Perfusionist II

Job TitlePerfusionist IILocationPalo AltoJob #57893Department NamePerfusion ECMO ServicesJob TypePart TimeScheduleMon-SunBargaining UnitNONEJob Description:The Perfusionist is responsible for operating extracorporeal circulation equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. All actions of the Perfusionist are performed as prescribed by an attending physician and in accordance with SHC policy. Perfusionists perform all routine and advanced clinical and non-clinical functions as described in Perfusion Service Protocols, Policies and Guidelines and in conformance with the Scope of Practice outlined in the California Perfusion Titling Act (Business & Professions Code 2590) as well as the Ethical Standards of the American Board of Cardiovascular Perfusion (ABCP)Under the direction of and in consultation with a physician(s), Perfusionists set up and operate the heart-lung machine and other sophisticated equipment used in the operating room, such as physiological monitoring instrumentation, and related ancillary equipment, which keeps the patient alive while a surgeon is operating on them by supporting their circulatory and respiratory functions. The Perfusionist manages the patient’s altered physiological functions throughout the procedure.In addition, Perfusionists, directed by the surgeon and anesthesiologist, are responsible for regulating the patient's levels of oxygen and carbon dioxide; for measuring selected laboratory values such as blood cell count; and for monitoring circulation.§At times, Perfusionists administer blood products, anesthetic or other pharmaceutical agents through the cardiopulmonary bypass circuit on prescription and/or appropriate protocol. The Perfusionist is responsible for the monitoring of blood gases and the adequate anticoagulation of the patient, induction of hypothermia, hemodilution, and other duties, when prescribed.§The Perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and provides consultation to the physician in the selection of the appropriate equipment and techniques to be used.The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Specific duties and responsibilities may vary depending on department or program needs without changing the general nature and scope of the job or level of responsibility entailed.·Employees must abide by all Joint Commission requirements including, but not limited to, sensitivity to cultural diversity, patient care, patients’ rights and ethical treatment, safety and security of physicalenvironments, emergency management, teamwork, respect for others, participation in ongoingeducation and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.·Employees must perform all duties and responsibilities in accordance with the C-I-CARE Standards of the Hospital. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions.· C-I-CAREExecutes world-class practices of service and patient care in support of C-I-CARE standards.Uses C-I-CARE templates and the following components for all communication with patients and staff.1.Demonstrates competency in operating the various types of perfusion equipment available at Stanford that includes but not limited to:§Heart/Lung Machines: Roller blood pumps: Sorin, Jostra§Centrifugal blood pumps: BioMedicus§Bard CPS System§Variety of Oxygenators§Temperature Regulation Devices - Heater/Coolers:§Intra-Aortic Balloon Pumps: Datascope, Bard, Arrow§Ventricular Assist Devices: BioMedicus§Autotransfusion Machines: Heamonetics, Medtronic§Blood Saturation Monitors:§Blood Gas analyzers: I-stat§Coagulation Monitors: Hemochron, Hemotec§Hemodynamic Pressure Transducers§Hemoconcentrators:§Cardioplegia delivery systems: Sorin, Medtronic§Accessory Equipment: Blenders, Vaporizers, Sat/Hct monitors, Bubble and level detectors.§Knowledge requirements to the above equipment; to also include trouble-shooting skills.2.Demonstrates a comprehensive knowledge of all policies and procedures concerning clinical perfusion.3.Provide special perfusion services as described under the guidelines found in the established manual of clinical protocols and procedures of SHC and/or through direct order of the physician.4.Identify the needs of the patient regarding types of equipment, priming solution, and methodology in consultation with the surgeon and anesthesiologist.5.Communicate accurate information to the surgeon and the anesthesiologist pertaining to the patient response to the extracorporeal procedure.6.Provide adequate "Conduct of Perfusion" for each patient undergoing cardiac surgery utilizing the heart- lung machine in accordance with established surgeon and SHC protocols.7.Provides safe performance, monitoring and/or management of perfusion that includes but are not limited to:§Extracorporeal circulation/ cardiopulmonary support§Counterpulsation equipment set-up and operation§Circulatory Support with Ventricular Assist Devices§Extracorporeal membrane oxygenation§Autotransfusion and Blood conservation techniques§Myocardial preservation§Anticoagulation and Hematologic monitoring/analysis§Physiologic monitoring/analysis§Blood gas and blood chemistry monitoring /analysis§Techniques of Hyperthermia and Hypothermia§Techniques of Hemodilution§Techniques of Hemofiltration§Techniques of Profound Hypothermia and Circulatory Arrest§Techniques of Retrograde and Antegrade Cerebral Perfusion§Administration of medication, blood components and anesthetic agents via the extracorporeal circuit§Techniques of Veno/Venous bypass§Techniques of Vacuum Assisted Venous Drainage (VAVD) and Kinetic Assisted Venous Drainage (KAVD)8.Maintains aseptic technique in assembling and operating perfusion equipment.9.Follow manufacture operating instructions for equipment and disposables.10.Utilize safety devices when available on equipment.11.Assists in the transport of VAD or high-risk patients to Stanford Hospital.12.Works in a variety of clinical settings where patients require perfusion services e.g. ICU’s, Cath lab andoperating rooms.13.Records and maintains all data pertinent to extracorporeal procedures to ensure that an adequate record of the procedure is developed.14.Correctly documents patient care and charges utilizing Stanford Hospital and Clinics approved documents.15.Performs other related and incidental duties as needed or assigned.Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.Job Qualifications:

Education, training, and clinical experience in perfusion that meet the requirements of the State of California as stipulated by Business and Professions Code Sections 2590-2596.

BLS : Active Basic Life Support (BLS) Health Care Provider certification by the American Heart Association.

1.Meets the requirements for the Perfusionist Level I (see above)

CCP-ABCP : Active certification as a Certified Clinical Perfusionist (CCP) by the American Board of Cardiovascular Perfusion (ABCP)

3.Demonstrate competency in ECMO and related support modalities and techniques, has completed ECMO 101.4.Demonstrate competency in basic perfusion techniques for all procedures currently performed at Stanford Health Care5.Demonstrate competency in at least one Mechanical Circulatory Support Devices6.Demonstrate characteristics that promote a healthy team environment7. Works well with other members of the team and represent department in a positive light - as measured by CI CARE, any complaints resolved8.Be in good standing with surgery and anesthesia (MDs approve of promotion, any complaints resolved)