PRN / ECMO Specialist - RN
Children’s National Health System, based in Washington, DC, has been serving the nation’s children since 1870. Children’s National is ranked in the top 20 in every specialty evaluated by U.S. News & World Report; one of only four children’s hospitals in the nation to earn this distinction. Designated a Leapfrog Group Top Hospital and a two-time recipient of Magnet® status, this pediatric academic health system offers expert care through a convenient, community-based primary care network and specialty outpatient centers. Home to the Children’s Research Institute and the Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National is one of the nation’s top NIH-funded pediatric institutions. Children’s National is recognized for its expertise and innovation in pediatric care and as a strong voice for children through advocacy at the local, regional and national levels.
Children's National is the leading provider of pediatric care in the Washington, DC, area. Our team of 6,000+ employees provides world-class care in a warm and caring environment designed with kids in mind. Children’s National is a Magnet® designated hospital and is consistently ranked among the best pediatric hospitals in America by U.S.News and World Report.
We’re more than just a hospital; we’re a health system for kids. From our main hospital to our outpatient centers and primary care facilities, we are dedicated to serving children’s health needs in any illness or injury.
Our COE Hospital-Based Specialties Division seeks RN candidates with at least 2 years of ECMO nursing experience. PEDS experience helpful.
An ECMO Specialist is a Registered Nurse who will function as an identified resource to staff in a service area to provide comprehensive patient care to a variety of patients. The RN will incorporate all members of the healthcare team to plan and deliver patient care. Will provide patient assessments and recommendations for continuity of care and will successfully deal with the most complex clinical problems as they relate to ECMO. Will demonstrate expanded knowledge base through participation in program projects and activities. May be transferred into regular staffing as required, for urgent/emergent situations.
Qualifications Minimum Education
Bachelor's Degree preferred
Specific Requirements and Preferences
BSN preferred. Must be licensed to practice in the District of Columbia.
Minimum Work Experience
Specific Requirements and Preferences
At least 2 years of related clinical experience in a comparable setting. Must be trained to provide ECMO. At least 1 year pediatric/neonatal experience preferred.
Successful completion of hospital orientation at CNMC. Prior ECMO experience required. Successful completion of CNMC ECMO course required within 6 months of hire. Ability to organize, establish priorities and to communicate effectively, both orally and in writing. Must be decisive and able to perform under tense, emotional and stressful situations. Must have ability to perform solve clinical situations to include patient conditions and needs. Must demonstrate compassion and a custom service orientation when dealing with families, patients and co-workers. Must have ability to perform mathematical calculations. Basic computer skills a must. Other computer skills to include entry level Excel and data base management preferred. Must maintain clinical skills and maintain required continuing education credits for license.
Required Licenses and Certifications
Registered Nurse in District of Columbia
- Participate in Shared Leadership.
- Contribute to CNMC’s Magnet Journey.
- Ensure nursing practice is based on evidence of best practice.
- Accountable to participate in the Division of Nursing’s Performance Improvement process (division or unit level).
- Participate in community activities.
- Gather physical and psychosocial data on patient/family and anticipate problems with changes in patient status.
- Review patient findings with ECMO physician.
- Contribute to the development of an individualized plan of care with patient and family.
- Review daily parameters with the ECMO physician; review recent lab values.
- Notify ECMO physician of abnormal laboratory values and/or change in clinical status of the patient.
- Able to access ECMO circuit function and troubleshoot as necessary.
- Assist in ECMO cannulation and decannulation.
- Able to provide priming and initiation of ECMO circuitry; maintain ECMO circuit, monitor patient's clinical status to include ACT levels, blood gases and metabolic status while maintaining clinical parameters; maintain pump and arterial blood gases, ACT and platelet parameters within daily parameter setting.
- Able to assist to integrate other extracorporeal support systems as needed.
- Facilitate ECMO equipment review and inventory process as defined by ECMO Leadership team; assist with data collection for ELSO database.
- Support clinical research activities by following established protocols, collect data and assist part-time specialists to do the same.
- Provide regular in-service and update to part-time specialists and critical care staff.
- Identify and document the patient and family’s physical and emotional responses to care delivered.
- Accountable to establish, implement, communicate and evaluate the interdisciplinary plan of care with outcomes.
- Participate in annual review of ECMO policy and procedure manual.
- Assist ECMO program manager toplan, teach and implement regular competency review per ECMO policy.
- Take initiative to act as resource to others in the teaching/learning process.
- Role model proficiency in ECMO skills, completeness of documentation, and organizational and prioritization skills necessary to complete assignments within acceptable time frames.
- Support department management decisions and promote a positive work environment.
- Strive to continuously improve operations through quality improvement and work to sustain results.
- Ensure accuracy of data, work and information.
- Participate in performance improvement data collection, analysis, implementation and ongoing evaluation.
- Take an active role in the orientation of new staff and assist unit preceptors in orientation of new staff.
Organizational Accountabilities (Staff)
- Partner in the mission and upholds the core principles of the organization
- Committed to diversity and recognizes value of cultural ethnic differences
- Demonstrate personal and professional integrity
- Maintain confidentiality at all times
- Anticipate and responds to customer needs; follows up until needs are met
- Demonstrate collaborative and respectful behavior
- Partner with all team members to achieve goals
- Receptive to others’ ideas and opinions
- Contribute to a positive work environment
- Demonstrate flexibility and willingness to change
- Identify opportunities to improve clinical and administrative processes
- Make appropriate decisions, using sound judgment
- Use resources efficiently
- Search for less costly ways of doing things
- Speak up when team members appear to exhibit unsafe behavior or performance
- Continuously validate and verify information needed for decision making or documentation
- Stop in the face of uncertainty and takes time to resolve the situation
- Demonstrate accurate, clear and timely verbal and written communication
- Actively promote safety for patients, families, visitors and co-workers
- Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance