20 days old

Pediatric Perfusionist- Children's Heart Institute

UTHealth
Houston, TX 77002
  • Job Code
    220002IX
Are you passionate about caring for children and families affected by congenital heart disease? Are you looking for a team that shares your same passion and dedication to the CHD community? The Children's Heart Institute is looking for a Pediatric Perfusionist to join the Pediatric and Congenital Heart surgery team. Your primary responsibility is to provide perfusion services to support cardiopulmonary bypass (CPB) during some of the most complex congenital heart surgeries in the country. We are a high volume center and perform a high percentage of surgeries on neonatal and highly complex congenital heart defects.

You will be a full time employee of the McGovern Medical School at UTHealth, and enjoy all of our benefits, including first rate healthcare options and an outstanding retirement program offered by the State of Texas.

What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in.

What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in.

Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus:

  • 100% paid medical premiums for our full-time employees
  • Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year)
  • The longer you stay, the more vacation you'll accrue!
  • Longevity Pay (Monthly payments after two years of service)
  • Build your future with our awesome retirement/pension plan!

We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as...
  • Free financial and legal counseling
  • Free mental health counseling services
  • Gym membership discounts and access to wellness programs
  • Other employee discounts including entertainment, car rentals, cell phones, etc.
  • Resources for child and elder care
  • Plus many more!

Position Summary:

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:

1. 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.
2. Provides extended, long-term support of the patient's circulation outside the operating room environment.
3. 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.
4. 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.
5. 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.
6. 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.
7. Strong consideration of required cardiac index needed with varied types of congenital heart defects. Provides adequate and proper perfusion to the patient during surgery.
8. Maintains and regulates the blood temperature to the patient during surgery.
9. 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.
10. Monitors and checks blood gasses during surgery.
11. 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.
12. Records all relevant perfusion information during surgery and maintains the records after surgery.
13. Provides and operates cardiac-assist devices in the weaning and termination phases of surgery.
14. 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.
15. 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.
16. 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.
17. Maintains inventory of equipment and supplies.
18. Has prior clinical instruction and teaching experience in advanced pediatric and neonatal perfusion practices.
19. 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.
20. Other duties as assigned.

Certification/Skills:

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

Minimum Education:

Bachelor's Degree and completion of an accredited Perfusion Technology program.

Minimum Experience:

Two years of perfusionist experience plus three years of pediatric perfusion experience in a Pediatric Perfusionist Program required.

Physical Requirements:

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.

Security Sensitive:

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code 51.215





Posted: 2022-09-09 Expires: 2022-10-08
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Pediatric Perfusionist- Children's Heart Institute

UTHealth
Houston, TX 77002

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