The neonatal perfusionist monitors the function and adequacy of cardiopulmonary bypass support of Stat 5 complex, neonatal patients under three (3) kg. The neonatal perfusionist has technical expertise and knowledge to administer and manage deep hypothermic circulatory arrest and blood gas management in neonates with single ventricle physiology and at highest risk for neurologic injury, as well as, knowledge and experience in training ECMO specialists in management of complex neonatal cardiac physiology deployment and maintenance.In addition, the neonatal perfusionist coordinates and communicates with the OR team any needs or variances that arise during the operation. This position also acts as the Extracorporeal Membrane Oxygenation (ECMO) resource for cardiac patients and is responsible for providing comprehensive management and coordination of care for cardiac patients requiring ECMO therapy.
Performs required clinical tasks involving the circulatory and pulmonary support of neonates undergoing surgery requiring cardiopulmonary bypass. This includes procedures that require cardiopulmonary bypass standby support and extra-corporeal membrane oxygenation (ECMO). The transport of ECMO patients both within the hospital and between institutions may be required. The perfusionist will conduct cardiopulmonary bypass and ECMO according to general departmental policies and procedures and according to the individual surgeons preferences regarding specific techniques. Techniques and the use of safety equipment recognized by the perfusion community as standards of practice will be followed. The perfusionist will perform the required number of perfusion procedures necessary to maintain certification and competency. The perfusionist is also responsible for the intraoperative management of blood salvage devices. Each perfusionist will abide by the call schedule created by the department supervisor.
Responsible for the proper selection, maintenance, and use of the equipment necessary to perform neonatal cardiopulmonary bypass and neonatal ECMO including hardware and disposables. The perfusionist will select equipment according to specific patient requirements for the procedure to be performed, in discussion with the surgeon. Discussion with the surgeon includes medical record review, decisions needed for prime selection, drug and blood additives, and techniques of cardiopulmonary bypass. Responsible for cleaning and restocking all perfusion equipment and supplies following a procedure. The perfusion supply cart and/or area will be left fully stocked and ready for an emergent procedure.
Coordinates and deploys Extracorporeal Membrane Oxygenation support (ECMO) for neonatal cardiac patients requiring circulatory and/or respiratory support. Responsible for the clinical needs of the patient on ECMO which may include bedside management of oxygenation and carbon dioxide removal, maintenance of normal acid-base balance, administration of medications, blood and blood products, and maintenance of appropriate anticoagulation therapies for the blood. This may include the transport of patients on ECMO within or between institutions.
Responsible for the proper operation of various point-of-care blood analysis devices. Examples include but are not limited to blood gas analysis machines, devices that measure the activated clotting time (ACT), thromboelastography devices, heparin concentration machines or other blood analysis devices as necessary for cardiopulmonary bypass procedures. The perfusionist will abide by all policies and procedures pertaining to these devices as provided by the hospitals Point-of-Care Testing department including annual competency testing and documentation.
Maintenance of a detailed Cardiopulmonary Bypass Record for each procedure by the perfusionist. The record will be part of the patients official medical record. A pre-bypass checklist will be completed for each procedure. Billing and charge forms detailing the equipment used will be completed by the perfusionist for each procedure and forwarded to the appropriate department. Assist with data collection for Society of Thoracic Surgeons Congenital Heart Surgery Database submission. Other documentation as required will be completed as well.
In addition to clinical responsibilities, the perfusionist will be required to serve as a Clinical Instructor for students enrolled in the Perfusion Science School, University of Arizona at Banner institutions that support the perfusion school. Will provide clinical support for students research projects when appropriate.
Fosters an atmosphere of continuing education for self and peers. Attends continuing education opportunities, patient case conferences, and department meetings regularly. Participates in other projects assigned by the department supervisor.
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.
Graduate from an accredited perfusion program.
Must be board certified through the American Board of Cardiovascular Perfusion.
Experience must include working with Stat V neonatal procedures and with Neonatal and Pediatric ExtraCorporeal Membrane Oxygenation (ECMO).
Pediatric Fellow of the American Society of ExtraCorporeal Technology (AMSECT).
Additional related education and/or experience preferred.
Internal Number: 260481
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