HCSS Extracorporeal Membrane Oxygenation (ECMO) RN

University of Texas Medical Branch (UTMB)-posted 3 months ago
Mid Level
Galveston, TX
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The ECMO Specialist (ES) is a licensed allied health care professional with a strong clinical background in neonatal, pediatric and/or adult critical care and advanced cardiopulmonary support. The ES has ≥ 2 years ICU experience or completion of an accredited cardiovascular perfusion training program. The ES is responsible for the coordination of clinical care for patients requiring the support of extracorporeal life support (ECLS) & mechanical circulatory support (MCS) devices under the direction & supervision of credentialed ECMO and advanced heart failure physicians. The ES adheres to the policies, guidelines & best practices set forth by the director, manager & coordinator of the ECMO department. The ES plays a key role in device management, patient monitoring, emergency response, and quality improvement initiatives.

  • Collaborates with ECMO team leadership and contributes to education, training, precepting & mentoring of all ES I & II team members.
  • Assists leadership with equipment maintenance, cleaning & troubleshooting of ECMO, MCS & ECMO monitoring equipment.
  • Collaborates with multidisciplinary physician teams to identify patients indicated for ECLS or MCS therapies.
  • Coordinates & collaborates with multidisciplinary care team to prepare patient and environment for the timely and safe initiation of ECLS or MCS support.
  • Assesses and manages patient clinical needs, including patient assessment, hemodynamic monitoring, NIRS, blood gas interpretation, laboratory results, fluid balance, nutrition, respiratory support, neurologic status, infection control, sedation, pain management, hematology, and cardiac function.
  • Follows department guidelines for EMR documentation and maintains ongoing detailed documentation of the ECMO case.
  • Coordinates with care team to ensure safe execution and delivery of diagnostic testing.
  • Assists the physician during insertion of extracorporeal VAD devices; manages and troubleshoots equipment issues.
  • Prepares and primes ECLS circuits, ensuring sterility and functionality prior to patient connection.
  • Continuously monitors and maintains ECMO circuit integrity.
  • Manages all ECMO circuit flows and follows guidelines to set alarms.
  • Safely leads and coordinates inter-facility and intra-facility ECMO transport.
  • Assesses patient readiness for weaning & follows guidelines & physician orders to safely wean ECMO flow.
  • Responds to ECMO emergencies and manages necessary skills with repeated clinical drills.
  • Licensed as Respiratory Care Practitioner AND RRT OR CRRT Credentialed by the National Board for Respiratory Care OR Registered Nurse license in the state of Texas OR Certified Clinical Perfusionist (CCP).
  • Graduate of a Commission on Accreditation for Respiratory Care (CoARC) accredited School for Respiratory Care OR Degree in Nursing OR Graduate of Perfusion Program.
  • Two (2) years directly related critical care experience in adult or neonatal and/or pediatric care.
  • Two (2) years of experience as an ECMO Specialist (ECMO Primer) & maintains active competencies to prime and initiate ECMO.
  • Bachelor’s Degree or higher in allied health or healthcare related discipline.
  • Must have current ACLS, BLS, and PALS obtained through American Heart Association (AHA).
  • Preferred Baccalaureate degree and certification in care specific area.
  • Experience teaching patients and families.
  • Knowledge regarding quality improvement and standards of care within practice area.
  • Standard office equipment, standard patient care supplies, and other related equipment.
  • Possibility to work overtime at times to care for ECMO patients.
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