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There are so many good outcomes and blessings. Look for little winks of greatness around you because ECMO is a blessing. Without ECMO I wouldn’t be here.” — Stefanie Bryning - ECMO Survivor https://ecmoresource.com/patientstories daily 0.75 2024-05-18 https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1599682564718-1GNNLLI1VEN8HN10LKBU/kerry+l+1.jpg Patient Stories Mother and baby daughter, ECMO Resource, a resource for specialists and anyone associated with a patient receiving ECLS therapy https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1599682544882-TW2Q1BR8G44EVJAGCYU0/kerry+l.jpg Patient Stories Mirror selfie, ECMO Resource, a resource for specialists and anyone associated with a patient receiving ECLS therapy https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1599682665824-1UQG9998448N11QRXDPR/kerry+lbaby.jpg Patient Stories Infant treatment, ECMO Resource, a resource for specialists and anyone associated with a patient receiving ECLS therapy https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1599682606624-O4BTPLXJHXJL1ZU5JVFM/kerry+l+fam.jpg Patient Stories Mother and baby daughter sitting in hospital bed, ECMO Resource, a resource for specialists and anyone associated with a patient receiving ECLS therapy https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1599682583728-U8F57SSLR23YRXXNCC2B/kerry+l+4.jpg Patient Stories Sleeping baby, ECMO Resource, a resource for specialists and anyone associated with a patient receiving ECLS therapy https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1599682643224-1UT2U6RXZZCV0ZT0Y3DI/kerry+l+image.jpg Patient Stories Holding a baby dressed in pink, ECMO Resource, a resource for specialists and anyone associated with a patient receiving ECLS therapy https://ecmoresource.com/contact daily 0.75 2020-10-02 https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1600715342850-8SOABS16UZ86Y26A4NSV/shutterstock_717315007.jpg Contact https://ecmoresource.com/ecmo-program-development daily 0.75 2022-01-03 https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601059730927-VTXWK9B9WCCMOLP7RGNS/shutterstock_771846925.jpg ECMO Program Development - Service Identification Perform a needs assessment that identifies patients who will utilize the service provided in the program. Program development should coincide with an associated program of service (examples include cardiac surgery, adult respiratory units, transplant programs, LVAD programs, pediatric cardiac surgery) or evaluation that an onside ECMO unit would benefit over transferring to an external center. Documentation of the cases for potential need is helpful to evaluate cost versus benefit. Putting together a plan that clearly displays this data is helpful when justifying implementation of a new program and can help administrative budgeting and planning. In addition to volume, processes and education also play important roles in consideration. According to ELSO, approximately 33% of current ECMO programs are low-volume centers that care for fewer than 6 cases annually. Achieving success with initial cases goes a long way to building confidence and buy in at the executive level. https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601059833021-7PGGOVEMS4PNG4NVI0I0/shutterstock_1770121445.jpg ECMO Program Development - Who is the Customer? Identify who you will be servicing. Each medical center can answer this question differently based on the type of patients and specialties that they accommodate. One ECMO center may only service pediatric patients because they have a robust pediatric cardiac surgery department, while another center may only service adults who may potentially receive a heart or lung transplant. The ECMO program works in conjunction with other hospital services, so the need to identify this at the start is essential. https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601060398159-V68AEQXSUBB6YKG4FZ88/cardiohelp+image.jpg ECMO Program Development - Equipment Identify the type of equipment you will need. This will require collaboration from many disciplines to ensure all bases are covered. Equipment needs should match patient needs and connecting with the perfusion department of the medical center will help in the process. Policies and procedures for equipment management and maintenance must be made in conjunction with the biomedical engineering department. The purchasing department of the hospital must be involved from the start of program development to ensure appropriate equipment is readily available when needed. A simplified list of equipment includes: cannula, oxygenator, blood pump, gas exchange devices (blender), heat exchanger, ECMO supply cart, backup equipment and