Perfusionist (Cardiovascular) – Per Diem, Perfusion Services

NYU Langone Hospital—Long Island is a 591-bed university-affiliated medical center, which offers sophisticated diagnostic and therapeutic care in virtually every specialty and subspecialty of medicine and surgery. We are a major regional healthcare resource with a deep commitment to medical education and research, offering a full complement of inpatient and outpatient services. At NYU Langone Health, equity and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace inclusion and individual skills, ideas, and knowledge.

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Position Summary:
We have an exciting opportunity to join our team as a Perfusionist – Per Diem, Perfusion Services.

In this role, the successful candidate will assess, plan and implement the patient care requirements and treatment necessary for extra-corporeal services during the entire perioperative period.

Job Responsibilities:

Patient Assessment 

• Monitors physiological parameters for early identification of changes in the patients physiologic status during procedures. 
• Recognizes medical emergencies and responds appropriately by expediting treatments. 
• Asses patients appropriately based on age, culture, spiritual, educational and healthcare needs. 
• Perform blood samples for arterial and venous blood gases, Hematocrit, potassium levels, activated clotting time providing information on patients current status. 
• Assesses and communicates the patients need for blood and/or blood products to the surgeon and completes a blood administration record as per hospital policy and procedure.
• Reviews patients medical record prior to each procedure and records all pertinent information on the perfusion record.

Care of Patients Part 1

• Prepares the extracorporeal circuit in a timely fashion and is prepared to conduct bypass prior to induction on anesthesia. Pre bypass checklist completed prior to bypass and all tasks performed to verify items on the checklist. 
• Initiates and operates the heart/lung machine at the direction of the cardiac surgeon in order to achieve extracorporeal perfusion. 
• Adjusts and adapts the perfusion system to accommodate changes in surgical technique or patients parameters after communication with the surgeon and/or anesthesiologist. 
• Demonstrates the knowledge and skills to provide extracorporeal services to patients per departmental policy and procedure.
• Makes appropriate changes to equipment, supplies and techniques to best meet the needs of the patient including but not limited to: total bypass, off-pump procedures, cardioplegia delivery, MUF, circulatory arrest, R.A.P., maintenance of cardiac output, maintenance of blood volume, maintenance of CPB gas flow rates, auto-transfusion, ventricular assist device, activated clotting time maintained above 480 seconds during CPB. 
• Appropriate measures taken to correct low values.

Care of Patients Part 2 

• Utilizes safety devices on all procedures according to policy and procedure. At all times remains committed to the assigned procedure.
• Maintains awareness of progression of procedure and is readily available to perform bypass and bypass duties. 
• Insures adequate coverage by a perfusionist when leaving the immediate area. When performing as backup perfusionist, routinely circulates through all active cardiac procedures. 
• When performing as backup perfusionist is readily available to assist the primary perfusionist with no reported deviations per year. 
• Demonstrates knowledge of pharmacology including classification, action, purpose, and side effects as per established by the standards of practice of the American Board of Cardiovascular Perfusion. 
• Verbalizes knowledge of purpose, rationale, policies and procedures for patients treatments. Uses appropriate phone techniques to communicate information regarding patient care.
• Infection Control Utilizes appropriate isolation principles and universal standards. Adheres to departmental policy and wears appropriate eye protection, gloves etc. Throughout the procedure. 
• Maintains a work environment free of any blood spills. Blood is removed from the work area as soon as possible according to departmental policy and procedure.
• Environmental Care. Assist in the setup of supplies for each cardiac case as per established departmental protocol and type of procedure. 
• Organize and maintain inventory at established par levels, and report to manager any needed supplies in order to prevent interruptions in service. 
• Organize and maintain daily stock of perfusion supplies in each cardiac operative suite. 
• Maintain daily stock of cardioplegia. Disposes of contaminated waste in appropriate receptacle. Label and date all medications utilized and appropriately discard left over medication. 
• Dissembles, cleans and inspects equipment and apparatus immediately following each case. Communicates any abnormal findings to perfusion manager. Creates and maintains a safe environment for patients, family and coworkers by reporting faulty equipment, clearing access, and maintaining communication. Complies with dress/uniform code of the operating room.

Information Management. 

• Summarizes patients physiological status in the medical record according to departmental policy. Records all information pertinent to patient during procedure, i.e. time on bypass, cross clamp, ABG, ACT, Temp, maintains security in computer entries. Completes order entry as per hospital policy and procedure.

Minimum Qualifications:
To qualify, you must have a Bachelor’s Degree Science, Nursing, Bio-medical, Bio-clinical engineering or related field. NYS Perfusionist License or Limited Perfusionist permit required upon hire (perfusionist license required within 18 months of employment)
Experience in the care of the patients ranging from pediatrics to geriatrics; knowledge and operating skills of perfusion related equipment but not limited to the following procedures: cardiac surgery, liver transplantation, rapid infusion, intra-aortic balloon pump, cell salvage, ventricular assisted support system, ECMO and emergency cardiopulmonary support outside the OR. Evidence of strong interpersonal skills in general and crisis situations, ability to collect and understand data, use of outcomes management in daily patient activities, excellent problem solving in both mechanical and knowledge related situations. 

Preferred Qualifications:
Certification as a Perfusionist or eligibility by the American Board of Cardiovascular Perfusion (ABCP).

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Hospital—Long Island provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you’ll feel good about devoting your time and your talents.

At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it’s developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.

NYU Langone Hospital—Long Island is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.

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NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $135.00 – $135.00 hourly. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

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