Staff RN - ECMO Spec / FT,

FT, 7:00 pm -7:30 am Fri, Sat, Sun At Childrenu2019s, the regionu2019s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring teamu2014and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview Coordinates professional nursing and individualized, family centered care to pediatric patients/families through the use of the nursing process and clinical skills in accordance with standards and hospital policies and procedures. As an ECMO Specialist who has completed specialized training in the operation, maintenance and application of circulatory technology (perform neonatal, pediatric and adult ECMO at Children's) requiring extracorporeal membrane support. Demonstrates expanded knowledge base through participation in ECMO program projects and activities. Flexible schedule to cover the needs of the ECMO patient during an ECMO run. Varied schedules to include weekend and holiday patterns, 7am-7pm or 7pm-7am. Essential Functions + Conducts individualized age-specific patient/family assessments according to defined unit scope and nursing practice standards, appropriate collaborative problems (CPG's)/nursing diagnoses(ND's), or protocols. (Individualized refers to the patientu2019s developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.) Admission Assessment: u2022 Collects and documents data related to patientu2019s individualized care. u2022 Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, knowledge of growth and development, and understanding of the range of treatment needed by these patients. u2022 Assesses patient/family need for education and uses an individualized approach in delivery style. u2022 Assesses family expectations for, and involvement in the assessment and continuous care or treatment of the patient. u2022 Identifies nursing diagnoses, collaborative problems, and/or protocols for each patient, based on assessment, at the time of admission. Shift Assessment/Reassessment: u2022 Performs reassessment based on unit standards, CPG's/ND's, protocols and changes in patient condition. Communicates changes to appropriate persons (MD, CNC, family) as indicated Manages the ongoing process of healthcare delivery to ECMO patients and families: Assessment and Planning: u2022 Participates in the evaluation of patients as potential ECMO candidates. u2022 Works in collaboration with Perfusion to manage ECMO cannulation, decannulation and stabilization procedures. u2022 Prepares and operates clinical equipment and circuitry per ECMO procedures/policies. u2022 Accurately assess and review with physician and ECMO team, pathophysiological changes within the patient and ECMO circuit. Differentiates patient versus circuit problems and intervenes appropriately. u2022 Based on clinical assessments, contributes to the development of individualized age and developmental appropriate plan of care with patient and family. u2022 Participates in ECMO case review and assists team members in defining learning outcomes. u2022 Participates in the collection/review of quality improvement initiatives and data for the ECMO program and ELSO data. + Develops individualized patient/family plan of care using CPG/NDu2019s, and practice guidelines/protocols to meet identified needs. (Plan of Care includes current and anticipated actions focused on care, education, discharge needs.) u2022 Utilizes assessment data from the healthcare team to individualize appropriate goals and actions for the patient, including collaboration with the family and the healthcare team. u2022 Utilizes individualized assessment data to develop the patient/familyu2019s plan of care. u2022 Formulates goals and outcomes based on assessment data. u2022 Revises plan of care based on patientu2019s condition, interdisciplinary input, and family needs. u2022 Demonstrates ability to prioritize patient interventions based on assessments/reassessments. Uses available child care partners to support patient care needs as appropriate. + (A) Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs. u2022 Oversees that the nursing and interdisciplinary plan of care/goals are coordinated, implemented, evaluated, and revised as needed. Identifies the need for interdisciplinary involvement/outside resources and follows through. Uses appropriate resources (CNC, CNS/Educator, PCM, MD, etc) to ensure that clinical outcomes are achieved. u2022 Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to orders, tests, labs, medications, and treatments. u2022 Demonstrates clinical competence in administering interventions according to identified standards and age specific needs. u2022 Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/familyu2019s readiness to learn (B) Implements Plan of Care to ECMO patients and families: u2022 Works in collaboration with ECMO Team to assess clinical status and related lab results (ACT levels, blood gases and metabolic status). Notifies ECMO physician of clinical status/lab values, performing appropriate interventions and implementing physician orders within established guidelines/ECMO policy and procedures. u2022 Manages ECMO flow in relationship to established clinical parameters. Reviews daily parameters with the ECMO Team. u2022 Demonstrate proper blood sampling techniques from the ECMO circuit. u2022 Perform, manage and troubleshoot activated clotting times (ACT) as per ECMO protocol including management and administration of heparin drip per ECMO protocol. u2022 Administers all blood products/medications appropriately when ordered to be given through the ECMO circuit. u2022 Maintains and effectively assesses ECMO circuit function. Performs all circulatory technical skill with efficiency, accuracy and safety while anticipating, troubleshooting, intervening and managing crises/emergency situations according to policy and procedure maintaining professional composure. u2022 Role models proficiency in documenting appropriately by assimilating information related to interventions, plan of care and anticipated outcomes accurately into all ECMO records and teaching documents. u2022 Participates in patient management discussions to include: communicating anticipated patient needs/plan of care, suggesting clinical management options and providing feedback for interventions that improve patient outcomes. + Documentation reflects accurate assessment/evaluation, modification, and patientu2019s response to therapy, changes in condition, and therapeutic interventions/procedures. u2022 Entries in the medical record follow hospital policy (i.e., date, time, use of appropriate abbreviations, and legibility). u2022 Documentation is completed within established timeframes including, but not limited to: Admission Assessment form, daily Patient Flowsheet, Peripheral IV Flowsheet, Family Education Record, and Interdisciplinary Goals. u2022 Reviews and updates computerized care plan to accurately reflect the plan of care. u2022 Completes computerized documentation within established timeframes, including, but not limited to: Medication Administration Record, Allergies, Patient Information, etc. u2022 Completes and verifies accurate order entry in the computerized care plan. u2022 Ensures that discharge instructions clearly state patient care needs after discharge. + Based on departmental/organizational need may be required to participate in Transplant program functions + Accepts assignments to float to other units utilizing clinical skill sets and appropriate resources, delegating when appropriate. Professionally supports the assigned unit, as seen through interactions with patients, families, area staff, colleagues and others. + Accepts assignment to mentor student nurse observation experience in unit. + Accepts assignments to share/teach knowledge and provide clinical support as a relief preceptor for new staff. + Professionally seeks opportunities to help teammates during shift as needed. Education Qualifications + Graduate of an accredited school of nursing. Required Experience Qualifications + Experience with pediatric patients Preferred and + Previous experience with EPIC Preferred and + Previous ECMO experience Preferred and + Minimum of two years recent (in the past year) Level III NICU or PICU experience required or with equivalent critical care experience or minimum of two yearsu2019 experience in critical care Required Skills and Abilities + Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills. + Excellent communication, assessment and patient care skills, as well as flexibility and ability to function in a high stress environment. + Flexibility to work full time day/night shifts with possible over time during ECMO run. Licenses and Certifications + RN - Registered Nurse - State Licensure and/or Compact State Licensure Required and + Specialty pediatric certification Preferred and + Current and valid Basic Life Support (BLS) through the American Heart Association Required and + PALS - Pediatric Advanced Life Support within 180 Days Required Childrenu2019s is the very best for kids and the very best for your career At Childrenu2019s, we put YOU first so together, we can improve the life of every child Requisition ID : 22683

Created: 2026-02-20