Caroline Hart, BSRC, RRT

• Perform and monitor hemodynamic management during cardiopulmonary bypass procedures. Use S5 and Ezzenz CPB machines, along with Istat, during cases to monitor ACTs. Use Sorin cell savers to collect and process blood from each cases. Collect and interpret ABGs during cases to monitor the patient. Also set up and implemented IABP when needed on cases. Assist with implementation of Impella CP and 5.5 in scheduled cases and emergent situations.
• Cases include multi-vessel CABG, Valve Cases, Aortic Dissections, and repairs of genetic defects in adults.
• Assist in the selection of appropriate cannulas and equipment for each case, per surgeon preferences.
• Maintain perfusion records according to departmental standards.
• Monitor patient vital signs throughout the procedure and adjust parameters as necessary.
• Assist in initiation and monitoring of VA and VV ECMO patients in the Operating Room, ICU, and Emergency Department.

• Operated heart-lung bypass machines to provide cardiopulmonary support during surgery. Used the S1 CPB pump, Hepcon, Istat and Sorin cell saver.
• Monitored patients' hemodynamic parameters such as blood pressure, oxygenation, temperature and blood gases.
• Maintained aseptic technique while setting up and operating equipment used in open-heart surgeries.
• Collaborated with surgeons and anesthesiologists to ensure optimum care of patients under extracorporeal circulation.

• Administered bronchodilators, antibiotics, mucolytics, and anti-inflammatory medications via devices such as hand-held nebulizers, metered-dose inhalers, and positive pressure devices.
• Assisted physicians with intubations, ventilator management and bronchoscopies. Used standard ventilators, jet and oscillator ventilators, home ventilators and the VDR ventilator.
• Educated patients on treatment options, medication administration, therapy self-management and care plans.
• Collected, analyzed and interpreted arterial and capillary blood gases.
• Assisted in priming ECMO machines for activations as well as maintain circuit by utilizing hemodynamic monitoring and managing heparin per our protocol. Maintained cannula and circuit per our protocol. Assisted in decannulation and cleaning of all pump equipment and setting up pumps for standby.

Worked as seasonal staff

• Interacted with patients, family members and physicians to coordinate patient care.
• Collected, analyzed and interpreted arterial blood gas.
• Administered bronchodilators, antibiotics, mucolytics, and anti-inflammatory medications via devices such as hand-held nebulizers, metered-dose inhalers, and positive pressure devices.

Worked as temporary seasonal therapist.

• Interacted with patients, family members and physicians to coordinate patient care.
• Worked in PICU and Trauma Intensive Care managing airways and ventilators.
• Administered bronchodilators, antibiotics, mucolytics, and anti-inflammatory medications via devices such as hand-held nebulizers, metered-dose inhalers, and positive pressure devices.
• Documented patient information and treatments in confidential electronic health records.

• Managed up to 300 horses at once by managing needs such as feeding, grooming and watering and ordering appropriate supplies.
• Maintained medical and farrier records of all horses on the property including newborn foals, yearling, mares, stallions and show horses.
• Helped design a state of the art foaling barn that included a full operating room, ICU stall, and complete medical laboratory and pharmacy.
• Hired, trained and supervised six to twelve employees who assisted in managing horses and ranch operations.
• Managed all breeding and deliveries of up to 75 foals a year.
• Managed sale preparation of all horses that were entered in sales throughout the country.

• Managed and administered gas and IV anesthesia for scheduled and emergent procedures at large equine referral hospital.
• Cleaned and sterilized all surgical packs and instruments.
• Placed intravenous and arterial lines as needed.
• Taught visiting interns and externs how to intubate and place needed lines and how to maintain appropriate anesthetic levels.
• Certified by United States Department of Agriculture to run a blood test specific to horses. Maintained all records and paperwork and the lab needed for this test.