Unknown Orthopedic Anesthesia Always Usually Sometimes Rarely Never Negotiable Unknown Acute Pain Service Always Usually Sometimes Rarely Never Negotiable Unknown Other Describe

Employment Status:

W-2 (Employee) or

1099 (Independent Contractor) W-2 1099 ???

Start Date: From month 01 - Jan 02 - Feb 03 - Mar 04 - Apr 05 - May 06 - Jun 07 - Jul 08 - Aug 09 - Sep 10 - Oct 11 - Nov 12 - Dec day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 year 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 Through month 01 - Jan 02 - Feb 03 - Mar 04 - Apr 05 - May 06 - Jun 07 - Jul 08 - Aug 09 - Sep 10 - Oct 11 - Nov 12 - Dec day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 year 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030

New Graduates Acceptable? No Yes Negotiable Conditional

Is this a Definite Job

or a Pending Job?



Pending refers to the Position NOT the Candidate. Definite Job = Position Fully Funded at the Start Date, No Contingencies



Pending Job = Position NOT Fully Funded or Contingent on something that is NOT related to the candidate. Definite Job Pending Job Why is Job Pending? Contract Signature Approval of Funding Minimum number of recruits. . . . . . . . . . .. . . . . Agency obtaining recruitment contract. . . . . Unknown

Is there an Approved Physician residency program? No Yes

Number of licensed beds

Less than 51 51-100 101-200 201-300 301-400 401-500 501-600 601-700 701-800 801-900 901-1,000 More than 1,000



Number of surgical cases per year

None Less than 100 101-200 201-300 301-400 401-500 501-600 601-700 701-800 801-900 901-1,000 1,001-1,100 1,101-1,200 1,201-1,300 1,301-1,400 1,401-1,500 1,501-1,600 1,601-1,700 1,701-1,800 1,801-1,900 1,901-2,000 2,001-2,250 2,251-2,500 2,501-3,000 3,001-4,000 4,001-5,000 5,001-10,000 10,001-20,000 Greater than 20,000



City Population

Less than 10,000 10,000-20,000 20,000-50,000 50,000-150,000 150,000-250,000 250,000-500,000 500,000-1 million 1 million-2 million 2 million-3 million 3 million-4 million 4 million - 5 million 5 million-6 million 6 million-7 million 7 million-8 million 8 million-9 million 9 million-10 million Greater than 10 million



State License Required

Any State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming INTERNATIONAL -----OTHER-----

Describe Other

Preferred Contact Method

Email Link to Apply for Job Phone Fax No Preference

