JOSH SMITH
Rapid City,SD
Summary
Certified Registered Nurse Anesthetist with broad anesthesia experience in trauma, transplant, orthopedic, ambulatory, endoscopy, ophthalmology, and procedural settings. Background includes anesthesia care team practice, regional and neuraxial techniques, vascular access, and perioperative assessment. Leadership experience in staffing, OR workflow, equipment coordination, and staff education.
Overview
1
1
Certification
19
19
years of professional experience
Work History
REGISTERED NURSE
Monument Health Heart & Vascular Institute
Rapid City, SD
01.2025 - Current
- Provided cardiovascular triage, medication management, pre-procedure assessments, and patient education to ensure optimal patient outcomes.
- Circulate during vascular procedures, including IV placement, medication preparation, conscious sedation, physiologic monitoring, and peri-procedural care.
- Served as a Wellness Champion and Peer Support member, developing and teaching a pharmacology course for clinical staff.
CERTIFIED REGISTERED NURSE ANESTHETIST / ASSISTANT MANAGER
Black Hills Surgical Hospital
Rapid City, SD
02.2015 - 08.2023
- Delivered general/TIVA, MAC/sedation, neuraxial, and regional anesthesia, while managing patients throughout the perioperative continuum.
- Managed a broad range of surgical cases, including general surgery, orthopedic and spine, ENT, ophthalmology, gynecology, podiatry, and other specialty procedures.
- Practiced within a collaborative anesthesia care team model while independently performing patient assessments, developing and executing anesthetic plans, making intraoperative clinical decisions, and collaborating closely with anesthesiologists, surgeons, nurses, and other perioperative team members.
- Managed staffing and case assignments, optimized workflow, and coordinated equipment management, surgeon requests, and staff education initiatives.
CERTIFIED REGISTERED NURSE ANESTHETIST / ASSISTANT MANAGER
Henry Ford Hospital
Detroit, MI
11.2011 - 01.2015
- Provided anesthesia for complex and routine surgical procedures in a Level I trauma and transplant center, including frequent care of ASA III and higher-acuity patients.
- Provided anesthesia in operating rooms and off-floor locations including endoscopy, electrophysiology, special procedures, and MRI; placed arterial lines and performed central venous access.
- Completed perioperative assessments and managed patients throughout the anesthesia continuum.
- Assisted in managing a department of more than 40 CRNAs, supporting staffing and OR workflow. Served as the department’s Educational CRNA, developing staff competencies, supporting EMR implementation, and providing education on new policies and procedures.
STUDENT REGISTERED NURSE ANESTHETIST
Hurley Medical Center / University of Michigan-Flint
Flint, MI
08.2009 - 08.2011
- Administered anesthetics for more than 750 cases across nine hospitals, encompassing a broad range of general surgical, orthopedic, obstetric, pediatric, vascular, thoracic, and trauma procedures, including extensive experience with high-acuity ASA III–IV patients.
- Completed a clinical rotation at Michigan Medicine, providing anesthesia care for complex surgical cases and in off-site anesthesia locations.
REGISTERED NURSE
St. John Macomb Hospital
Warren, MI
01.2008 - 01.2008
- Managed care for critically ill patients with mechanical ventilation, vasoactive infusions, intensive monitoring, and postoperative open-heart stabilization, ensuring optimal recovery and stability.
- Administered medications and treatments using cardiology care plans.
Education
Master of Science - Nurse Anesthesia
University of Michigan-Flint
01-2011
Bachelor of Science - Nursing
Oakland University
01-2008
Bachelor of Science - Mass Communications
Black Hills State University
01-2004
Certification
- NBCRNA Certification: Current | SD CRNA/RN: Active | MI CRNA/RN: Reactivation Pending BLS: Current | ACLS: Current | PALS: Current
CLINICAL EXPERTISE
- Anesthesia: General/TIVA, MAC/Sedation, Regional: Neuraxial and Peripheral Nerve Blocks
- Practice: Anesthesia Care Team Model, High-Acuity Care, Outpatient Anesthesia, Pre/Postoperative Assessment, Arterial/Central/IV Access, and Off-Floor Anesthesia
PROFESSIONAL DEVELOPMENT & SERVICE
Wellness Champion & Peer Support Member, Monument Health • Mental Health First Aid Certified • Two Medical Mission Trips to Honduras • Special Olympics Coach • Volunteer supporting individuals with intellectual and developmental disabilities
Timeline
REGISTERED NURSE
Monument Health Heart & Vascular Institute
01.2025 - Current
CERTIFIED REGISTERED NURSE ANESTHETIST / ASSISTANT MANAGER
Black Hills Surgical Hospital
02.2015 - 08.2023
CERTIFIED REGISTERED NURSE ANESTHETIST / ASSISTANT MANAGER
Henry Ford Hospital
11.2011 - 01.2015
STUDENT REGISTERED NURSE ANESTHETIST
Hurley Medical Center / University of Michigan-Flint
08.2009 - 08.2011
REGISTERED NURSE
St. John Macomb Hospital
01.2008 - 01.2008
Master of Science - Nurse Anesthesia
University of Michigan-Flint
Bachelor of Science - Nursing
Oakland University
Bachelor of Science - Mass Communications
Black Hills State University