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Career Opportunity

Certified Registered Nurse Anesthetist-Department of Pubic Health (2330)

Recruitment: RTF0127708-01118444

Published: December 15, 2022


Lilibelle I Thompson -
Emma Perez -

Apply using SmartRecruiters, the City and County of San Francisco's application portal Learn More

Department: Public Health
Job class: 2330-Anesthetist
Salary range: $255,970.00 - $368,940.00
Role type: Permanent Civil Service What does this mean?
Hours: Full-time
Exam type: Position Based Test
Rule: Rule of 10 What does this mean?
List type: Entrance


The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of two main Divisions - the San Francisco Health Network and Population Health.

The San Francisco Health Network is the City's only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers.

The Perioperative Department of Zuckerberg San Francisco General Hospital (ZSFG) consists of 12 operating suites, 2 interventional radiology suites, a Cardiac Cath Suite, a pre-operative preparation area, a post-operative recovery area, a GI area with 4 GI suites, and an ERCP suite. A staffed operating suite is available for the critically injured trauma patient 24 hours a day, 7 days a week. Elective surgery is performed between 7:30 a.m. and 5:30 p.m. with trauma and/or emergency surgery performed on an as-needed basis. On average, the Operating Room (OR) performs 600 procedures per month. ZSFG has a full service OR excluding only elective open heart and organ transplant surgery. The unit provides services for patients of all ages from neonate through elderly.

The list resulting from this recruitment may be used to fill Nurse Anesthetist positions for the next six months.

Shift: Varied. Days, evening, nights, weekends and/or holiday shifts may be required, depending on position.

Salary Placement
As of October 14, 2016, in order to place you at the appropriate salary step your application must contain verifiable Registered Nurse and Anesthetist employment history for up to 21 years. A resume cannot substitute for the need to fully complete your employment application.

Information regarding salary placement

Role description

Under general supervision, administers various types of anesthesia to render patients insensitive to pain during operations, deliveries and other therapeutic and diagnostic measures; observes anesthetized patients for adverse reactions and takes remedial action; and maintains records of anesthesia administered and condition of patient prior to and throughout anesthesia.

The Nurse Anesthetist requires responsibility for: carrying out established methods and procedures in administering anesthetics; achieving moderate economies and/or preventing moderate losses through efficient handling of equipment, materials and supplies; making responsible contacts with physicians, surgeons and nursing staff on specialized matters; preparing detailed medical and technical records relative to anesthetics administered and patients’ reactions.  The nature of work involves sustained physical effort and manual dexterity with some exposure to health and accident hazards and disagreeable elements.

Essential duties include:

  • Administers various types of anesthetics by inhalation, intravenous injection, epidural, spinal and block methods;
  • Checks anesthesia machines to assure proper working order; checks resuscitation equipment;
  • Orders, assembles and sterilizes all special equipment used in connection with administration of anesthetics for special types of surgery; orders all drugs used in anesthesia procedures; checks all narcotics used in surgery by surgical staff;
  • Directs the preparation of all spinal and epidural sets for sterilization;
  • When patient arrives in surgery: checks patient; evaluates pre-operative condition; makes entries in anesthesia record; administers various drugs with oxygen, as necessary for each particular operation; gives blood transfusion to replace loss due to operating procedures; checks blood pressure, pulse and respiration frequency; discontinues anesthesia at conclusion of operation; AND
  • Accompanies patient to recovery room and reports condition to recovery room nurse.

The Nurse Anesthetist performs other related duties as assigned.

How to qualify

1. LICENSE: Possession of a valid permanent/temporary (including interim permit) California Registered Nurse License; AND

2. CERTIFICATION: Valid certification as a Registered Nurse Anesthetist in the State of California.

Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted.

Verification of Education and Experience: Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education verification is required, information on how to verify education requirements, including verifying foreign education credits or degree equivalency, can be found at

Note: Falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.

What else should I know?

Minimum Qualification Supplemental Questionnaire (MQSQ) (Weight: Qualifying): Candidates will be required to submit an MQSQ at any point in the application, examination or departmental selection process.  Applicants must also complete the Preliminary Questions.  This MQSQ is designed to obtain specific information regarding an applicant's experience in relation to the Minimum Qualifications for this position. Applicants must also complete the official application. It is essential that applicants provide complete information in identifying their education, experience and training. The MQSQ will be used to evaluate if the applicant possesses the required minimum qualifications.  Please provide proof of your licenses and certifications by uploading them to your application.

Training and Experience Evaluation/Supplemental Questionnaire (SQ) (Weight: 100%): The SQ will be sent to those qualified candidates who demonstrate they meet the minimum qualifications. Candidates will be required to submit the completed SQ in the time frame indicated and responses on the SQ cannot be changed once submitted. A passing score must be achieved on the SQ in order to be placed/ranked on the Eligible List.  Candidates will be placed in rank order according to their final score on the SQ.  After the confidential eligible list/score report is adopted, the department may administer additional selection procedures to make a final hiring decision. The SQ is designed to measure knowledge, skills and/or abilities in job-related areas that have been identified as critical for satisfactory performance in this position. All relevant experience, education and/or training must be included in the application to be reviewed during the scoring process. The department may administer additional position-specific selection procedures to make final hiring decisions.

Eligible List Duration: The list resulting from this examination process will be 6 months.
Certification Rule for the eligible list resulting from this examination will be Rule of Ten Scores.

Racial Equity: The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the diversity of its workforce. All employees are required to participate in the Department of Public Health's work to advance equity, inclusion, and diversity through: 

• Commitment to providing first-class care and service to all members of the DPH service population, with heightened sensitivity and awareness to racial, ethnic, and culturally diverse members of the DPH’s workforce and patient populations.
• Desire and commitment to lead and participate in antiracism, racial justice, and equity work that impacts quality of patient care, and improvements in employee experiences; along with the commitment and fortitude to push and drive change in these areas.
• Desire to work with, relate to, serve, and support a diverse workforce and patient population.
• Commitment to health equity with a specific lens and focus on race, ethnicity, gender, sex, and sexuality.

Applications for City and County of San Francisco jobs are only accepted through an online process. Select the “I’m Interested” button located at the top right of this page. Then, follow the directions on the screen.

Additional Information Regarding Employment with the City and County of San Francisco

COVID-19 Policies
Personal Protective Equipment (PPE)
Medical Examination Prior to Hiring
Electronic Health Record (EHR)
Note on ICARE
Other Conditions of Employment and Important Information
Information About the Hiring Process
Conviction History
Employee Benefits Overview
Equal Employment Opportunity
Disaster Service Worker
ADA Accommodations
Veteran's Preference
Right to Work
Copies of Application Documents
Diversity Statement

Terms of Announcement: Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. Clerical errors may be corrected by the posting of the correction on the Department of Human Resources website.

The terms of this announcement may be appealed under Civil Service Rule 111A.35.1. The standard for the review of such appeals is ‘abuse of discretion’ or ‘no rational basis’ for establishing the position description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s) being contested and the specific reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director. Appeals must be submitted directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date.

Open Date: 11/18/22
Close Date:
Pos. #
01118444, PBT-2330-127709, Entrance Exam

CONDITION OF EMPLOYMENT:  All City and County of San Francisco employees are required to be fully vaccinated against COVID-19 as a condition of employment. Someone is fully vaccinated when 14 days have passed since they received the final dose of a two-shot vaccine or a dose of a one-shot vaccine. Any new hire must present proof of full vaccination status to be appointed. Any new hire who will be routinely assigned or occasionally enter High-Risk Settings, must provide proof of having received a COVID-19 booster vaccine by March 1, 2022, or once eligible.

The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.