ECMO Specialist PRN-Oregon

divh2ECMO Specialist/h2pIntegration Health is a Joint Commission-accredited leader in ECMO and perfusion support. As the parent company of Innovative ECMO Concepts (IEC) and Innovative Perfusion Concepts (IPC), we deliver confidence through expert staffing, patient transport, and program developmentadvancing critical care and improving patient outcomes nationwide./ppLocation: Portland, OR (On-Site; Must be local and within driving distance)/ppEmployment Status: PRN position/ppScheduling Requirements:/ppThe PRN Specialist must be willing to provide a minimum of 5 days of availability throughout each month/ppJob Summary:/ppThe ECMO Specialist provides bedside critical care assistance to patients receiving ECMO therapy within IH customer facilities. The ECMO Specialist has a functional understanding of extracorporeal life support (ECLS), mechanical circulatory support (MCS), and will participate in required IH training for continuing education and experience. This position regularly reports to the clinical operations manager, however at specific accounts an alternate IH designee/coordinator may serve as an initial contact person in the chain of command./ppCompensation and Benefits:/pulliCompetitive compensation is offered, with pay rates ranging from $750 to $900 per shift./liliHoliday bonus and crisis pay opportunities./liliEmployees may elect to participate in the employers Guideline 401(k) retirement plan. Participants may make pre-tax or Roth contributions to a retirement account. Integration Health matches contributions at 100% of the first 1% of the employees deferrals and 50% of deferrals between 1% and 6% of the employees salary./liliExemplary training program./li/ulpJob Responsibilities:/pulliSkills and Knowledge:/liulliExcellent communication skills necessary to work with all hospital employees, physicians, patients, family members and community professionals./liliHas completed ECLS education modules and can demonstrate a cursory understanding of extracorporeal technology and treatments./li/ulliClinical Duties:/liulliProvide continuous monitoring of the ECLS patient and circuit (up to a 1:3 ratio, Specialist: patients)./liliMonitor and adjust the ECLS blood flow and sweep gas flow per established guidelines or physician/advanced practice provider orders./liliRecommend appropriate changes to patient management based on relevant patient data and/or changing patient status./liliReview all laboratory and radiographic reports related to the ECLS patient and report any irregularity immediately to ECLS physician/advanced practice provider./liliCollaborate with the ECLS physician/advanced practice provider, ECLS Specialists and other health care professionals to coordinate all tests and evaluations./liliMonitor Activated Clotting Times (ACT) and other coagulation tests and adjust or recommends the adjustment of anticoagulant drugs per hospital guidelines or physician/advanced practice provider orders./liliMonitor patient Intake and Output (Is Os) per customer guidelines or physician/advanced practice provider orders and make appropriate recommendations./liliVerify ECLS circuits and bedside carts are stocked and in the correct location./liliCoordinate interventions and/or procedures with the bedside staff to provide best practice care for the patient in accordance with customer guidelines./liliMay assist the ECLS physician with initiation of support and decannulation in conjunction with the surgical team only as directed./liliPerform other duties as assigned, in accordance with training and competency level, by the ECLS physician/advanced practice provider, the clinical operations manager, director of education, coordinators of Integration Health, or designee./liliDocumentation:/liulliResponsibly use ADP and Concur apps/websites to log hours worked, location, and work-related expenses. Efficiently employ technology to independently schedule flights, hotels, car rentals, etc./liliDocument appropriately in the patient chart in accordance with hospital guidelines./li/ulliCommunication:/liulliIntegration Health has a robust administrative team promoting an expanding business model pursuant of multiple avenues of patient support opportunities. An ECLS Specialist I will communicate professionally and in a timely manner with an administrative team that includes Scheduling Logistics, Credentialing, as well as Leadership personnel./liliPromote IH culture and professional standards in a positive manner./liliWill have professional dialogue about ECLS and medical management with the ECLS physician/advanced practice provider but should not undermine their decisions or communicate negative opposition to the patient, the patients family or designee, or other medical staff in that facility./li/ul/ulliTraining:/liulliDevelop skills and knowledge related to extracorporeal life support through completion of ECLS education modules, Wet Labs, and Hands-on circuit training./liliIntroduction to multiple ECLS systems including: Cardiohelp, CentriMag, Spectrum, Rotaflow./liliBedside orientation with tenured ECLS Specialists./liliIntroduction to diverse patient demographics, treatment modalities and strategies, including cross-training to all patient age groups./liliDemonstrate competency during training and assessments with all ECLS equipment and ancillary tools./liliNew Specialists will demonstrate safe and conscientious practices with a preceptor and complete basic ECLS competency prior to solo staffing./liliECLS knowledge assessments will be performed to aid recognition of individual strengths and weaknesses to foster personalized education training./li/ulliCompetencies:/liulliComplete competencies on one ECLS pump system prior to first solo deployment./liliComplete competencies on Cardiohelp and at least one variety of a component system pump within the first 3 months of employment./liliVerbalize an understanding of the differences in VA and VV ECMO and different cannulation strategies for each./liliVerbalize the effects that changes in native cardiac output has on VV and VA ECMO./liliDemonstrate a complete circuit check and verbalize the significance of the findings and potential concerns./liliMake appropriate adjustments to blood flow as directed and anticipate the changes in pressure and flow variables being monitored./liliVerbalize the significance of monitoring SvO2./liliInterpret ABGs and make appropriate sweep changes based on standard sweep calculation as directed./liliRecognize changes in venous, pre-oxygenator, post-oxygenator and delta pressures and verbalize the significance, possible concerns or complications and potential causes./liliActivate and set appropriate alarms on any pump to which theyve been oriented./liliProperly identify alarms and respond appropriately./liliIdentify the effects and potential causes of changes in preload and afterload./liliVerbalize two situations when it is appropriate to hand crank./liliDemonstrate how to use a hand crank properly or switch to a backup pump (Centrimag) on any piece of equipment to which theyve been oriented./liliRecognize venous air and respond appropriately./liliDemonstrate safe removal of arterial air./liliRecognize two types of oxygenator failure and make appropriate recommendations./liliDemonstrate the ability to zero transducers and flush pigtails as needed./liliDemonstrate how to change a cracked pigtail and/or stopcock safely and efficiently./liliDemonstrate how to make temperature changes on any heater/cooler system./liliRecognize and troubleshoot heater failure and take appropriate actions./liliVerbalize and demonstrate the appropriate actions for an accidental decannulation of an arterial, venous and dual lumen cannula./liliVerbalize a basic understanding of native blood flow through an adult heart, lungs and aorta, including the 3 common aortic branches./liliVerbalize a basic understanding of the coagulation process, anti-coagulation drugs and the associated laboratory tests used./liliVerbalize a basic knowledge of ventilator modes, strategies and the relationship to the ECLS system./liliVerbalize a basic understanding of the benefits and risks of sedation, neuromuscular blockers and cooling./li/ul/ulpMinimum Requirements:/pulliBachelors degree preferred. Associate degree with 2-3 years of related Critical Care /or ECLS experience will be considered in lieu of Bachelors degree/li/ul/div