Perfusionist - Duke University Hospital - Perfusion Services
Duke University Health System
Location: Durham, North Carolina
Internal Number: 128408
Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.
U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.
Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
Assess, plan and implement the patient care requirements and treatment necessary for patients requiring cardiopulmonary bypass, mechanical circulatory support, extracorporeal membrane oxygenation and associated blood conservation or perfusion delivery.
Duke Perfusion Services provides superior patient care to over 3000 patients a year while cultivating a culture of teamwork, safety, integrity, diversity, and innovation. Duke Perfusion is one of the largest and most diverse perfusion teams in the country. Scope of practice includes cardiopulmonary bypass, extracorporeal support, mechanical circulatory support, and autotransfusion for adult and pediatric patients. Areas of expertise include major aortic surgery, advanced heart failure, heart and lung transplantation, minimally invasive and robotic surgery, blood conservation, surgical oncology, and complex congenital surgery.
Duke Perfusion supports OCS/Transmedics heart procurements, inter-hospital ECMO and VAD transports, and intraoperative apheresis. Duke Perfusionists are committed to advancing the profession through leadership in education, quality, research, and collaboration and has been recognized by AmSECT with the Pillar Award for Perfusion Excellence. Duke Perfusion Faculty are clinical instructors affiliated with four perfusion schools. The department hosts many courses and trainings including high fidelity simulation. The team is active in clinical, laboratory, and animal research, represented on multiple professional society boards, routinely presents regionally, nationally, and internationally in addition to being widely published.
Management of Cardiopulmonary Bypass (CPB)
Appropriately assess patient profile and manage CPB
Use appropriate equipment/supplies and monitor data based on patient profile (age, condition, procedure).
Appropriately communicate with open-heart team personnel during procedures
Recognize and resolve variances and abnormal situations that may arise
Utilize all available safety devices during cardiopulmonary bypass as per departmental policy
Demonstrate appropriate clinical vigilance and awareness before, during and after cardiopulmonary bypass
Facilitate discussion with health care team which includes medical record review, decisions needed for prime selection, drug and blood additives, techniques of cardiopulmonary bypass.
II. Job Responsibility
Ancillary Perfusion Procedures
Demonstrate competence and comprehensive knowledge of all ancillary procedures as per departmental policy.
Competence in devices to include VADs, ECMO, IABP, left heart bypass, VV bypass, targeted chemotherapy delivery systems, autotransfusion
Assess patient profile and manage ancillary procedures by using appropriate equipment and monitoring data
Recognize when situations are critical, notify appropriate personnel and assist as needed
Troubleshoot all technical devices
III. Job Responsibility
Create and maintain accurate and complete electronic records and database information entry
Timely documentation and reporting according to departmental standards
Maintain patient confidentiality
Demonstrate knowledge of Duke Health Perfusion Services policy and procedure
Education: Completion of an accredited cardiovascular perfusion training program.
Master of Science degree in perfusion or related scientific field or allied health specialty (e.g. Nursing, Respiratory Therapy, Medical Technology).
Three years certified perfusionist experience considered in place of Master Degree with bachelor's degree in perfusion or related scientific field or allied health specialty.
Degrees, Licensures, Certifications: Certification by the American Board of Cardiovascular Perfusion and Perfusion Licensure by North Carolina Medical Board. New grads tenure contingent on achieving certification and licensure within one year of hire. Validated for Basic Life Support and successfully complete all regulatory requirements within the probationary period.
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.