pump. https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601060006989-RXNH722LZOQC25V70L86/shutterstock_635021405.jpg ECMO Program Development - Build The Team Create an ECLS steering committee to help identify key components of service and customer identification can help a program be successful. They can help identify how an ECLS program will best meet the needs of the organization and should include multidisciplinary members from all hospital departments that customers of the ECLS program will touch (nursing, pharmacy, physical therapy, physician, surgery, respiratory therapy, surgery, occupational therapy, hospital management, dietary, https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601060664177-D7K88DTSG2TMBV6UGCC3/shutterstock_585087871.jpg ECMO Program Development - Registry Creating a registry with ELSO for the medical center at the start of planning and development is beneficial. The quality reporting registry allows you to track your center’s performance across time and compare it to peer centers using metrics such as survival, major complications, minor complications and length of stay. It gives you the opportunity to identify areas of your performance where you excel and areas you may want to monitor your performance more closely. Data is risk adjusted to account for variations in patient populations and case complexity. Powered by ArborMetrix, you will receive real-time analytics and report that are HIPPA-compliant. This gives further opportunity to perform research and walk the path toward becoming a center of excellence. View additional information and begin the ELSO Quality Reporting here. https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601060575466-VN9DPRTA4KGMUOWCV1WC/shutterstock_1677024553.jpg ECMO Program Development - Process Development The complex processes of ECMO care require a high level of standardization to elevate the quality and safety level of individual providers to help facilitate positive patient outcomes. Every ECMO center needs a center-specific policy and procedure manual. This manual includes everything from who meets criteria for ECMO to directions for changing the oxygenator. The development of this is critical for the training and education of the new ECMO team. Standardized policies and procedures effectively prevent human error when caring for complex patients. New ECMO team members need to be fluent in center-specific https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601061248892-0L89D7YN3B9NXFZ6FFZS/shutterstock_287096177.jpg ECMO Program Development - Goals Quality improvement techniques focus on processes by using measurement, evaluation, and knowledge to study the process, create interventions and evaluate results. Excellent patient care and quality improvement of an ECMO Program and Team should always be one of the primary goals for an organization. A great learning improvement resource can be found through the Institute for Healthcare Improvement here. This information details the Act, Plan, Do, Study cycle of improvement to help a center implement change. Set measurable goals for the entire program, as well as for the individual groups of team members. One example would be that the ECMO team would have a retention program that enables growth and continual development within the team - a process that includes becoming an ECMO Specialist Preceptor, receiving a certificate for various education and experience completion, and financial incentives to encourage longterm involvement and development by team members. https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601060929037-8NOH4C2UUJL4PHM5PY8B/shutterstock_1008852631.jpg ECMO Program Development - Education ECMO education can be challenging due to the complexities in an organization. It is nevertheless, essential to an ECMO Program and required for the care team to achieve before they can be considered qualified to deliver ECMO care. The ECMO team includes clinicians with responsibilities to the patient and/or the ECMO circuit. This includes the physician, surgeon, nurse, respiratory therapist, perfusionist and anyone else who will have any kind of involvement or responsibility for the patient undergoing ECLS therapy. Establishing an education program and maintaining competency is an in-depth process. It is recommended that each center develop its own training program based on their patient population, equipment, and assigned responsibilities of team members. A comprehensive guide to training and education requirements is extensive and can be found here - locate “Center and Training Guidelines” and link to “ELSO Guidelines for Training and Continuing Education”. https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601061603384-WI3BML3T3YNL2AQS5Q1M/shutterstock_1382137049.jpg ECMO Program