Evergreen Requisition - Based on experience, applicants will be matched to appropriate open positions.

ECMO Specialist - RN is a registered Nurse who will function as an identified resource to staff in a service area to provide comprehensive patient care to a variety of patients. The RN will incorporate all members of the healthcare team to plan and deliver patient care. Will provide patient assessments and recommendations for continuity of care and will successfully deal with the most complex clinical problems as they relate to ECMO. Will demonstrate expanded knowledge base through participation in program projects and activities. May be transferred into regular staffing as required, for urgent/emergent situations.

The ECMO Specialist - RT will function as an identified resource to staff in a service area. Provide comprehensive patient care to a variety of patients. Incorporate all members of the health care team in the planning and delivery of patient care. Deal successfully with the most complex clinical problems as they relate to ECMO. Demonstrate expanded knowledge base through participation in program projects and activities. This staff member may be transferred into regular staffing as required.

Minimum Education

Must be licensed to practice in the District of Columbia. (Required)
BSN (Preferred)

Bachelor's Degree: Respiratory or a related field; 4 year program

Minimum Work Experience

3 years Related clinical experience in a comparable setting (This may be substituted with prior ECMO training for PRN positions only).

2 years ICU Experience

2 years Pediatric/neonatal experience

Required Licenses: Registered Respiratory Therapist or Registered Nurse

Required Certifications: Basic Life Support for Healthcare Provider (BLS)

Required Skills/Knowledge:

* All Respiratory Care Practitioners must demonstrate evidence of application of License with the District of Columbia Regulatory Agency prior to reporting for the first shift of clinical work through a letter of supervised practice
* Successful completion of hospital orientation at CNMC.
* Ability to organize, establish priorities and to communicate effectively , both orally and in writing.
* Must be decisive and able to perform under tense, emotional, and stressful situations.
* Must have the ability to problem solve clinical situations including patient conditions and needs.
* Able to bend/kneel and climb ladders/stairs.
* Able to coordinate eyes and hands quickly and accurately and clarity of vision at 20 feet or more.
* Must demonstrate compassion and a custom service orientation when dealing with families, patients, and co-workers.
* Must have the ability to perform mathematical calculations and have basic computer skills.
* Other computer skills to include entry level Excel and data base management preferred.
* Must maintain clinical skills and maintain required continuing education credits for license.
* Maintain Respiratory and ECMO clinical skills and required continuing education credits for department and licensure including but not limited to: BLS, FIT Testing, Respiratory, ECMO, and other mechanical circulatory devices such as CRRT skills review, in-services, etc. as needed.
* Maintain Respiratory Therapy ICU care proficiencies as needed.
* Have the physical ability to perform all ICU treatment modalities for Respiratory therapy, ECMO, and mechanical circulatory devices as needed.
* Have physical ability to move and lift up to 50lbs; frequently endure long periods of standing and walking.

Functional Accountabilities

Assessment and Planning

* Gather physical and psychosocial data on patient/family and anticipate problems with changes in patient status.
* Review patient findings with ECMO physician.
* Contribute to the development of individualized plan of care with patient and family.
* Review daily parameters with the ECMO physician.
* Notify ECMO physician of abnormal laboratory values and/or change in clinical status of the patient.
* Able to access ECMO circuit function and troubleshoot as necessary.

Implement Plan of Care

* Proficient in ECMO, ventricular assist devices, and other mechanical extracorporeal devices skills and operation of equipment as needed.
* Role model proficiency and completeness of documentation.
* Role model organizational and prioritization skills necessary to complete assignments within acceptable time frames.
* Assist in ECMO cannulation and decannulation.
* Provide rapid implementation of pump priming and initiation of ECMO circuitry in accordance with established standard of care as needed
* Assist in integration of other extracorporeal support systems as needed (ventricular assist devices, CRRT, etc.).
* Assist in implementation or implement, prime, and manage other mechanical extracorporeal devices such as CRRT as needed.
* Maintain ECMO circuit, monitor patient's clinical status including labs, blood gases and metabolic status while maintaining clinical parameters.
* Administer blood products using ICU provider parameters with daily parameter settings.
* Facilitate ECMO equipment review and inventory process as defined by ECMO Leadership team.
* Support clinical research activities by following established protocols, collecting data, and assisting auxiliary specialists to do the same.
* Provide regular in-services and updates to auxiliary specialists and critical care staff.
* Assist with data collection for ELSO, and VAD database, or other data collecting projects
* Provide inter-and intra- ECMO transport as needed.
* Required to work in an assigned ICU as a Respiratory Therapist. In emergent or urgent situations, the Respiratory Therapist may be required to work in other ICU's. The area and modalities are determined by the ECMO leadership team as needed

Plan of Care Program Improvement

* Work with the ECMO Leadership Team to identify opportunities for daily improvements in patient care.
* Work on behalf of the team with ECMO physicians providing input into the development of daily plan of care and assists part-time specialists to do the same.
* Accountable to establish, implement, communicate and evaluate the interdisciplinary plan of care with outcomes.
* Participate in annual review of ECMO policy and procedure manual as needed
* Participate and maintain a project or projects pertaining to the interworkings of the ECMO and the VAD program or quality improvement of patient care approved by ECMO leadership as needed.
* Assist ECMO leadership team with planning, teaching and implementing clinical and didactic training of new specialists to the team as needed.
* Assist ECMO Leadership Team with planning, teaching and implementing regular competency review per ECMO policy.

Leadership

* Role model proficiency in ECMO skills, completeness of documentation, and organizational and prioritization skills necessary to complete assignments within acceptable time frames.
* Support department management decisions and promote a positive work environment.
* Strive to continuously improve operations through quality improvement and work to sustain results.
* Ensure accuracy of data, work, and information.
* Participate in performance improvement data collection, analysis, implementation and ongoing evaluation.
* Take an active role in the orientation of new staff and assist unit preceptors in orientation of new staff.
* Take initiative to act as resource to others in the teaching/learning process as needed.

Organizational Commitment/Identification

* Partner in the mission and upholds the core principles of the organization
* Committed to diversity and recognizes value of cultural ethnic differences
* Demonstrate personal and professional integrity
* Maintain confidentiality at all times

Customer Service

* Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

* Demonstrate collaborative and respectful behavior
* Partner with all team members to achieve goals
* Receptive to others' ideas and opinions

Performance Improvement/Problem-solving

* Contribute to a positive work environment
* Demonstrate flexibility and willingness to change
* Identify opportunities to improve clinical and administrative processes
* Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

* Use resources efficiently
* Search for less costly ways of doing things

Safety

* Speak up when team members appear to exhibit unsafe behavior or performance
* Continuously validate and verify information needed for decision making or documentation
* Stop in the face of uncertainty and takes time to resolve the situation
* Demonstrate accurate, clear and timely verbal and written communication
* Actively promote safety for patients, families, visitors and co-workers
* Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance