ECMO Specialist Position Registered Nurse (RN) – Has an active RN license. 1 year of ECMO Specialist experience Trained in CRRTTrained in Phase One Cardiac Surgery RecoveryTrained in Targeted Temperature Management Demonstrates working knowledge of all aspects of ECMO therapy including but not limited to the ECMO circuit and pump, adjustments to pump flow, sweep flow, FiDO2, anticoagulation therapy, point of care testing, patient monitoring systems, and related policies and procedure guidelines.
Duties and
Assist the physician, RN at the bedside and/or other clinical staff members, including perfusionist, with:initiation of ECMO, day to day maintenance of ECMO discontinuation of ECMOcircuit or component changes, priming, blood bank communications, medication administrationManagement of other mechanical support devices such as: Impella IABP VADs Will manage up to 3 circuits at a time; if only one patient can manage circuit and patient.
Demonstrate a culture of safety through a verbal shift to shift hand-off, covering all aspects of the patient’s care and the state of the ECMO circuit. Provide a detailed assessment per protocol of the circuit to ensure its integrity. Ensure the ECMO circuit is safe and secure during patient handling.
Assess blood gas, anticoagulation and other laboratory values. Evaluate and act on values to maintain optimal functioning of the circuit. Monitor and evaluate anticoagulation, analgesics, inotropes impact on the circuit.
Adjust the ECMO pump and oxygenator flow as needed. Respond immediately to any emergent situation related to the functioning of the circuit or cannulas. Complete all required documentation, charting and monitoring according to established protocols.
Assist in data collection, quality improvement initiatives and research activities? related to ECMO. Comply with mandatory ECMO competency related trainings. Participate in monthly ECMO multidisciplinary conferences; or read a journal article with CEU’s