We re searching for a Respiratory Therapist - ECMO Specialist, provides direct patient care by performing metabolic testing during exercise testing. Provides appropriate respiratory care specific to the pediatric population in accordance with the hospital policy/procedure. Assesses, plans and implements appropriate respiratory plan of care based on the cardiopulmonary needs of the patients. Evaluates effectiveness of plan of care and recommends revisions to the multidisciplinary care team. As an ECMO Specialist who has completed specialized training in the operation, maintenance and application of circulatory technology (perform neonatal, pediatric and adult ECMO at Children s) requiring extracorpeal membrane support. Demonstrates expanded knowledge base through participation in ECMO program projects and activities. Flexible schedule to cover the needs of the ECMO patient during an ECMO run. Varied schedules to include weekend and holiday patterns, 7am-7pm or 7pm-7am.
- Performs metabolic stress testing and other testing procedures.
- Performs stress tests and obtain accurate data.
- Implements/prepares patient/caregiver education per plan of care.
- Communicates education needs to patient/caregiver/staff at an understandable level and in a timely manner.
- Displays knowledge of and practices risk management and safety precautions (i.e. suction card up to date, trach sizes).
- Assists MD in other procedures as requested.
- Manages the ongoing process of healthcare delivery to ECMO patients and families:
- Assessment and Planning:
- Participates in the evaluation of patients as potential ECMO candidates.
- Works in collaboration with Perfusion to manage ECMO cannulation, decannulation and stabilization procedures.
- Prepares and operates clinical equipment and circuitry per ECMO procedures/policies.
- Accurately assess and review with physician and ECMO team, pathophysiological changes within the patient and ECMO circuit. Differentiates patient versus circuit problems and intervenes appropriately.
- Based on clinical assessments, contributes to the development of individualized age and developmental appropriate plan of care with patient and family.
- Participates in ECMO case review and assists team members in defining learning outcomes.
- Participates in the collection/review of quality improvement initiatives and data for the ECMO program and ELSO data.
- Implements Plan of Care:
- Works in collaboration with ECMO Team to assess clinical status and related lab results (ACT levels, blood gases and metabolic status). Notifies ECMO physician of clinical status/lab values, performing appropriate interventions and implementing physician orders within established guidelines/ECMO policy and procedures.
- Manages ECMO flow in relationship to established clinical parameters. Reviews daily parameters with the ECMO Team.
- Demonstrate proper blood sampling techniques from the ECMO circuit.
- Perform, manage and troubleshoot activated clotting times (ACT) as per ECMO protocol including management and administration of heparin drip per ECMO protocol.
- Administers all blood products/medications appropriately when ordered to be given through the ECMO circuit.
- Maintains and effectively assesses ECMO circuit function. Performs all circulatory technical skill with efficiency, accuracy and safety while anticipating, troubleshooting, intervening and managing crises/emergency situations according to policy and procedure maintaining professional composure.
- Role models proficiency in documenting appropriately by assimilating information related to interventions, plan of care and anticipated outcomes accurately into all ECMO records and teaching documents.
- Participates in patient management discussions to include: communicating anticipated patient needs/plan of care, suggesting clinical management options and providing feedback for interventions that improve patient outcomes.
- Documentation is complete, accurate and done in a timely manner. Follow up is completed to ensure results are obtained and relayed to parents/patient.
- Accurate information is obtained upfront to ensure proper care and billing of patient for services performed.
- Procedures performed are documented in patient s medical record with accuracy and timely.
- Charges are data entered accurately and within identified time line.
- Tracks procedure/test results to ensure follow through by physician and results relayed to parents/patient.
- Ensures all supplies used during procedures are billed, as appropriate.
- Assesses/reassesses the cardiopulmonary needs of the pediatric patient according to the department/area standards.
- Assessment is appropriate for developmental age of child and documentation.
- Provides input/feedback/recommendations to Physician or others in the interdisciplinary team.
- Identifies education needs of patient/caregiver.
- Identifies appropriate goals/outcomes and actions for clients (i.e. individualized, prioritized).
KNOWLEDGE, SKILLS AND ABILITIES
- Knowledge of Metabolic Stress Testing preferred.
- Excellent communication, assessment and patient care skills, as well as flexibility and ability to function in a high stress environment.
- Flexibility to work full time day/night shifts with possible over time during ECMO run.
EDUCATION AND EXPERIENCE
- Associate s degree from an AMA accredited college or university in respiratory care required.
- Minimum 2 years experience as a Respiratory Therapist required, preferably in a pediatric setting, including two years in a high level critical care neonatal /pediatric ICU required.
- Previous ECMO experience preferred.
- Current and valid Nebraska license as a Respiratory Care Practitioner required.
- Current and valid National Certified Respiratory Therapist (CRT) credential required.
- Current and valid National Registered Respiratory Therapist (RRT) credential required within one year of hire.
- Current and valid National Registered Neonatal/Pediatric Respiratory Therapist (RRT-NPS) credential within three years of hire.
- Current and valid Basic Life Support (BLS) through the American Heart Association is required.
- Pediatric Advanced Life Support (PALS) certification required within six months of hire date.
Children's Hospital & Medical Center - Omaha