Position Summary: We have an exciting opportunity to join our team as a Clinical Perfusionist.
In this role, the successful candidate will assess, plan and implement the patient care requirements and treatment necessary for extracorporeal services during the entire peri-operative period.
Information Management. Summarizes patients physiological status in the medical record according to departmental policy. Records all information pertinent to patient during procedure, ie. Time on bypass, cross clamp, ABG, ACT, Temp Maintains security in computer entries. Completes order entry as per hospital policy and procedure.
Environmental Care. Assist in the setup of supplies for each cardiac case as per established departmental protocol and type of procedure. Organize and maintain inventory at established par levels, and report to manager any needed supplies in order to prevent interruptions in service. Organize and maintain daily stock of perfusion supplies in each cardiac operative suite. Maintain daily stock of cardioplegia. Disposes of contaminated waste in appropriate receptacle. Label and date all medications utilized and appropriately discard left over medication. Dissembles, cleans and inspects equipment and apparatus immediately following each case. Communicates any abnormal findings to perfusion manager. Creates and maintains a safe environment for patients, family and coworkers by reporting faulty equipment, clearing access, and maintaining communication. Complies with dress/ uniform code of the operating room.
Infection Control Utilizes appropriate isolation principles and universal standards. Adheres to departmental policy and wears appropriate eye protection, gloves ect. Throughout the procedure. Maintains a work environment free of any blood spills. Blood is removed from the work area as soon as possible according to departmental policy and procedure.
Care of Patients Part 2 - Utilizes safety devices on all procedures according to policy and procedure. At all times remains committed to the assigned procedure. Maintains awareness of progression of procedure and is readily available to perform bypass and bypass duties. Insures adequate coverage by a perfusionist when leaving the immediate area. When performing as backup perfusionist, routinely circulates through all active cardiac procedures. When performing as backup perfusionist is readily available to assist the primary perfusionist with no reported deviations per year. Demonstrates knowledge of pharmacology including classification, action, purpose, and side effects as per established by the standards of practice of the American Board of Cardiovascular Perfusion. Verbalizes knowledge of purpose, rationale, policies and procedures for patients treatments. Uses appropriate phone techniques to communicate information regarding patient care.
Care of Patients Part 1 - Prepares the extracorporeal circuit in a timely fashion and is prepared to conduct bypass prior to induction on anesthesia. Pre bypass checklist completed prior to bypass and all tasks performed to verify items on the checklist. Initiates and operates the heart/lung machine at the direction of the cardiac surgeon in order to achieve extracorporeal perfusion. Adjusts and adapts the perfusion system to accommodate changes in surgical technique or patients parameters after communication with the surgeon and/or anesthesiologist. Demonstrates the knowledge and skills to provide extracorporeal services to patients per departmental policy and procedure. Makes appropriate changes to equipment, supplies and techniques to best meet the needs of the patient including but not limited to: Total Bypass, Off pump procedures, Cardioplegia delivery, MUF, Circulatory arrest, R.A.P. Maintenance of cardiac output, Maintenance of blood volume, Maintenance of CPB gas flow rates, Auto transfusion, Ventricular assist device, Activated clotting time maintained above 480 seconds during CPB. Appropriate measures taken to correct low values.
Patient Assessment - Monitors physiological parameters for early identification of changes in the patients physiologic status during procedures. Recognizes medical emergencies and responds appropriately by expediting treatments. Asses patients appropriately based on age, culture, spiritual, educational and healthcare needs. Perform blood samples for arterial and venous blood gases, Hematocrit, potassium levels, activated clotting time providing information on patients current status. Assesses and communicates the patients need for blood and/or blood products to the surgeon and completes a blood administration record as per hospital policy and procedure. Reviews patients medical record prior to each procedure and records all pertinent information on the perfusion record.
Minimum Qualifications: To qualify you must have a BS in basic science, nursing, bio-medical or bio-clinical engineering or related field. NYSOP Permit in Clinical Perfusion required. Experience in the care of the patients ranging from pediatrics to geriatrics; knowledge and operating skills of perfusion related equipment but not limited to the following procedures: cardiac surgery, liver transplantation, rapid infusion, intra-aortic balloon pump, cell salvage, ventricular assisted support system, ECMO and emergency cardiopulmonary support outside the OR. Evidence of strong interpersonal skills in general and crisis situations, ability to collect and understand data, use of outcomes management in daily patient activities, excellent problem solving in both mechanical and knowledge related situations.
Preferred Qualifications: Membership in professional organization desirable. American Board of Certified Clinical Perfusionists or board certification eligible .
Qualified candidates must be able to effectively communicate with all levels of the organization.
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