Nurse Practitioner (NP) FT - Days Varies - ECMO

DHR Health - US:TX:Edinburg - Days - Varies

Summary:

EMPLOYEE’S FULL NAME: ________________________

FLSA STATUS: Exempt Non-Exempt

MISSION STATEMENT:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

VISION:

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

POSITION SUMMARY:

The Extracorporeal Membrane Oxygenation (ECMO) Acute Nurse Practitioner (ANP) is a member of the ECMO Program team. Under the supervision of the supervising Physician, he/she will provide expert clinical care to patients requiring ECMO support, collaborating with physicians, and other healthcare professionals to optimize patient outcomes. The ECMO ANP will conduct ECMO candidacy screenings, comprehensive assessments of ECMO patients, including physical examinations, review of medical history and test results, manage ECMO circuit interactions, develop and implement individualized care plans based on patient needs and ECMO status, collaborate with the interdisciplinary team to ensure seamless and coordinated care, and ensure the safety and efficacy of the ECMO system.

POSITION EDUCATION/ QUALIFICATIONS:

• Graduate from an accredited Nurse Practitioner Program approved by the State of Texas, Acute Care Nurse Practitioner (ACNP) preferred.

• Current licensure as a Registered Nurse / Nurse Practitioner in the State of Texas

• Current BLS and ACLS

• ECMO certification within 6 months of hire

• CCRN certification preferred

JOB KNOWLEDGE/EXPERIENCE:

• Five (5) years of Critical Care experience

• Two (2) years ECMO experience

• Knowledgeable of ECMO physiology, pharmacology, and complications

• Knowledge of State, Federal, and JCAHO regulations.

• Familiarity with ELSO Registry content and functionality.

• Ability to work in a fast-paced and demanding environment.

• Ability to handle stressful situations calmly and effectively.

• Strong clinical judgment and problem-solving skills.

• Excellent communication and interpersonal skills.

• Ability to work independently and as part of a team.

• Proficiency in electronic health records and other computer systems.

Responsibilities:

POSITION RESPONSIBILITIES:

• Participate in the initiation, maintenance, and weaning of ECMO support.

• Provide comprehensive care of the ECMO patient including assessment, diagnosis, treatment, and ongoing management.

• Manage patient care through daily rounds, formulating care plans, placing orders, adjusting treatment plans, and performing various procedures.

• Monitor ECMO circuit parameters (e.g., flow, temperature, gas exchange) and adjust settings as needed.

• Manage anticoagulation and other medications related to ECMO therapy.

• Recognize and respond to ECMO-related complications, such as bleeding, clotting, or infection.

• Assist with bedside procedures, including cannulation, arterial line placement, and central line insertion.

• Perform other duties as assigned by the physician, including but not limited to drawing blood, administering medications, and monitoring vital signs.

• Provide education to patients and families regarding ECMO therapy and its implications.

• Obtain informed consent for ECMO procedures, addressing any ethical concerns or questions raised by patients or families.

• Serve as a resource for other healthcare professionals regarding ECMO management.

• Act as a liaison between the ECMO team, bedside nurses, intensivists, and other healthcare professionals, ensuring effective communication and coordination of care.

• Provide clinical nursing leadership through care coordination, teaching, mentoring, and facilitating multidisciplinary care.

• Perform ECMO candidacy screenings: ICU rounds and Hospital-wide Code Blue attendance

• Participate in ECMO team meetings and rounds.

• Participate in ECMO-related research and quality improvement initiatives.

• Participate in quality improvement initiatives related to ECMO care, identifying areas for improvement and implementing best practices.

• Oversee staff training, equipment maintenance, supply needs, and data collection

• Oversee ECMO schedule and provide 24/7 staffing coverage.

• Conduct employee performance reviews

• Develop policies and procedures

• Stay current with the latest advancements in ECMO technology and best practices.

• Monitor program data collection and ensure accurate record keeping and data abstraction for the Extracorporeal Life Support Organization (ELSO) registry

• Serve as ECMO committee member

• Other duties as assigned
  

• ·
  

LINES OF REPSONSIBILITIES:

(Chain-of-command) Chief Nursing Officer 2. ECMO Medical Director 3. ICU Nursing Director

Other information:

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

AGE SPECIFIC:

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirement relative to his or her age.

AMERICANS WITH DISABILITIES ACT: (ADA):

A. Essential Duties: Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:

B. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.

C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.

D. Aptitudes: HIGH 1 2 3 4 5 6 LOW

Intelligence: General learning ability: The ability to “catch on” or understand instructions and underlying principles. Ability to reason and make judgments. 3

Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3

Numerical: Ability to perform arithmetic operations quickly and accurately. 2

Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to “visualize” objects or two or three dimensions, or to think visually of geometric forms. 2

Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3

Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2

Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3

Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3

Manual Dexterity: Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3

Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3

Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3

I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.

If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.

Employee Signature: ________________________________ Date: ____________________

Transfer/Hire Date Effective: ________________________.