Sample interview questions: How do you handle patients who require emergency extracorporeal membrane oxygenation (ECMO)?
Sample answer:
When faced with patients who require emergency extracorporeal membrane oxygenation (ECMO), as an Emergency Room (ER) Nurse, my primary focus is to provide immediate and life-saving interventions. ECMO is a complex procedure used to support patients with severe cardiac or respiratory failure when conventional therapies fail to provide adequate oxygenation and perfusion.
First and foremost, I would collaborate closely with the multidisciplinary team, including physicians, respiratory therapists, perfusionists, and ECMO specialists. This collaboration ensures a comprehensive approach to patient care and allows for timely decision-making regarding the initiation and management of ECMO.
Assessment of the patient’s condition is crucial in determining the need for ECMO. I would carefully evaluate the patient’s vital signs, oxygen saturation, level of consciousness, and overall clinical presentation. This assessment helps in identifying patients who may benefit from ECMO support.
Once the decision is made to initiate ECMO, I would assist in preparing the patient for the procedure. This involves establishing vascular access, typically by inserting large-bore cannulas into central veins or arteries, which are connected to the ECMO circuit. I would ensure proper placement and securement of these cannulas to prevent complications such as bleeding or dislodgement.
During ECMO initiation, it is essential to maintain close monitoring of the patient’s hemodynamic parameters, oxygenation, and ventilation. This includes continuous assessment of arterial blood gases, arterial and venous pressures, and monitoring for any signs of complications or circuit malfunction.
I would also provide ongoing ca… Read full answer
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