ECMO Supervisor (RN or RT) - Levine Children's Hospital - FT Days

Department:

Status:

Benefits Eligible:

Hou rs Per Week:

Schedule Details/Additional Information:

• FT Days, 7a-7p

Successful candidates will hold an RN or RCP license from an accredited school, have three years of acute care experience in their specialty. Preference given to candidates with Neonatal, Pediatric, or Adult Critical Care experience. Candidates will be required to earn and/or maintain ACLS, PALS, and BLS certifications. BSN or BSRT requirement within first 3 years.

Atrium Health Levine Children's Hospital(LCH) has taken the community to another level of service to provide care for the growing population of children in our region. At 247 beds, LCH is the largest children's hospital between Atlanta and Washington DC. It serves high acuity patients as the flagship children's hospital within the innovative Atrium Health and offers a full complement of over 125 pediatric subspecialists in over 30 different pediatric specialties. We have 4 pediatric hospitalist teams, a 10 bed PICU, a 10 bed Cardiac ICU (expanding to 24 bed PICU and 20 bed CVICU by the end of 2024), an 85-bed Level IV NICU,and an inpatient pediatric rehabilitation floor. Levine Children's Hospital is also Charlotte's only Level 1 Pediatric Trauma Center. LCH has been named a Best Children's Hospital by U.S. News & World Report for 17 consecutive years and is nationally ranked in 10 pediatric specialties. Currently, LCH is ranked as the #1 children's hospital in North Carolina and tied for #1 in the southeastern United States. Additionally,Atrium Health Carolinas Medical Center and Atrium Health Levine Children's Hospital have earned Magnet re-designation fromThe American Nurses Credentialing Center's (ANCC) Magnet Recognition Program. Magnet designated health care organizations showcase excellence in nursing practice and patient outcomes.

Primary Purpose

The ECMO (Extracorporeal Membrane Oxygenation) Clinical Supervisor is responsible for the operating ECMO equipment and assisting the manager with the daily operations to include but not limited to coordination of patient care/outcomes, allocation of human and fiscal resources, communications, patient throughput, program development and oversight, patient, physician and teammate rounding, selection, development, and retention of team members, clinical supervision and performance appraisal, performance improvement activities, service recovery and compliance with regulatory agency requirements. The ECMO clinical supervisor maintains clinical and professional competency as appropriate to the population served and equipment operated.

Major Responsibilities

• Supervisors ECMO daily operations and staff.
• Monitors pump functioning throughout patient therapy and maintains pump integrity; monitors circuit volume and administers products, medications and/or volumes as ordered; monitors anticoagulation, electrolyte acid-base balance and blood gas composition volumes and adjusts ECMO circuit to maintain physician orders.
• Recommends appropriate changes to current patient management based on latest information or changing patient status.
• Generates and compiles appropriate documentation and charges related to ECMO.
• Operates point of care laboratory equipment; interprets and acts on results based upon physician orders.
• Sets up and primes ECMO circuits; initiates and maintains extracorporeal life support according to protocols. Assists with coordination of cannulation, decannulation, and in-house transport of patients on ECMO.
• Manages planned and emergent disruption of ECMO. Replaces circuit components under normal and emergent conditions.
• Facilitates a multidisciplinary approach in the care of ECMO patients.
• Assures to maintain competency with ECLS/ECMO procedures at least 24 hours quarterly and 96 hours annually of pump time. If these cannot be met with patient care, specialists will participate in drills to meet requirements.
• Provides CRRT in neonatal and pediatric populations. Will assist with provision of CRRT in adult cardiac patients on ECMO as requested.
• Utilizes appropriate resources to plan and provide services that are safe, effective, and financially responsible.
• Coordinates and assists with interfacility transport for patients on ECMO.
• Serves as validator during annual competencies.
• Participates in committees, shared governance or other facility decision making activities.
• Participates in and or assists in ECMO Air transport Fixed and Rotor wings.
• Participates on committees and shared governance activities, serving as a resource for ECMO Specialist colleagues.
• Coaches and counsels' teammates and after consultation of the manager for administrative supervisor administers discipline up to and including written warnings.
• Assists the Manager with interview, selection, and supervision of personnel in the department.
• Assists the manager as needed with coordination of communication at regular intervals throughout shifts via team meetings/huddles to exchange information/ promote dialogue with teammates.
• Performs care, assists with treatments, therapies, procedures, and administers medications, as necessary.
• Assists the manager with achieving unit/department goals including financial performance by:
  • assessing patient volume/ acuity and adjusting staffing resources as necessary to accommodate patient care needs and meet daily productivity metrics.
  • participating in patient placement/other meetings as assigned to facilitate patient throughput/patient flow, or other department functions.
  • participating with other department/hospital initiatives to meet or exceed established goal targets with emphasis on patient care, patient and employee safety, quality, and operational excellence.
  • evaluating progress toward attainment of goals/expected outcomes.

Education

Graduate of an accredited Registered Nurse or Respiratory Therapy program with current licensure and certification as appropriate.

BSN or BSRT required. Candidates for external hire or internal promotion without BSN or BSRT must be enrolled in bachelor's program within 1 year of hire/promotion and must complete program within 3 years of enrollment of the program.

Certification / License

• ECMO State Board Endorsement required for ECMO Specialist that are RTs.
• Required to maintain current Basic Life Support for Healthcare Provider, Advanced Cardiovascular Life Support, and Pediatric Life Support.
• CES-A Certification (Certified ECMO Specialist) required. If the incumbent does not possess a CES-A certification, the certification must be obtained within 1 year. CCRN (Certified Critical Care Registered Nurse) preferred.
• Required to maintain active and unencumbered licensure from their respective State Board.

Work Experience

3 years of ECMO experience required.

Physical Requirements and Working Conditions

Work requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling. Must be able to lift and support 35 pounds in handling patients, medical equipment, and supplies. Must speak English in good, understandable terms. Intact sense of sight, hearing, smell, and touch. Finger dexterity. Critical thinking and ability to concentrate. Must be able to respond quickly to changes in patient and/or conditions. Additional department specific physical requirements may be identified for unique responsibilities within the department by the leader.

Pay Range

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nations largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.