Senior Perfusionist - Peds

UCSF•San Francisco, CA
•$100,000 - $150,000

About The Position

The Regents of the University of California San Francisco seeks a Senior Perfusionist for the Perfusion Pediatric SFMED department. Working primarily in operating rooms and across the hospital, the Senior Perfusionist provides expert extracorporeal circulation, myocardial protection, and mechanical circulatory support for high-acuity cardiac surgeries, transplants, and emergent cases. The position serves as a clinical resource, mentor, and quality-improvement leader within a multidisciplinary cardiac team. The Senior Perfusionist performs all duties of the Perfusionist classification and independently manages complex adult, pediatric, neonatal, transplant, and mechanical circulatory support cases. The role exercises advanced clinical judgment, consults with physicians and staff, leads quality-improvement activities, and precepts and mentors staff and students. The main operating room delivers patient care through the provision and management of capital supplies, instrumentation, technological support, and human resources in collaboration with medical and paramedical staff. Clinical perfusionists are members of the open-heart surgery team, working primarily in cardiac operating theatres with cardiothoracic surgeons, anesthetists, cardiologists, cardiac-sciences healthcare scientists, theatre nurses, and operating department practitioners.

Requirements

  • Successful completion of an accredited perfusion education program.
  • Current Certified Clinical Perfusionist (CCP) credential from the American Board of Cardiovascular Perfusion; the required licenses/certifications section also lists BLS and CCP or eligibility as applicable to classification.
  • BLS certification.
  • One to two years of progressively responsible perfusion experience, or an equivalent combination of education and experience.
  • Demonstrated competency managing adult, pediatric, and neonatal perfusion procedures.
  • Demonstrated competency managing ECMO, VAD, and advanced circulatory support systems.
  • Ability to independently manage highly complex clinical situations and initiate bypass for adult, pediatric, and neonatal patients.
  • Demonstrated leadership, precepting, and mentoring experience.
  • Knowledge and ability to operate routine equipment, special devices, and monitors.
  • Knowledge of sterile and perfusion supplies, including extracorporeal oxygenators, tubing circuits, and cannulae for adults, children, and infants.
  • Knowledge of blood components and plasma composition, and use of blood products with extracorporeal circuits and devices.
  • Advanced knowledge of human anatomy, disease processes, physiology, and biochemistry.
  • Advanced knowledge of arteries, veins, organs, blood-flow pathways, pressures, and gas exchange across patient populations.
  • Ability to work variable shifts, including evenings, nights, weekends, and holidays.
  • Ability to read, write, and communicate effectively in English.
  • Ability to maintain flexibility and work effectively in a fast-paced, constantly changing environment.
  • Ability to learn and apply TJC, CDC, and AABB standards and protocols relevant to operating-room procedures and departmental policies and protocols.
  • Knowledge of sterile techniques in patient care.
  • Ability to follow orders, take directions, and implement written perfusion protocols.
  • Ability to use formulas and applied mathematics in the application of perfusion protocols.

Nice To Haves

  • Understanding of applicable regulatory requirements.
  • Knowledge of the EPIC medical record system.
  • Bachelor's degree or equivalent education and experience.
  • Experience in a tertiary academic medical center or Level I Trauma Center.
  • Pediatric and neonatal perfusion experience.
  • ECMO specialist experience.
  • Participation in research, publication, or quality-improvement initiatives.

Responsibilities

  • Select, assemble, test, and operate cardiopulmonary bypass equipment and associated devices.
  • Determine appropriate oxygenators, circuits, cannulae, pumps, and ancillary equipment based on patient needs.
  • Independently initiate and manage extracorporeal circulation procedures, including highly complex adult, pediatric, neonatal, transplant, and re-operative procedures.
  • Determine blood and fluid management strategies; monitor and interpret hemodynamic, physiologic, laboratory, anticoagulation, and blood gas parameters.
  • Assess patient responses and communicate recommendations to physicians and surgical teams.
  • Provide myocardial protection through cardioplegia and operate hemoconcentration devices and blood-conservation systems.
  • Perform advanced perfusion techniques, including hypothermia, deep hypothermic circulatory arrest, retrograde cerebral perfusion, and organ preservation procedures.
  • Consult on non-routine perfusion strategies and equipment selection and serve as a clinical resource for advanced perfusion techniques and specialty procedures.
  • Operate, monitor, and troubleshoot ECMO, VAD, IABP, and related support systems; assess patient status and device performance.
  • Initiate, manage, and troubleshoot ECMO and mechanical circulatory support systems; advise physicians on cannulation strategies, device selection, and management approaches.
  • Participate in transport and emergency deployment of circulatory support systems and lead emergency deployment and advanced support activities.
  • Respond to emergent situations requiring extracorporeal support, participate in emergency cardiac and respiratory support procedures, and provide on-call coverage as assigned.
  • Collaborate with multidisciplinary teams during routine and emergent patient care.
  • Participate in continuing education; assist with staff and student orientation and training; maintain required certifications and competencies.
  • Serve as a clinical preceptor and mentor, develop educational content and competency programs, educate staff and interdisciplinary teams, and assist with competency validation and professional development initiatives.
  • Maintain inventory and supply levels, assist with equipment maintenance and troubleshooting, participate in quality assurance and regulatory compliance, and maintain accurate clinical and operational documentation.
  • Assist with operational planning and departmental initiatives, coordinate equipment evaluations, assist with capital planning, and provide leadership support during operational challenges.
  • Participate in data collection, quality-improvement activities, protocol implementation, performance-improvement initiatives, and assigned research.
  • Lead quality-improvement projects and protocol development; analyze clinical outcomes and operational metrics; and participate in research design, implementation, and publication activities.
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