UT Health Pediatric Perfusionist- CHILDREN'S HEART INSTITUTE in Texas Medical Center-Houston, Texas
Pediatric Perfusionist- CHILDREN'S HEART INSTITUTE
Texas Medical Center-Houston, Texas
Advanced Care Providers
McGovern Medical School at UTHealth
Requisition #: 210002LY
Responsible for the day to day management and coordination of patient care, including personnel and productivity activities for the pediatric CV perfusionist team 24 hours/day with call. Responsible for planning, quality, and education/training, as well as ensuring adequate staffing and technical support for regularly scheduled and emergency open-heart procedures. Serves in the operating room as a perfusionist as required and is responsible for the operation of the heart lung bypass machine and maintaining optimized perfusion to neonatal, pediatric and adult complex congenital heart disease patients during cardiac surgical repair. Does related work as required in the OR including: operating the blood cell salvage pump and all required point of care testing equipment pre/during/post cardiopulmonary bypass.
Position Key Accountabilities:
Monitors the altered circulatory process closely neonatal, pediatric and adult complex congenital cardiac patients, taking appropriate action when abnormal situations arise and keeps both the surgeon and anesthesiologist fully informed.
Provides extended, long-term support of the patient’s circulation outside the operating room environment.
Ensures the use of the appropriate sterile cannulas and disposable supplies for unique cannulation considerations utilized for the complex congenital heart patient population. Also ensures the sterility and integrity of packaging of disposable equipment used as well as the correct setup and breakdown of all equipment disposable and non-disposable, sterile and non-sterile.
Selects the appropriate cardiopulmonary bypass circuitry and components with specific consideration of patient height, weight, BSA, diagnosed congenital defect, and the planned surgical procedure. Circuitry selection must also take into consideration of minimizing the priming volumes for neonatal and pediatric patients in consideration of patient blood conservation and optimizing the patient’s hemoglobin and hematocrit.
Determines and executes patient specific priming solutions and techniques based on patient weight, height, BSA, diagnosed congenital defect and planned surgical procedure. Makes appropriate blood gas and electrolyte modifications to both crystalloid and blood primed circuits to ensure they are physiologically matched to the patient.
Hemofiltration is utilized on all patients to maintain precise fluid and electrolyte balance pre/during/post cardiopulmonary bypass. Performs continuous and zero balance ultrafiltration techniques throughout the duration on bypass.
Strong consideration of required cardiac index needed with varied types of congenital heart defects. Provides adequate and proper perfusion to the patient during surgery.
Maintains and regulates the blood temperature to the patient during surgery.
Maintains appropriate patient hemodynamics based on the patient’s weight and age. Monitors the patient’s urine output throughout the duration on bypass. Utilizes cerebral oximetry as an adequacy measure of perfusion patient parameter and makes the appropriate adjustments to optimize cerebral saturations during cardiopulmonary bypass. Monitors and maintains adequate patient specific anti-coagulation pre/during/post bypass.
Monitors and checks blood gasses during surgery.
Provides complete myocardial protection required during surgery; including providing blood or Crystalloid Cardioplegia delivery at proper temperature and proper pressure, whether antegrade or retrograde. Delivery.
Records all relevant perfusion information during surgery and maintains the records after surgery.
Provides and operates cardiac-assist devices in the weaning and termination phases of surgery.
Performs regional low flow perfusion at the appropriate flow rate and temperature. Ensures that patient’s hemodynamics and cerebral saturations are optimized during regional low flow period of cardiopulmonary bypass.
Provides clinical expertise and acts as a clinical resource to the in-house pediatric EMCO team, and troubleshoots clinical ECMO situations, when needed. Provides set-up, priming, and initiation of Extra Cororela Membrane Oxygenation as well as troubleshoot ECMO circuit problems.
All quality controls for POC lab testing equipment, quality assurance on cell saver equipment, and preventative maintenance on equipment all done at appropriate time intervals and per policies of Memorial Hermann organization.
Maintains inventory of equipment and supplies.
Has prior clinical instruction and teaching experience in advanced pediatric and neonatal perfusion practices.
Participates in Pediatric Perfusion Department administrative activities in conjunction with CV surgeons and CV Administrative team. These activities include: capital equipment budget request, quality improvement/quality assurance programs, inventory management, maintenance of annual clinical competencies and yearly evaluation feedback of pediatric perfusion staff. Recruits, coaches and trains pediatric perfusion staff.
Other duties as assigned.
Current certification by the American Board of Cardiovascular Perfusion.
Licensed Perfusionist by the Department of State Health Services.
Has advanced perfusion practice experience in neonatal and pediatric cardiac ECMO/VAD, cardiac transplantation and advanced circuitry design experience for complex congenital neonatal and pediatric surgical repairs and select cardiac surgical cases.
Preferred member of American Society of Extracorporeal Technology
Bachelor’s Degree and completion of an accredited Perfusion Technology program.
Two years of perfusionist experience plus three years of pediatric perfusion experience in a Pediatric Perfusionist Program required.
Exerts up to 50 pounds of force occasionally and/or up to 20 pounds frequently and/or up to 10 pounds constantly to move objects.
UTHealth does not currently have a mandatory COVID-19 vaccination policy. However, affiliated partners maintain their own immunization policies. All UTHealth employees who are assigned to work at a location that is subject to the affiliated partner’s hospital, clinical offices, or agency are required to abide by UTHealth’s rules and regulations, as well as the affiliates rules and regulations, including COVID-19 vaccination requirements.
This position is subject to a mandatory COVID-19 vaccination policy of an affiliate institution
This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215
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University of Texas Health Science Center at Houston (UTHealth)
Established in 1972 by The University of Texas System Board of Regents, The University of Texas Health Science Center at Houston (UTHealth) is Houston’s Health University and Texas’ resource for health care education, innovation, scientific discovery and excellence in patient care. The most comprehensive academic health center in the UT System and the U.S. Gulf Coast region, UTHealth is home to schools of biomedical informatics, biomedical sciences, dentistry, nursing and public health and the John P. and Kathrine G. McGovern Medical School. UTHealth includes The University of Texas Harris County Psychiatric Center, as well as the growing clinical practices UT Physicians, UT Dentists and UT Health Services. The university’s primary teaching hospitals are Memorial Hermann-Texas Medical Center, Children’s Memorial Hermann Hospital and Harris Health Lyndon B. Johnson Hospital.
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