Minimum Work Experience
2 years Related clinical experience in a comparable setting. (Required)
1 year Pediatric/neonatal experience (Preferred)
Successful completion of hospital orientation at CNMC.
Prior ECMO experience preferred.
Successful completion of CNMC ECMO course required within 6 months of hire.
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 ability to perform solve clinical situations to include patient conditions and needs.
Must demonstrate compassion and a custom service orientation when dealing with families, patients and co-workers.
Must have ability to perform mathematical calculations.
Basic computer skills a must. 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.
Required Licenses and Certifications
Registered Nurse in District of Columbia (Required)
- Participate in Shared Leadership.
- Contribute to CNMC’s Magnet Journey .
- Ensure nursing practice is based on evidence of best practice.
- Accountable to participate in the Division of Nursing’s Performance Improvement process (division or unit level).
- Participate in community activities.
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 an individualized plan of care with patient and family.
- Review daily parameters with the ECMO physician; review recent lab values.
- 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.
Plan of Care
- Assist in ECMO cannulation and decannulation.
- Able to provide priming and initiation of ECMO circuitry; maintain ECMO circuit, monitor patient's clinical status to include ACT levels, blood gases and metabolic status while maintaining clinical parameters; maintain pump and arterial blood gases, ACT and platelet parameters within daily parameter setting.
- Able to assist to integrate other extracorporeal support systems as needed.
- Facilitate ECMO equipment review and inventory process as defined by ECMO Leadership team; assist with data collection for ELSO database.
- Support clinical research activities by following established protocols, collect data and assist part-time specialists to do the same.
- Provide regular in-service and update to part-time specialists and critical care staff.
Evaluate Plan of Care
- Identify and document the patient and family’s physical and emotional responses to care delivered.
- Accountable to establish, implement, communicate and evaluate the interdisciplinary plan of care with outcomes.
- Participate in annual review of ECMO policy and procedure manual.
- Assist ECMO program manager to plan, teach and implement regular competency review per ECMO policy.
- Take initiative to act as resource to others in the teaching/learning process.
- 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.
Organizational Accountabilities (Staff)
- Anticipate and responds to customer needs; follows up until needs are met
- Demonstrate collaborative and respectful behavior
- Partner with all team members to achieve goals
- Receptive to others’ ideas and opinions
- 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
- 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