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Center for Acute Respiratory Failure and ECMO Program
- Provide care to patients under instruction of physicians and nurse practitioners.
- Nurses change shifts every 12 hours at 7AM and 7PM.
- Manage overall clinical care for all MICU patients, in collaboration with multidisciplinary teams.
Medical ICU Attending Physician
- A physician trained in pulmonary and critical care medicine who is responsible for the care of all patients in the Medical ICU.
- A new Critical Care Attending Physician starts in the MICU every Thursday.
Medical ECMO Attending Physician
- A physician trained in pulmonary and critical care who specializes in ECMO. Along with the surgical attending and Medical ICU Attending, the Medical ECMO Attending evaluates new ECMO patients and participates management of patients being treated with ECMO.
- A new ECMO attending comes on service every Thursday.
- Perform surgical procedure to initiate ECMO support and daily ECMO management with Medical ECMO attending and perfusionists.
Surgical Fellows or Residents
- Assist cardiothoracic surgeon in initiation of ECMO and daily ECMO management.
- Initiate, manage, and troubleshoot the ECMO circuit to maintain proper physiological patient parameters.
- Initiate and maintain breathing support if a patient is supported with mechanical ventilation.
- Provides psychosocial assessment, supportive counseling and crisis intervention to patient’s family in relation to their ICU admission and need for ECMO intervention.
- Coordinates additional ancillary support services for patients and families.
- Manages discharge planning. Works with clinical team and family to coordinate discharge from hospital and placement at appropriate level of care (rehabilitation, long term acute care, home, home with services) upon discharge.
- Develops collaborative relationships with attending physicians, house staff, nursing and members of the interdisciplinary team to promote safe, quality care.
- Coordinates activities of the Interdisciplinary tram members focusing on effective management of the patient's care from admission through discharge.
- Responsible for reviewing progress of defined length of stay targets and identifying barriers for action by interdisciplinary team.
- Work to overcome and prevent the weakness and deconditioning that are associated with critical illness. Physical therapists work on activities such a sitting, standing, walking and climbing stairs.
- Address a person's ability to function as independently as possible in their daily lives. This includes performing daily self-care such as dressing, eating, oral care, and toileting.
- Speech-Language Pathologists (aka speech therapists) evaluate/treat communication and swallowing disorders as a result of injury or illness including post extubation, tracheostomy and delirium.
- Utilize Fiberoptic Endoscopic Evaluation of Swallowing and Modified Barium Swallow Studies to objectively assess swallowing and determine a safe diet texture. The passy muir speaking valve is used to increase communication/swallowing as able with our trach patients.
- Sessions focus on resuming functional abilities in the areas of communication and swallowing.
- Provide assistance to nurses.
Patient Services Representative
- Promotes patient and family centered care by facilitating a positive experience for patients, coordinating special service requests, and serving as a forum for complaints and grievance.
ECMO Program Administrator
- Oversees the ECMO Program, works with physicians, patients and families to ensure quality care, continuous improvement, and the long term success of the program.
ECMO Program Coordinator
- Provides support and serves as a resource to families and ECMO patients.
©1999-2017. Columbia University Medical Center, Department of Surgery, New York, NY.