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Full-time
associate degree, bachelor degree, professional certificate
Posted 30d ago
~40 hrs/week
Responsibilities
Provides routine and emergency respiratory care and ECMO specialist functions for patients in the Comprehensive Cardiac Care Unit. Responsibilities include monitoring ECMO circuits, managing mechanical ventilation, and collaborating with a multidisciplinary team to implement individualized care plans.
Requirements
Requires a degree from a CoARC accredited school, an associate degree (bachelor's preferred), and a valid Florida license. Candidates must hold NBRC credentials (CRT or RRT) and have one to three years of relevant experience.
Full job description
Nemours is seeking a Cardiac Center Respiratory Therapist/ECMO Specialist to join our Nemours Children's Health team in Orlando, FL. This is a part-time position.
The Cardiac Center Respiratory Therapist/ECMO Specialist serves in a dual function role to:
Provides all routine and emergency respiratory care in all patients admitted to the Comprehensive Cardiac Care Unit under the direction of the Cardiac Critical Care attending physician. The therapist/ECMO specialist provides clinical direction for respiratory care trainees. The therapist/ECMO specialist provides consultation and education to other healthcare professionals. The therapist/ECMO specialist is in routine contact with patients during the provision of hands-on care and in frequent contact with patients’ families. The therapist/ECMO specialist may need to work in other areas of the hospital based on patient census and acuity.
Ensure appropriate patient care through the continuous monitoring and assessment of the patient, ECMO circuit and related technology. The therapist/ECMO specialist identifies and corrects problems associated with ECMO processes and initiates and evaluates interventions consistent with protocol. Consults with the ECMO physician when patient condition and/or protocol limits or directives are in question. As a member of the ECMO team, this position collaborates closely with other team members and health care providers to provide patient care in accordance with the patient’s individualized care plan. This position requires flexibility with schedule changes, shifts scheduled and number of hours, due to the emergency nature of ECMO and inability to predict timing and volumes.
1. Respiratory Therapist Essential Functions:
Provide all functions of mechanical ventilation to include high frequency, critical care and home care equipment.
Provide all functions of airway clearance and respiratory medication administration.
Provide advanced medical gas delivery with appropriate equipment. To include, but not be limited to: Nitric Oxide, Helium oxygen; carbon dioxide; nitrogen and diagnostic gases (5% carbon dioxide).
Perform intra-hospital transport of critically ill patients; to include patients with artificial airways.
Perform point-of-care blood testing, including arterial blood gas testing and clotting time.
Contribute to multidisciplinary care rounding with care team.
2. ECMO Specialist Essential Functions:
Maintains ECMO competencies with annual training and simulation as well as ongoing education as best practice changes.
Monitors and adjusts ECMO circuit settings (e.g. heat exchanger temperature, pump flow, sweep gas) to maintain parameters established by the ECMO physician.
Recommends administration of blood products, fluids, and/or medications as warranted by ECMO status.
Assesses the cardiopulmonary status of the patient through test results (e.g. ABGs, CBC, etc.) and physical assessment findings.
Performs patient assessment to anticipate and prevent potential problems (e.g. variances in blood pressure, perfusion, ventilation, and heart rate).
Monitors and manages intake and output records to ensure appropriate fluid levels.
Monitors coagulation results to assess clotting status; adjusts heparin infusion per ECMO Heparin protocol.
Evaluates chest x-rays for endotracheal tube placement, cannulae position, and status of the lung fields in determining patient status and weaning guidelines; supports and maintains patency of the cannulae while patient is undergoing ECMO in collaboration with the ECMO physician.
Supports ECMO team research through the collection of ECMO-related data, preparation, and presentation of research abstracts and/or other documentation.
Demonstrates expertise in neonatal, and/or pediatric care including patient assessment, technical skills, and psychosocial aspects of care.
Actively participates in the evaluation of new equipment. Effectively identifies and troubleshoots equipment problems
3.Quality:
Provides a clear and concise end of shift report for oncoming Respiratory Therapist/ECMO Specialist.
Participates in Interdisciplinary case reviews and in-service to share information and determine appropriateness of patient care plans.
Problem solves through critical evaluation of clinical and databased information and continuous improvement efforts that lead to effective quality-based outcomes.
Provides family/parental education and reinforces medical counseling initiated by physician care team.
Utilizes Epic to document flow sheets and other clinical information to ensure accurate information is available to care team
Qualifications:
Graduate of a Commission on Accreditation for Respiratory Care (CoARC) accredited School for Respiratory Care Required.
Holds the “Certified Respiratory Therapist” or the “Registered Respiratory Therapist” credential issued by the National Board for Respiratory Care (NBRC), or an equivalent credential acceptable to the Board; or
The applicant holds certification, or the equivalent, to deliver respiratory care in another state and such certification was granted pursuant to requirements determined to be equivalent to, or more stringent than, the requirements in Florida.
Clear and Active Florida License.
American Heart Association: Basic Life Support (BLS) required, PALS (Required within the first six months), ACLS (Required within the first six months)
One to three years of experience required
#LI-MM1
Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children’s hospitals — Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida — along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships.
Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive.
Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued.
Nemours Children's Health is committed to improving the health of children. As a non-profit children’s health organization, we consider the health of every child to be a sacred trust.
Through family-centered care in our children’s hospitals and clinics in Delaware, New Jersey, Pennsylvania and Florida, as well as world-changing research, education and advocacy, Nemours fulfills the promise of a healthier tomorrow for all children — even those who may never enter our doors.
Nemours began more than 80 years ago with the vision of Alfred I. duPont to improve the lives of children and to do whatever it takes to prevent and treat even the most disabling childhood conditions.
Today, through our children’s hospitals and health system, we directly care for 250,000 children annually in Delaware Valley and Florida, including families who travel from across the country and world to see our specialists — treating every child as we would our own.
We also reach beyond the walls of our hospitals and clinics to be a voice for children on a national and international level, and to lead the way in prevention, intervention, education, and research.
Nemours is growing to better serve the children and families in our care. We have 1.1 million square feet of space currently devoted to providing children’s healthcare or under construction, all designed with significant input and advice from our patients and families.
Offices: 10140 Centurion Parkway North, Jacksonville, Florida 32256, US · 1600 Rockland Road, Wilmington, Delaware 19803, US · 6535 Nemours Parkway, Orlando, Florida 32827, US
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