Senior Perfusionist - Peds

University of California, San Francisco•Oakland, CA

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 emergency cases. The role serves as a clinical resource, mentor, and quality-improvement leader within a multidisciplinary cardiac team. The Senior Perfusionist performs the duties of the Perfusionist classification while independently managing complex adult, pediatric, neonatal, transplant, re-operative, 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. Clinical perfusionists work primarily in cardiac operating theatres as members of open-heart surgery teams, collaborating with surgeons, anesthetists, cardiologists, cardiac-science staff, 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, 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.
  • 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, human plasma composition, and use of blood products with extracorporeal circuits and devices.
  • Advanced knowledge of human anatomy, disease processes, physiology, biochemistry, 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 remain flexible and work effectively in a fast-paced, constantly changing environment.
  • Ability to learn and apply TJC, CDC, and AABB standards and protocols applicable to operating-room procedures and departmental policies.
  • 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 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, ancillary equipment, and blood and fluid management strategies based on patient needs.
  • Independently initiate and manage extracorporeal circulation procedures, including highly complex adult, pediatric, neonatal, transplant, and re-operative procedures.
  • 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, operate hemoconcentration devices and blood-conservation systems, and perform advanced techniques including hypothermia, deep hypothermic circulatory arrest, retrograde cerebral perfusion, and organ preservation.
  • Consult on non-routine perfusion strategies and equipment selection and serve as a clinical resource for advanced techniques and specialty procedures.
  • Operate, monitor, and troubleshoot ECMO, VAD, IABP, and related support systems; assess patient status and device performance and communicate with interdisciplinary teams.
  • Independently initiate, manage, and troubleshoot ECMO and other 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 advanced support activities.
  • Respond to emergency situations requiring extracorporeal, cardiac, or respiratory support; provide on-call coverage as assigned.
  • Participate in continuing education, maintain required certifications and competencies, and assist with staff and student orientation and training.
  • Serve as a clinical preceptor and mentor, develop educational content and competency programs, educate staff and interdisciplinary teams, and support competency validation and professional development.
  • Maintain inventory and supply levels, assist with equipment maintenance and troubleshooting, and maintain accurate clinical and operational documentation.
  • Participate in quality assurance and regulatory compliance; assist with operational planning, departmental initiatives, equipment evaluations, and capital planning.
  • Participate in data collection, research, protocol implementation, and performance-improvement initiatives; lead quality-improvement projects and protocol development and assist with clinical outcomes and operational metrics analysis.
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