Beth Israel Deaconess Medical Center

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

This position reports to the nurse manager of the Cardiac Care Unit. The Extracorporeal Oxygenation (ECMO) Program Clinical Manager works collaboratively with interventional cardiology, cardiothoracic surgery, critical care education & leadership teams, as well as the perfusion team to coordinate, educate, and support frontline staff in the provision of care that is in accordance with the rules, regulations and/or standards established by the State of Massachusetts, The Joint Commission, and appropriate specialty organizations relevant to the patient population receiving ECMO as a treatment modality. Additionally, the ECMO-PCM should understand and be able to teach how other treatment modalities such as Impella, Tandem Heart, Continuous Renal Replacement Therapy (CRRT), Intra-aortic Balloon Pump (IABP) and any other that may be utilized in conjunction with ECMO, including functionality and its effects on a patient receiving these modalities concurrently when receiving ECMO.

Job Description:

Essential Duties & Responsibilities including but not limited to:

Clinical Management

• Serves as a leader and partner in the interdisciplinary health care team. Demonstrates excellent collaboration and communication skills with all members of the healthcare team serving to bridge gaps in knowledge, perceptions, and understanding. Provides direct patient care as needed, maintaining competencies required to provide care to critically ill patients at LHMC as defined by the CC leadership and education teams. Maintains the ability to perform in the ECMO Specialist role as identified by LHMC guidelines including pump time. Provides clinical expertise and supervision for patients being supported by ECMO. This will include but not be limited to collaboration and discussion with the patients’ primary care team, frontline staff at the bedside, as well as indirect supervision and support as needed. Participates in cannulation of mechanical support devices when possible. Maintains detailed knowledge of all patients receiving ECMO as a treatment modality. Assists with and/or coordinates care during all phases of care provision as needed which includes cannulation, daily care, de-cannulation, intra/inter-hospital travel etc. Responsible for promoting cost effective care through coordination of human, environmental, and material resources.
• Develops and facilitates processes to foster information sharing between the patient/family and the interdisciplinary healthcare team. Ensures consistent processes in place to ensure patients and families are well informed and are included in care planning. Provides and/or oversees the provision of education to the patient and family regarding treatments, support devices as needed.
• Collaborates with team leads and critical care educator(s) to identify, develop, and provide learning opportunities and education for clinical staff. Validate staff competencies and ensure successful completion of related education. Works with device representatives/educators to develop and ensure education and use of equipment is in alignment with indications for use.
• Exercises sound judgment and assessment skills with initial intervention and throughout the treatment/support cycle to obtain optimum outcomes.
• Collaborates with appropriate leadership, biomed, and risk teams to ensure any and all safety issues are investigated, assisting with mitigation, education, or any additional appropriate responses needed.
• Remains up to date with the latest research to ensure that protocols, processes, and care provided are in alignment with current best practice. Attends appropriate conferences and learning opportunities translating up-to-date evidence into practice.
• Maintains proficiency as an Adult ECMO Specialist by meeting the program requirements and maintaining clinical hours as required by their certification.

Clinical Information Management

Utilizes the electronic health record (EHR) and other information systems and technology to review and improve health care outcomes. Participates in development of order sets and/or protocols including documentation requirements to support the safe up-to-date delivery of care. Participates in processes to ensure appropriate care and supporting EHR documentation are in alignment with policies, guidelines, and expectations. Manages data analysis and entry into the Extracorporeal Life Support Organization (ELSO) database for all ECMO runs.

Performs clinical review of all ECMO cases, providing feedback to care teams. Participates in any morbidity and mortality conferences.

Develops, reviews, and updates ECMO program policies, guidelines, and quality measures in coordination with the appropriate stakeholders. Assists with managing reporting outcomes and participates in and/or updates appropriate committees as needed such as but not limited to Quality and Safety, Infection Prevention, ECMO, and Critical Care.

Leadership and Professional Development

Functions as an extension of the critical care leadership team, demonstrating effective communication, collaboration, and coaching skills. Consistently promotes an environment that supports inter-professional inquiry, clinical research, innovation, performance improvement and problem solving.

Models behavior that is in alignment with the behavior guidelines and guiding principles: Respect, Caring, Teamwork, and Excellence/Integrity. Maintains strict adherence to the Lahey Hospital Confidentiality policy, guiding principles, and other organizational and regulatory policies and guidelines.

Creates opportunities for mentoring staff and supporting professional development and advanced specialty certification (Adult Certified ECMO Specialist CES-A). Supports and participates in appropriate professional associations; ie ELSO, AACN etc. Follows emerging trends in critical care, and appropriate subspecialties by reading peer reviewed journal articles as well as participation or attendance at international, national, or regional conferences. Serves a role model for lifelong learning.

Performs all other duties assigned, as needed or directed to meet the needs of our patient population.

Minimum Qualifications:

Education:

Bachelor's degree of Science in Nursing or Associates degree in Respiratory Therapy from an Accredited School of Respiratory Therapy or Graduate of an accredited perfusion program.

Licensure, Certification, Registration:

• Massachusetts License as a Registered Nurse or Certified Respiratory Therapist or Certified Clinical Perfusionist with a minimum of three years of experience in Perfusion and ECMO. Certified by the American Board of Cardiovascular Perfusion or Eligible.
• ACLS Required
• CES-A Certification Required

Skills, Knowledge & Abilities:

Excellent interpersonal skills

Working knowledge of PC’s able to use or learn commonly used applications including Microsoft Office, Word, Excel.

Excellent oral and written communication skills.

Ability to impart specialized clinical and medical information to families and other members of the health care team.

Experience:

Positive and proactive involvement with leadership in an equivalent supervisory capacity. Minimum of 3 years critical care experience as an RN or Respiratory Therapist or Clinical Perfusionist.

Key Relationships:

Manager of CCU. Provides department oversight, provides oversight of quality/process improvements, general and fiscal operations collaborates, mentors, assists ,with orientation and continuing education receives input on competencies, scheduling, workflow

ECMO Medical Directors and oversight committee(s) Collaborates to ensure up-to-date policies and practices, as well as training, performance improvement, and regulatory requirements are met

Frontline Staff Models behaviors

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled