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Job Details

SIDRA5099 - Clinical Nurse Leader - ECMO Lead

Department: Multiple
Division: Nursing Operations
Contract Type: Full Time
Closing Date: 03-Aug-2020
Organizational Profile:

Sidra Medicine is a state of the art academic medical center that will function to the level of the highest international standards. Its clinical focus is on the specialty care of women and children.

Sidra’s Vision is: “Sidra Medicine will be a beacon of learning, discovery and exceptional care, ranked among the top medical centers in the world”.

Achieving this vision will encompass three essential activities:

World Class: Patient and Family Centered Care Health Education Biomedical Discovery

DEPARTMENT/SERVICE PROFILE: The Extracorporeal membrane oxygenation (ECMO) Team at Sidra Medicine supports neonates, infants, and children.  The team consists of surgeons, intensivists, perfusionists, respiratory therapists, and nurses that provide care in the NICU, PICU, and CICU.
JOB SUMMARY:

The Clinical Nurse Leader - ECMO Lead is a role with two key responsibilities as both a Clinical Nurse Leader with Unit responsibilities and leading the ECMO service s for PICU.

The Clinical Nurse Leader - ECMO Lead supports the Clinical Nurse Manager in leading, precepting and mentoring the nursing and staff as a clinical expert in a unit/ service. The other part of their role is the following:

Under indirect supervision, the incumbent plans, implements, and evaluates the administrative and direct patient care activities for assigned PICU staff. S/he directs a team of professional and support staff to ensure assessment, planning, provision and evaluation of patient care to at-risk patients and their families.  The Clinical Nurse Leader - ECMO Lead provides administrative management and oversight of patient care activities for PICU ECMO.

Everything that the Clinical Nurse Leader - ECMO Lead does relates to his/her prime responsibility--the care and wellbeing of the patient during ECMO and related procedures, whether directly as a primary ECMO specialist or as supervisor of the staff.   The proper performance of this job has the most immediate effect on the patient, but it also influences the work of physicians, nurses and other technicians at the medical center.

The candidate needs to be an ECMO nurse specialist.

KEY ROLE ACCOUNTABILITIES:

Key Role and Accountabilities as ECMO Lead

  • Oversees the supervision of PICU personnel, which includes hiring, work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.

  • Manages day-to-day operations of the PICU ECMO program, while assuring all performance standards of staff are met. Oversees direct patient care management, delivery of patient care by all professionals within the program. Schedules resources to provide patient care in a cost effective manner: Call schedule; In-house ECMO specialist schedule.

  • Teaches, precepts and mentors PICU ECMO primers and specialists to function in accordance with standards and expectations. Promotes teamwork by building a team environment and fostering cross-functional collaboration.

  • Provides direct care to ECMO patients, performing all functions of the ECMO specialist as necessary.  Responsible for priming the ECMO and dialysis circuit and stabilizing these patients after cannulation.  May share clinical responsibilities, such as priming the ECMO circuit. Maintains a high level of clinical expertise in the area of ECMO to perform direct patient care as necessary.

  • Develops, reviews, and updates PICU protocols and job descriptions.  Maintains established institutional policies and procedures, objectives, quality assurance program, environmental and infection control standards. Develops and implements established goals and objectives for quality management plans to meet the medical center strategic goals.

  • Performs administrative management functions, including budget management, statistics and reporting, billing and reimbursement tracking and related administrative activities for the ECMO program. Monitors, evaluates and justifies monthly budget expenditures and revenue.

  • Ensures a system for tracking and maintaining equipment and supplies. Evaluates new technologies, equipment, and supplies. Coordinates evaluation of new items through the appropriate committees. Collaborates with purchasing and Cardiovascular Perfusion manager to prepare high-cost equipment bids.

  • Collaborates with ECMO Medical Director, Chairs and Physician groups on an ongoing basis to achieve patient and program goals. Communicates with nursing managers, respiratory therapy manager and director of Extracorporeal Services to facilitate program goals for the ECMO program.

  • Assists in the collection and review of clinical data to evaluate the ECMO program. Maintains a patient record database, further provides this information to the ELSO organization for statistical evaluation and comparison to other ECMO programs both foreign and domestic. Continually evaluates literature, equipment and trends related to cardiopulmonary bypass, ECMO/ECLS, and dialysis.

  • Assesses continuing education needs of the ECMO staff. Plans and implements strategies to meet identified needs. Consults with critical care units in support of their staff education needs. Establishes competency testing schedule and maintaining records for hospital accreditation.  Establishes a remediation process. Provides ECMO training for students from any partnered universities. 

  • Conducts, coordinates and supports clinical research projects.

  • Maintains an active role in local and national professional organizations. Represents the program at internal and external committees, meetings, and conferences. Attends annual ECMO Coordinator meeting held at regional ECMO conferences.

  • Supports the philosophy and objectives of Sidra Medicine and assists in interpreting these to referral agencies and the community. Serves as a clinical resource for Sidra Medicine departments and referral hospitals inquiring about ECMO.

  • Ensures that the PICU staff follows Department Policies and Procedures.

  • Revises clinical Policies and Procedures.

  • Shares with the Director and PICU CNM the responsibility of maintaining the quality of ECMO Services at Sidra Medicine.

  • Integrates between the cardiac surgical and NICU ECMO programs.

  • Organizes PICU ECMO simulation workshops and conferences.

  • Validates PICU ECMO specialists’ competency.

     

    Key Role and Accountabilities as Clinical Nurse Leader

  • Makes recommendations to the Manager regarding decisions that have a unit level impact.

  • Makes day to day decisions regarding unit operations that impact quality and efficiency of patient care.

  • Delivers nursing care to patients and rounds to support efficient patient pathways.

  • Makes day to day decisions about staff allocations during shift to ensure that appropriate staff are allocated to the correct patients to promote safe patient care and the best learning environment.

  • Prioritizes high and low risk patients based on patient centered assessment and plan of care.

  • Provides shift supervision and guidance to staff in collaboration with Clinical Educators and Clinical Nurse Specialists ensuring that all care is provided in accordance with Core Standards of Nursing and Midwifery Care and established policies and procedures.

  • Provides individualized patient care as per Qatar Council for Healthcare Practitioners Licensure Scope, the core standards of nursing and midwifery care and leads on clinical practice.

  • Coordinates complex patient care needs in collaboration with other clinical staff.

  • Ensures safe and high quality patient care during shift through appropriate and equitable allocation of work to the team based on patient acuity and skill mix.

  • Supports the junior staff when there are emergencies and/or patient complaints with escalation.

  • Coordinates with bed management on patient bed assignments.

  • Produces, coordinates and manages day to day staff assignments for the assigned shift.

  • Facilitates patient flow and coordinates patient’s activities and communication during shift.

  • Role-models patient experience principles, provides service recovery and identifies continuous improvement opportunities as required.

  • Identifies patient care issues and/or ways to improve and positively impact on the quality of care and patient outcomes.

  • Supports the Clinical Nurse Manager to ensure each unit has an effective comprehensive unit based safety program aligned to the overall corporate program.

  • Supports the Clinical Nurse Manager in the employee performance appraisal cycle objectively and assists with action plans arising from appraisals as necessary.

  • Contributes to the achievement of cost efficiency savings in the unit and maintains an awareness of resource utilization, exercising care in the ordering and use of equipment and materials.

  • Leads Performance Improvement activities on the unit towards the achievement of agreed key performance indicators as assigned.

  • Supports the selection, development and retention of all staff.

  • Adheres to Sidra’s standards as they appear in the Code of Conduct and Conflict of Interest policies

  • Adheres to and promotes Sidra’s Values

 

In view of the evolving needs and opportunities within Sidra, this position may be required to perform other duties as assigned and reporting relationships may vary.

QUALIFICATIONS, EXPERIENCE AND SKILLS:

Education

  • Bachelor’s Degree in Nursing or equivalent  OR Diploma in Nursing (3 years after post high school)        

  • Registered Nurse

  • Preferred -  Master’s Degree in Nursing

Experience

  • A minimum of 4 years recent critical care experience including 2+ years leadership/supervisory/charge experience
  • 3+ years adult, pediatric, or neonatal ECMO experience   
  • Preferred - Experience in an ELSO designated site

Certification and Licensure

  • Valid professional Nursing license from country of origin
  • Eligibility to get licensed with QCHP 
  • BLS, ACLS, NRP and PALS (or equivalent)
  • Professional Membership : ELSO

Job Specific Skills and Abilities

       
    • Demonstrated ability to teach utilizing principles of adult learning.

