Equipment
This is the name of the cart that houses necessary ECMO supplies within PICU.
What is the open chest cart?
This is the color of the code button that should be pushed for all pediatric code blues.
What is pink?
This is the crucial early step, per Dr. Kim, for neuroprotection.
What is ice to the head?
This is the title of the person who manages the ECMO circuit.
What is a perfusionist?
This is the name of electrocautery machine.
What is the Bovie?
This the person who is responsible for delegating calls.
What is the charge nurse.
These are at least 2 medications needed prior to ECMO initiation.
What are heparin, fentanyl, midazolam, rocuronium, and hydrocortisone?
This the name of the circuit part that is responsible for gas exchange.
What is an oxygenator?
This is the name of the hand-made kit that lives on top of the open chest cart.
What is the PICU ECMO Pack?
This is at least two of the locations that houses the ECMO activation call list.
What is the back of the CAP form, taped to the computer by the CP, and in the cardiac resource binder?
These are at least 2 tasks that must be performed prior to the arrival of the surgical team.
What is complete activation calls, remove extra equipment from bedside, adjust bed height, ensure med line is open and accessible, place Bovie in room + plug in + attach pad, and place sterile instrument tray in appropriate location?
This is the name of type of pump that is used in ECMO within CSMC.
What is a centrifugal pump?
These are the 3 locations that the cardiac surgical instrument trays are stored (I.E not sterile processing or the OR).
What is on top of the open chest cart, in the medication room, and on pediatrics?
This is at least one additional person (not surgeon, perfusionist, or PICU intensivist) who can come support PICU during ECMO cannulation.
What is the peds, NICU, and adult CSICU charge RNs, RRT RNs, and AOD?
This is the location of the ECMO circuit and Bovie machine during ECMO cannulation.
What is at the end of the bed?
This aids in CO2 removal.
What is sweep gas?
This is at least 2 additional items or equipment (not Bovie, open chest cart, ECMO PICU pack, peds cardiac pack, or sterile instrument tray) that must be brought to the bedside for ECMO cannulation, and where they are located.
What is the crash cart, un-crossmatched blood, cannulation medications, step stool, headlamp, bedside tables, additional suction cannisters?
This must be done by the MD after utilizing the un-crossmatched blood from the unit.
What is completing the white piece of paper?
This is the dose of heparin given prior to ECMO initiation.
What is 75 units/kg?
This is the chemical that coats the hollow fibers on the oxygenator.
What is polymethylpentene?