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ForwardPrinciples of ECMO Management - February 2023
Extracorporeal membrane oxygenation (ECMO) is one of the most exciting and fastest growing fields in cardiothoracic medicine and nursing. ECMO is used as a life-saving option in managing cardiopulmonary failure, bridging patients to lung transplantation, and prophylactically supporting high risk cardiac surgical cases. Now more than ever, understanding how ECMO can serve as a life-saving rescue therapy for infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in our community is crucial during this rapidly spreading and devastating global pandemic. Welcome to the Principles of ECMO Management Seminar! A comprehensive and collaborative seminar whose goal is to prepare clinicians who diligently seek improbable solutions to complex patient conditions requiring ECMO. As the complexity of patient care involving ECMO evolves, the Center for Nursing Research, Education, and Practice’s Critical Care Academy and the Mary E. Mahoney Simulation Center are committed to educate, equip, and empower clinicians to find those improbable solutions.
Target Audience
Registered Nurses, physical therapists, case managers, social workers, respiratory therapists, nurse practitioners, and physician assistants will benefit from this course.
Learning Objectives
Nursing Learning Outcome:
At the end of this activity, participants will be able to identify 1 problem-solving technique to reduce the number of complications ECMO patients' experience, as evidenced by self-reported intent to change practice on the post activity evaluation tool.
Principles of ECMO Management Seminar (2 Day Course)
Day I | ||
Time | Title | Speaker |
0700-0710 | Welcome | Tracee Kennon, MBA, BSN, CCRN |
0710-0730 | Advances in ECMO | Tracee Kennon, MBA, BSN, CCRN |
0730 - 0815 | Introduction to ECMO: | Tracee Kennon, MBA, BSN, CCRN |
0815-0900 | To ECMO or Not to ECMO: Cannulation Strategies | Tracee Kennon, MBA, BSN, CCRN |
0900-0910 Break | ||
0915 - 0945 | ECMO Circuitry (add securement to this topic) | Gill Ford / Tracee Kennon, MBA, BSN, CCRN |
0945-1045 | ECMO Pathophysiology: Cellular Metabolism and VV ECMO Design | Tracee Kennon, MBA, BSN, CCRN |
1045-1200 | ECMO Pathophysiology: Cellular Metabolism and VA ECMO Design |
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Lunch 1200-1230 |
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Breakout Sessions | ||
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Principles of ECMO Management Breakout Sessions | ||
12:30-1 ; 1-2:30; 2:30 -3:30 | ||
RN Session (30 min) Tracee Kennon, MBA, BSN, CCRN
12:30 to 1 pm | Physical Therapy Rajashree Mondkar, PT, MSPT, CCS Agata S. Gugala, PT, DPT, MS Session (1hr30 min) 2 pm to 3:30 pm | Respiratory Therapy Session Christopher Martinez, RRT,-NPS Erika Orlando, RRT 1pm to 2 pm (1 hour) |
Circuitry and device review | Mobilization Protocols and procedures and ECMO | VV ECMO Ventilator management |
Patient ECMO Daily Observations | Advanced ECMO Mobilization | Managing Non-intubated ECMO patients |
Hands on skills:
| Hands on skills: Circuit Check Handoff Report Device Securement Chart review In bed and out of patient mobilization Patient Safety /STOPS VA/VV protocols | Hands on skills: Case scenarios - Breathing Treatments/Ventilator Settings Case Scenarios -Managing non-intubated ECMO patients VA Protocols |
Day 2 | ||
Time | Title | Speaker |
0700-0815 | ECMO Patient Management | Tracee Kennon, MBA, BSN, CCRN |
0815-0845 | Weaning ECMO Patients |
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0845-0915 | Acute Kidney Injury and ECMO | Tracee Kennon, MBA, BSN, CCRN |
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0915 – 0930 Break |
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0930 - 1000 | ECMO Specific Complications | Tracee Kennon, MBA, BSN, CCRN |
1000 -1100 | Emergency Management of ECMO Patients | Tracee Kennon, MBA, BSN, CCRN |
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1100 – 1145 Lunch |
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Principles of ECMO Management Breakout Sessions | ||
11:45 – 3:30 | ||
Each skills lab is 60 minutes |
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ECMO Lab 1 | ECMO Lab 2 | ECMO Lab 3 |
Simulations:
| 4.)VV ECMO recirculation 5.) VA ECMO Ventricular Stun 6.) Right Sided Heart Failure
| 7.) Air Embolus (Dialysis Catheter) 8.) Cardiac Arrest (VV/VA) 9.) Weaning VA/VV
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30 minutes Mega Code Sessions – Combination of Scenarios between teams to hand off patient care | ||
Then post quiz | ||
Tracee Kennon, MBA, BSN, CCRN
Erik Eddie Suarez, MD
Nick Webster, CCP, LP
Agata Stawarz Gugala, PT, DPT, MS
Rajashree S. Mondkar, PT, MSPT, CCS
Chris Martinez, RRT-NPS
Agata Stawarz Gugala, PT, DPT, MS
Mary E. Mahoney
Simulation Center: Nick Webster, CCP, LP
Houston Methodist is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
To be awarded 15.25 continuing professional development hours, the participant must attend the program in its entirety and complete the evaluation tool.
Available Credit
- 15.25 Attendance
- 15.25 Nursing Contact Hours
Houston Methodist is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.
Houston Methodist will award 15.25 Nursing Continuing Professional Development contact hours for this activity. Participants must attend the activity in its entirety and complete the continuing education evaluation.