    • High level of leadership, initiative, self-direction and accountability for actions required.

    • Strong knowledge of quality improvement methodology, leadership and decision-making skills required.

    • Demonstrated ability to maintain composure and function effectively in an emergency.

    • Effective interpersonal skills required in interactions with department staff, medical and nursing staff, other hospital employees, parents/guardians, other agencies and institutions, and the public.

    • Demonstrated ability to safely and properly select, set-up, and operate all systems outlined in the Policy, Procedure and Guideline Manual appropriate to the job description.

    • Demonstrated ability to perform his/her duties in an emergency situation requiring quick recall of knowledge, efficient actions, and the ability to prioritize appropriately and demonstrate flexibility when a situation changes unexpectedly.

    • Demonstrated ability to ensure circuit sterility per Sidra standards

    • Demonstrated ability to properly set-up and prime the ECMO pump, which involves:

    • Reaching to the floor intermittently for up to 1 hour to assemble the circuit.
    • Moving laterally in a low position.

    • Reaching to 6 feet.

    • Removing 20-pound boxes from a 6-ft. shelve.

    • Lifting 40 pounds from a height of 6" to 36".

    • Pushing and pulling 50 pounds.

    • Pushing 1/4" to 1/2" PVC tubing onto a connector up to the second bar without touching the connecting ends.

    • Attaching a metal bracket with a screwing motion onto a pole at levels varying from 18 to 60 inches.

    • Assembling luer lock devices.  These are small (1/16") devices attached with a screwing action.

    • Placing disposable supplies in a holder designed specifically for those devices.  This involves precisely lining up the device to allow it to fit into the holder and lock into place with both screwing and lever locking actions.

    • Moving various pieces of the circuit to the appropriate place.  This involves moving around a machine in a 5' by 2' space to make the appropriate connections.

    • Opening packages without touching interior package walls or contents.

  • Demonstrated ability to operate all job appropriate systems and perform all job appropriate procedures outlined in the Departmental Policy, Procedure and Guideline Manual.  In addition, ECMO Coordinator is required to:

    • Inject blood from a syringe into a test tube

    • Detect audible alarms

    • Visually detect an air bubble of 0.5-mm diameter in a clear solution or blood inside clear PVC tubing

    • Turn 1" diameter knobs on pump to a precise level within a 2-second response time.

    • Operate emergency ECMO backup motor

    • Clamp and release tubing clamps to precise locations on the tubing at levels of 6" to 72".

    • At 20 ft. read 1" tall numbers from a monitor?

    • At 12 ft. read 1/2" tall numbers from a monitor

    • Operate computer keyboard

    • Read characters singular and in columns and transpose

    • Distinguish between shades of red

    • Using a pen transcribe data (number and words) accurately onto a record

    • Efficiently transport self to various units in the hospital

    • Use a telephone to communicate information.

    • Respond by telephone within 5 minutes of a digital, vibration or voice page.

    • Transport his/her self to the hospital change into scrub attire and report to the OR within a total of 45 minutes.

  • Proficiency with Microsoft Office suite

  • Fluency in written and spoken English

 

Sidra’s Organizational Values:
  • Trust: Being competent; acting consistently, reliably and predictably; acting with honesty and integrity; respecting patient, employee and commercial confidentiality; delivering on commitments
  • Care: Acting with empathy, kindness and compassion; being humble; listening and responding; acting with cultural sensitivity; Caring for patients and staff
  • Teamwork: Sharing information and knowledge and learning from demonstrated expertise; being respectful, and thereby earning respect of others; acting with professionalism; leading and following; collaborating and being accessible
  • Transparency: Frequent and honest communication; open access to information for decision making; willingly acknowledge shortcomings; speaking up about concerns; publishing performance indicators
  • Innovation: Freedom to innovate; welcoming ideas and encouraging creativity; supporting talent; creating confidence; celebrating successes
  • Efficiency: Providing measurable value; using data to drive decision making; having and achieving clear goals; building processes that work; continuously improving outcomes in patient and family care
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