Development - Center of Excellence The goal to become an ELSO Center of Excellence is commendable and requires a lot of preparation and effort for the entire ECMO team. This designation does indicate that the highest standards of program requirements and team training have been met according to the Extracorporeal Life Support Organization. More information about how to become an ELSO Center of Excellence can be found here. https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601061522023-SNKRS58UDYLA47PNYEBL/shutterstock_379801960.jpg ECMO Program Development - Sustainable Success This is what we all want to achieve and a key to longevity and growth within an organization. How do we achieve success with an ECMO Program that is long term and sustainable? Maximizing the benefits of all points listed on this page will help you achieve that goal. Success can be defined differently for each individual and organization, however most medical centers and care providers can agree on a few commonalities. Sustainable success looks like a well developed ECMO Program that has processes in place that will outlast any one individual. If the Coordinator moves on to another position, are the processes in place where the next individual placed in the role can just pick up where the previous person left off? Does the program have a functional education and training system to where it operates like a well oiled machine to enable success and safe patient care at the bedside? Have all of the pieces to this puzzle (listed above) been adequately thought out, planned and acted upon to help ensure sustainable success? If not, there will be a gap in the program and until that gap is functioning properly, unrelated to the individual who oversees that aspect, you will always have a bump in the road to sustainable success. Process development and long term functionality go hand in hand. This process can start at any time, during any period of an ECMO Program. Begin putting all of these pieces into play to start seeing the results you want. https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601115777338-9F3AK5MGO27OVT9RK8CB/shutterstock_1319345744.jpg ECMO Program Development - “If you want to build a ship, don’t gather people to collect wood and assign tasks, but rather teach them to long for the endless immensity of the sea.” — Antoine de Saint-Exupery https://ecmoresource.com/crrt-and-ecls daily 0.75 2023-02-04 https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601119173366-JZ8T3C9PE1UDZ8BAYAKL/CRRT+and+cardiohelp.jpg CRRT and ECLS https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601119197472-F9OTOIUFPRZBFAR426I3/ecls+1.jpg CRRT and ECLS https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601119224945-IS1FRIVNG1153G2ZCAW7/ecls.jpg CRRT and ECLS https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601119261382-8YF7RA12C6JGEAAFUH9V/ecls+3.jpg CRRT and ECLS https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601119287759-CLM5NLET9VGH6U58LQN4/ecls+2.jpg CRRT and ECLS https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601119303821-C7CSWOH0B9TWZ9LGDQC7/ecls+4.jpg CRRT and ECLS https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601119320295-BF2GWVUX5U2PGFWN0TUF/ecls+5.jpg CRRT and ECLS https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1601119342576-8M2NU0LMXK0CYAJPNSBV/ecls+8.jpg CRRT and ECLS https://ecmoresource.com/ecmoworkshop daily 0.75 2024-08-26 https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1652410040847-KZ70Z2LV3C9IXI4IKTI4/shutterstock_1561133012.jpg Workshop https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1652410125227-33D8CAAYJEMZFL625IDO/CRRT+and+cardiohelp.jpg Workshop https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1652410260663-RNNRO99A7OFRTGR68SZ6/F7FA966E-FD20-4D92-A907-12827CE7CE5A.jpeg Workshop https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/f6fd91eb-76ba-4c10-a25f-b51bfb0949a3/Instagram+Post+%281%29.png Workshop https://ecmoresource.com/thank-you daily 0.75 2024-08-10 https://ecmoresource.com/lv-unloading daily 0.75 2020-12-10 https://ecmoresource.com/ventilator-management daily 0.75 2021-05-20 https://ecmoresource.com/rv-failure daily 0.75 2021-09-16 https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1621818144665-KR9L0K8652HYHWNG4MSI/Echocardiogram+RV+dilation RV Dysfunction and Failure - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1621813935529-64RYWE323YVLEWCL3W8X/Protek+Duo+Cannula RV Dysfunction and Failure https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1631554486408-4ES2X0OL6VHO3VG06Q07/ECLS+Modality+Change RV Dysfunction and Failure - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1621813450775-7ZRXPVSC56L53LBPEMTR/Impella+RP RV Dysfunction and Failure