Ecmo Specialist Jobs

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Respiratory Therapist/ECMO Specialist

The Nemours Foundation•Orlando, FL
•Onsite

About The Position

Nemours is seeking a part-time Cardiac Center Respiratory Therapist/ECMO Specialist to join the Nemours Children's Health team in Orlando, Florida. This dual-function role provides routine and emergency respiratory care to patients admitted to the Comprehensive Cardiac Care Unit under the direction of the Cardiac Critical Care attending physician, and provides clinical direction for respiratory care trainees as well as consultation and education to healthcare professionals. The role includes frequent hands-on contact with patients and communication with their families. Depending on patient census and acuity, the specialist may work in other hospital areas. Schedule changes, shifts, and hours require flexibility because ECMO needs and volumes are unpredictable. The specialist continuously monitors and assesses patients, ECMO circuits, and related technology; identifies and addresses ECMO process problems; and initiates and evaluates interventions according to protocol. They consult the ECMO physician when patient conditions or protocol guidance warrant it and collaborate with the ECMO team and other providers to deliver care according to individualized plans. Respiratory care duties include managing mechanical ventilation, airway clearance, respiratory medications, and advanced medical gas delivery; transporting critically ill patients within the hospital; performing point-of-care testing, including arterial blood gas and clotting-time tests; and participating in multidisciplinary rounds. ECMO duties include maintaining competencies through annual training, simulation, and ongoing education; monitoring and adjusting circuit settings according to physician-established parameters; assessing cardiopulmonary status and anticipating potential problems; managing intake and output and coagulation monitoring; and supporting cannula patency and patient care in collaboration with the ECMO physician. The specialist also supports ECMO research, evaluates equipment, and troubleshoots equipment problems. Quality and communication responsibilities include providing shift reports, participating in interdisciplinary case reviews and in-services, using clinical and database information to support quality improvement, educating families and reinforcing physician counseling, and documenting clinical information in Epic.

Requirements

  • Graduate of a Commission on Accreditation for Respiratory Care (CoARC)-accredited School for Respiratory Care.
  • Associate's degree required.
  • Hold the Certified Respiratory Therapist or Registered Respiratory Therapist credential issued by the National Board for Respiratory Care (NBRC), or an equivalent credential acceptable to the Board; alternatively, hold certification or equivalent authorization to deliver respiratory care in another state under requirements equivalent to or more stringent than Florida's.
  • Clear and active Florida license.
  • American Heart Association Basic Life Support (BLS), PALS, and ACLS required within 30 days of hire.
  • One to three years of experience required.

Nice To Haves

  • Baccalaureate degree preferred.

Responsibilities

  • Provide routine and emergency respiratory care to patients in the Comprehensive Cardiac Care Unit under the direction of the Cardiac Critical Care attending physician.
  • Provide clinical direction for respiratory care trainees and consultation and education to other healthcare professionals.
  • Continuously monitor and assess patients, the ECMO circuit, and related technology; identify and correct ECMO process problems; and initiate and evaluate interventions consistent with protocol.
  • Consult the ECMO physician when the patient's condition or protocol limits or directives are in question.
  • Collaborate with ECMO team members and other healthcare providers to deliver care in accordance with individualized patient care plans.
  • Provide mechanical ventilation, airway clearance, respiratory medication administration, and advanced medical gas delivery.
  • Transport critically ill patients within the hospital, including patients with artificial airways.
  • Perform point-of-care blood testing, including arterial blood gas testing and clotting-time testing.
  • Contribute to multidisciplinary care rounds.
  • Maintain ECMO competencies through annual training, simulation, and ongoing education.
  • Monitor and adjust ECMO circuit settings, including heat exchanger temperature, pump flow, and sweep gas, to maintain parameters established by the ECMO physician.
  • Recommend blood products, fluids, and/or medications as warranted by ECMO status.
  • Assess cardiopulmonary status using test results and physical assessment findings, and anticipate and prevent potential problems.
  • Monitor and manage intake and output records and coagulation results; adjust heparin infusion according to the ECMO Heparin protocol.
  • Evaluate chest x-rays for endotracheal tube placement, cannula position, and lung-field status to help determine patient status and weaning guidelines.
  • Support and maintain cannula patency while the patient is undergoing ECMO, in collaboration with the ECMO physician.
  • Support ECMO research through data collection and preparation and presentation of research abstracts and/or other documentation.
  • Participate in evaluating new equipment and identify and troubleshoot equipment problems.
  • Provide a clear, concise end-of-shift report and participate in interdisciplinary case reviews and in-services.
  • Use clinical and database information and continuous improvement efforts to support effective, quality-based outcomes.
  • Educate families and reinforce medical counseling initiated by the physician care team.
  • Use Epic to document flow sheets and other clinical information.

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Based on current job postings on Teal, the average Ecmo Specialist salary in the US is approximately $104,000 per year, with a typical range of $79,000 to $144,000.
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