ECMO Clinician RN/RT or Perfusion Stand BY


DEPARTMENT: Division of Patient Services, CCHMC Affiliates

SUPERVISOR'S TITLE: Clinical Manager, Clinical Director




PURPOSE OF POSITION: The ECMO Clinician is responsible for the operation, maintenance and utilization of extra-corporeal membrane oxygenation (ECMO). To serve as a department-based role model and resource for policies, procedures and patient care. To assist others in setting department priorities, keeping in mind the education of self and others while maintaining a cohesive environment. To function as a professional nurse or respiratory therapist and to apply in-depth knowledge about the care of infant, children, adolescent and adult patients and clients. To rapidly recognize and anticipate subtle changes based on past experiences; to coordinate and communicate with appropriate resources as needed.

·Interprofessional Practice:
Demonstrates consistent integration of the Interprofessional Practice Model (IPM) in all aspects of practice.
·ECMO System Primer:
Designs and assembles ECMO circuits, and prepares the circuit for patient use. Operates, maintains, calibrates and performs quality control testing on all point of care laboratory equipment as per Cincinnati Children's Clinical Laboratory's protocols and CLIA requirements. Provide support for other extracorporeal technologies within the scope of licensure and as needed such as VAD and CRRT.
·ECMO Equipment:
Coordinates with Clinical Engineering department the preventative maintenance and routine equipment checks of all ECMO related equipment. Familiar with entire disposable inventory management process; includes inventory management, ordering, and receiving.
·Systems Thinking:
Is able to recognize systems and processes within the healthcare environment that affect the patient experience; anticipates needs of patients and families as they move through the healthcare system. Sustains a comprehensive understanding of regulatory requirements and accreditation standards. Enthusiastically supports leadership in efforts to meet and sustain the regulatory compliance efforts of the department and hospital. Monitors and complies with safety and departmental policies and procedures. Ensures all individual certifications and Safety College requirements are fulfilled in a timely basis. Is mindful of CCHMCs processes and compliance with CMS standards and assertively communicates safety and compliance concerns to leadership team members.
·Critical Thinking:
Demonstrates strong critical thinking skills by making appropriate clinical decisions. Rapidly prioritizes both planned and unplanned events, and proactively addresses actual and potential problems.
·Clinical Inquiry:
Uses clinical inquiry and performance review to improve. Questions appropriateness of policies and guidelines and procedures; questions current practice; seeks advice, resources, or information to improve processes; begins to compare and contrast possible alternatives. Assists with development of competence in peers; formally, by precepting new ECMO specialists, and informally, by sharing knowledge at the point-of-care. Uses self-appraisal performance review and peer review, including annual goal setting, for assurance of competence and professional development to promote safe and ethical practice. Coaches and mentors others. Facilitates learning for members of the healthcare team.
Collaborates with team members in shared decision-making. Proactively seeks the contribution of the interdisciplinary team in team meetings and discussions regarding patient care and/or practice issues. Coaches others to respect the contribution of the entire team. Assists others to work collaboratively valuing the contributions of the various disciplines in patient/practice issues. Is an active member on point-of-care or divisional councils, committees, task forces or projects by contributing to decision making.

Skills & Competencies
·Interpersonal Communication
Excellent verbal, written and interpersonal communication skills.
Capable of relating to diverse age and demographic backgrounds.
·Professional Knowledge
Possess in-depth knowledge of the growth and development of pediatric and adult patients. Demonstrate proficiency in nursing/respiratory care practice and skills. Ability to promote and maintain positive relationships with health care providers.
·Judgment & Independence
Capable of exercising sound judgment and making independent decisions. Demonstrated ability in leadership, interpersonal relationships, group process and decision making.
·Physical Requirements
Capable of sitting, standing, walking, bending/stooping, kneeling, reaching, hearing, twisting, seeing, speaking grasping/manipulating objects and climbing. Capable of lifting, carrying and pushing up to 50 lbs.

·One year of current ECMO Specialist experience
·Two years of critical care experience
·Clinical advancement to RN II or RRII or greater if internal
·Pediatric Advanced LifeSupport
·Neonatal Resusucitation
·Registered Nurse License AND Bachelor of Science Nursing OR Master's Degree in a related discipline OR
·Graduate of a CoARC approved respiratory care program AND Bachelor's degree in related discipline AND Two years of respiratory care experience AND Must maintain active membership in the American Association for Respiratory Care AND Respiratory Care Professional OR
·Bachelor's degree required in an allied health field or equivalent with a strong science background AND advanced training in circulation technology from a CAHEP accredited program AND Certification by the American Board of Cardiovascular Perfusion OR eligible and actively pursuing with attainment in the first year of employment