ECMO Management for Specialists
Solved Papers - Questions with Complete
Solutions
ECMO Staffing model - Perfusion model - Correct Answers
✅Pros: Experts on ECMO circuit flow dynamics and advanced
trouble shooting
Cons: Lacks patient care knowledge and understanding of ICU
concepts
ECMO Staffing model - ECMO Specialist model - Correct
Answers ✅Pros: Experts on acute patient care and
advanced ICU concepts
Cons: Lacks Experience with ECMO advanced trouble
shooting
Role of the ECMO Specialist - Correct Answers ✅maintains
integrity of the ECMO circuit
Titrate ECMO
-Flows
-Sweep
-FdO2
monitor for ECMO complications
,ECMO Management for Specialists
Solved Papers - Questions with Complete
Solutions
intervenes during ECMO emergencies
Assists with 'day to day' patient clinical decision making
role of bedside nurse - Correct Answers ✅assessment,
monitoring, and documentation
Roles during ECMO bedside insertion - Bedside RN - Correct
Answers ✅DO NOT LEAVE THE ROOM
Responsible for:
-IVP Medications
-Titration of drips
-Vent
-Defibrillation/ACLS
Speaking with MDS/NPs
Delegation
Roles during ECMO bedside insertion - ECMO Specialist -
Correct Answers ✅Obtaining the insertion cart
,ECMO Management for Specialists
Solved Papers - Questions with Complete
Solutions
Builds and primes ECMO CIRCUIT
Assisting MDs with cannula placement
Hands off ECMO lines
Notifying Bedside RN when to give Heparin and dose
Initiates ECMO therapy
Prep and drape - Correct Answers ✅Prep well
-OR style not ICU style
-Cannula infections are devastating
Full body drape
-Wires are long and can get contaminated easy
-use femoral drape (Cath lab, Blue towels, ect.)
Use bedside table under drape at the foot of the bed
-Open all sterile kits before beginning procedure
, ECMO Management for Specialists
Solved Papers - Questions with Complete
Solutions
Vascular Access - Correct Answers ✅encourage use of
ultrasound
-Easier to identify correct vessel
-Can also confirm cannula is correct place
use Pik-A and Pik-V kits for initial access
use micropuncture kit for distal perfusion catheter access
two or more person procedure
Serial Dilation - Correct Answers ✅Observe for good "wire
skills"
-Keep the wire straight a all times (two person job)
-floss the wire (move it back and forth)
-Do not kink the wire
-may need a super stiff or Amplatz wire
Adequate Dilation
-advance and rotate freely
-multiple passes
Solved Papers - Questions with Complete
Solutions
ECMO Staffing model - Perfusion model - Correct Answers
✅Pros: Experts on ECMO circuit flow dynamics and advanced
trouble shooting
Cons: Lacks patient care knowledge and understanding of ICU
concepts
ECMO Staffing model - ECMO Specialist model - Correct
Answers ✅Pros: Experts on acute patient care and
advanced ICU concepts
Cons: Lacks Experience with ECMO advanced trouble
shooting
Role of the ECMO Specialist - Correct Answers ✅maintains
integrity of the ECMO circuit
Titrate ECMO
-Flows
-Sweep
-FdO2
monitor for ECMO complications
,ECMO Management for Specialists
Solved Papers - Questions with Complete
Solutions
intervenes during ECMO emergencies
Assists with 'day to day' patient clinical decision making
role of bedside nurse - Correct Answers ✅assessment,
monitoring, and documentation
Roles during ECMO bedside insertion - Bedside RN - Correct
Answers ✅DO NOT LEAVE THE ROOM
Responsible for:
-IVP Medications
-Titration of drips
-Vent
-Defibrillation/ACLS
Speaking with MDS/NPs
Delegation
Roles during ECMO bedside insertion - ECMO Specialist -
Correct Answers ✅Obtaining the insertion cart
,ECMO Management for Specialists
Solved Papers - Questions with Complete
Solutions
Builds and primes ECMO CIRCUIT
Assisting MDs with cannula placement
Hands off ECMO lines
Notifying Bedside RN when to give Heparin and dose
Initiates ECMO therapy
Prep and drape - Correct Answers ✅Prep well
-OR style not ICU style
-Cannula infections are devastating
Full body drape
-Wires are long and can get contaminated easy
-use femoral drape (Cath lab, Blue towels, ect.)
Use bedside table under drape at the foot of the bed
-Open all sterile kits before beginning procedure
, ECMO Management for Specialists
Solved Papers - Questions with Complete
Solutions
Vascular Access - Correct Answers ✅encourage use of
ultrasound
-Easier to identify correct vessel
-Can also confirm cannula is correct place
use Pik-A and Pik-V kits for initial access
use micropuncture kit for distal perfusion catheter access
two or more person procedure
Serial Dilation - Correct Answers ✅Observe for good "wire
skills"
-Keep the wire straight a all times (two person job)
-floss the wire (move it back and forth)
-Do not kink the wire
-may need a super stiff or Amplatz wire
Adequate Dilation
-advance and rotate freely
-multiple passes
