Perfusionist II

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Rotating - 10 Hour (United States of America)

Why Join Us

• Highly competitive, recently adjusted compensation
• Fair call pay for standby and active coverage, with a 1-hour response time
• $20,000.00 Sign-On Bonus - contact us for additional information
• N+1 staffing model
• Four-tiered career ladder recognizing clinical skill, leadership, and hospital involvement
• Opportunities to participate in research led by our cardiothoracic surgeons, including lab-based studies
• Extensive departmental orientation
• Comprehensive services within cardiothoracic surgery, including ECMO and VAD support

Perfusionists at Stanford are exposed to a level of case acuity and complexity rarely found in a single program. Our aortic program originated the Stanford classification for aortic dissections, and our perfusionists regularly support complex aortic repairs, including frequent cases involving Loeys-Dietz and Marfan syndrome patients. We also run a high-volume heart and lung transplant program — in 2022, our surgical team pioneered the beating heart transplant technique, a first-of-its-kind approach now being adopted by programs nationwide. Beyond this, our perfusionists support adult congenital cardiac surgery, pulmonary thromboendarterectomies, ECMO, VAD implantation, and essentially every form of cardiac surgical procedure performed today.

What distinguishes Stanford is our investment in sustainable practice and professional growth. Our N+1 staffing model ensures you're never the sole line of coverage, and our call pay structure fairly compensates both availability and active work. We offer a four-tiered career ladder with a clear path from trainee to veteran, along with the opportunity to contribute to ongoing research in our surgeon-run labs - a distinction of working within an academic medical center. New team members begin on 10-hour shifts before transitioning to 12-hour shifts with a rotating on-call schedule, supported by a collaborative, expert team from day one.

This is a Stanford Health Care job.

A Brief Overview

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.

LEVEL DESCRIPTORS

The Perfusionist career ladder consists of four levels plus a lead based on management assessment of staffing needs. The distinction between levels is based on certification by the American Board of Cardiovascular Perfusion (ABCP), the degree of supervision exercised over the position, and the assignment of advanced/lead responsibilities.

LEVEL I

▪ This is the entry, trainee, and contributing level. Under close supervision, incumbents assist a higher-level Perfusionist in the performance of clinical duties.

▪ Incumbents are expected to obtain active ABCP certification as a CCP within two (2) years of appointment or be terminated from employment.

LEVEL II

▪ This is the career level where incumbents function at the full performance level.

▪ Under general supervision, incumbents perform the full range of clinical perfusion duties.

LEVEL III

▪ This is the advanced, specialist and lead level. Incumbents at this level perform as a consultant to and may be designated lead-worker for other Perfusionists.

▪ Under general supervision, incumbents perform the full range of clinical perfusion duties and, in addition: assign and lead the work of other Perfusionists, including trainees; may assist in the recruitment and selection of Perfusionists; develop and implement training in-service programs; participate in equipment evaluation and procurement; maintain records pertaining to equipment use and maintenance; and may participate in research programs.

▪ Able to perform duties as shift contact Perfusionist

LEVEL IV

▪ Team Lead or team supervisor for each shift

▪ Able to Perform and mentor most complex cases

▪ Grows and mentors' staff on all aspects of Perfusion Services, ECMO and VAD management and perfusion therapy

Locations

Stanford Health Care

What you will do

• 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.
• Demonstrates a comprehensive knowledge of all policies and procedures concerning clinical perfusion.
• 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.
• Identify the needs of the patient regarding types of equipment, priming solution, and methodology in consultation with the surgeon and anesthesiologist.
• Communicate accurate information to the surgeon and the anesthesiologist pertaining to the patient response to the extracorporeal procedure.
• Provide adequate "Conduct of Perfusion" for each patient undergoing cardiac surgery utilizing the heart-lung machine in accordance with established surgeon and SHC protocols.
• 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