https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1621812402301-T5C8X5OBYLQE68LQ2ACK/VV+ECMO+Pharmacological+Support RV Dysfunction and Failure https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1631554663261-N7PNSDFSNFVMSTPWTQ43/Atrial+Septostomy RV Dysfunction and Failure - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://ecmoresource.com/membership daily 0.75 2022-11-13 https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1646191160657-KGA21RU7D0V92RCYNBBD/Untitled+design.jpg Membership - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1646191457620-EG1K3NQUFZIY0MBUSO4H/shutterstock_1497065660.jpg Membership - We invite you to become a part of an exclusive community of ECMO Specialists from around the world. This specialized space offers ECMO Workshops, practical tools, virtual learning and connection opportunities to help you advance your skills and improve your practice as an ECMO Specialist. We look forward to delivering expert resources to you! Explore details of a membership below, take part of a complimentary ECMO Workshop and sign up to receive launch details as well as an exclusive discount code. https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1645988348907-EI91DELWUA9Q8RQFEWZU/ECMO+Specialist+Community Membership - “There is no power for change greater than a community discovering what it cares about.” — Margaret J. Wheatley https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/aee6a9fb-69a5-4a6b-8a7d-c9ea7211b8eb/ecls+8.jpg Membership ECMO and CRRT https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/fc98990f-10ac-4cfa-a81f-3fa2bea858d7/ecls+3.jpg Membership ECMO Centrimag https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/fcc07674-0be6-4e21-9c66-d727d037009b/ecls+15.jpg Membership ECMO Cardiohelp https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/13400708-2393-40da-ac48-bddefbb0a54d/ecmo+image+3.jpg Membership ECMO Cardiohelp https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/bacb56eb-960a-4312-afa9-ff8638a3890f/ecls+22.jpg Membership NIRS ECMO monitoring https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/af8ee969-ab9f-4301-bada-8a84d105b5ea/ecls+17.jpg Membership ECMO Cardiohelp https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/edcfd291-06fa-4bc0-ae29-24d2a54d264a/ecls+14.jpg Membership ECMO blender https://ecmoresource.com/ecpr daily 0.75 2022-11-13 https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/1666653193256-S80Z1ML51805TKGBIIJ9/ECPR https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/93eeeaf9-8a19-44e0-8171-c12443869eb6/ECPR https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/4cf74133-e5fa-4fbf-9213-4ee3053bff24/ECPR+ECMO https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/10de7ac4-3fd5-47f8-aeca-dc0e37a073f2/ECPR+guide https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/a2eebec9-720b-4609-97e6-02d8fb54f4ad/ECPR https://ecmoresource.com/workshop daily 0.75 2024-08-11 https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/0f3da4ca-fe90-4be0-8fe2-e9d9a21a2443/ECMO+Specialist+Workshop https://ecmoresource.com/community daily 0.75 2023-06-20 https://ecmoresource.com/survey daily 0.75 2024-10-09 https://ecmoresource.com/griefjourney daily 0.75 2024-08-03 https://ecmoresource.com/ecmospecialistweek daily 0.75 2024-08-16 https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/9149be6e-2971-4eb9-b5f5-46e1f0289068/Deb+Hernandez https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/cb0261b3-e11a-4189-9c64-b915197ef2e6/Advanced+Cardiopulmonary+Solutions https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/efd4bf19-c5e6-4271-9299-3a60d8cc62b4/ECMO+Specialist+Workshop https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/a4509405-84e0-48f3-b588-ccce6e41730e/ECMO+Specialist+Week https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/3af75166-9e5f-4552-bcc5-cc99fab2685d/Maurice+Smith https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/0b9a03ba-323e-4227-91ca-2e9fdec0bb5a/ECMO+Specialist+Week https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/cbc25267-0a47-4384-822c-037340f1afe9/Deb+Hernandez https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/0092ef01-ba78-4021-b519-0509e0c226d5/Deb+Hernandez https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/2687fa50-d09c-41c5-a1ce-371557fb1423/ECMO+Transport+Equipment https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/222e381c-9d18-463e-9475-100f67dbe1aa/ECMO+Specialist+Week https://ecmoresource.com/shop daily 0.75 2024-09-23 https://ecmoresource.com/shop/p/ecmo-specialist-patient-mobility-guide monthly 0.5 2024-09-23 https://images.squarespace-cdn.com/content/v1/5f3cfc86ce45d426794d2f63/b207ec1e-0523-4824-a724-e04bc35366df/LV+Distension+%2843%29.png Shop - ECMO Specialist Patient Mobility Guide - Adult Focus