Teka Siebenaler
Junction City,WI
Summary
Dedicated respiratory therapist with a 28-year career in neonatal/pediatric intensive care medicine, ECMO, and mechanical circulatory support (MCS), including temporary and durable VAD support. Passionate professional with a drive to continue to enhance patient care, by providing a solid evidence based education foundation, and providing encouraging, positive leadership. Dedicated to training and mentoring talent while cultivating a safe, productive work culture.
Overview
29
29
years of professional experience
Work History
ECMO/CRRT & Hemodynamic Support Coordinator
Marshfield Medical Center
12.2022 - Current
- Responsibilities include training and orienting, developing competencies and mentoring
- Development of all mechanical circulatory support policies, procedures, guidelines, QA/QI and implementation of protocols
- Unification of temporary MCS offered at MCHS into a dedicated department, with data registry participation, QI/QA projects and multi-disciplinary oversight
- Ensuring the ECMO program is compliant with Extracorporeal Life Support Organization (ELSO) guidelines and recommendations
- Specific QA/QI projects partnering with IP on BSI (including with CRRT patients)
- IABP/Impella including indications, outcomes, complications
- VAD expert for on-site clinical questions
- Wound and Cannula/Central Line Site care QI/QA
- Additional responsibilities as part of the local and MCHS System Resuscitation Committee.
- Developed internal requirements and standards to minimize regulatory risks and liability across programs.
- Conducted ongoing reviews of program financial systems to assess cost control measures.
ECMO, VAD and CRRT Program Manager
Norton Children’s Hospital and Norton Healthcare
04.2014 - 11.2022
- Managed team of 20+ ECMO specialist and 2 coordinators
- Provided mechanical circulatory support for neonatal, pediatric and adult patients
- Responsibilities included team recruitment and retention; payroll, scheduling, department budgets and personnel management
- In addition to administrative responsibilities, my role includes providing direct MCS patient care, priming and handling circuit changes, emergencies etc
- Was responsible for care and coordination of patients on ECMO or ventricular assist devices, including Impella and durable devices
- As pediatric VAD program evolved, I became primary Pediatric VAD coordinator for all of durable and temporary devices
- Partnered with Quality, Safety and Innovation Department on number of initiatives-wound care, failure to rescue, infection prevention and utilizing Reaching 4 Zero Safety Culture.
- Met with project stakeholders on regular basis to assess progress and make adjustments.
- Addressed and resolved technical, financial, and operational concerns by working with team members and directors.
- Managed multiple strategic projects with numerous sub-projects or workstreams.
- Established performance goals for employees and provided feedback on methods for reaching those milestones.
- Launched quality assurance practices for each phase of development
Clinical Research Coordinator
University of Minnesota Cystic Fibrosis Center
04.2013 - 04.2014
- Responsibilities included: Study procedure planning, conducting subject visits, meeting with patients and participant recruitment
- In addition, adherence to all protocol policies, governmental regulations surrounding sponsored studies and prepare and review all study documents.
- Collected data and followed research protocols, operations manuals, and case report form requirements.
- Monitored patient safety throughout clinical trials and reported any adverse events.
- Managed patient recruitment, informed consent process and data entry to support trial objectives.
- Developed and maintained accurate and up-to-date case report forms and source documents.
- Followed clinical research protocols and conducted study visits in compliance with ICH/GCP and FDA regulations.
- Prepared and maintained regulatory documents for clinical trial submissions.
- Reviewed referral information and kept track of intakes from various referral sources.
Newborn Resuscitation Program Coordinator
University of Minnesota Amplatz Children’s Hospital
06.2005 - 03.2014
- Coordinated the NRP program for approximately 350 learners and manage 50 instructors
- Responsible for scheduling, implementing changes, payroll, reviews and all areas of employee management
- Dedicated to maintaining the high-quality standards of the program set by the American Academy of Pediatrics
- Key Accomplishments: Successfully transitioned a 5 hospital system to the current NRP standards
- Provide NRP based education for Fairview Health Service as well as surrounding hospitals
- Assisted with training and implementation of 2 high fidelity NRP simulation teams.
- Designed program implementation and maintenance plan.
- Created and enforced programming standards to maintain compliance with regulatory requirements.
- Facilitated programming by coordinating resources and deliverables between departments.
- Improved program offerings based on changing trends, audience feedback and directives from key stakeholders
Respiratory Therapist
University of Minnesota Amplatz Children’s Hospital
11.1998 - 03.2014
- Worked as a respiratory therapist in the neonatal and pediatric care units
- Actively participated in high-risk delivery teams, RRT teams and provide all modalities of respiratory care
- This includes but is not limited to NIPPV, iNO, HFOV, HFJV, and mechanical ventilation
- Participated in a variety of committees that provided education to all staff and a quality-focused group in the NICU
- Served as a preceptor for new staff and as a NICU focused educator for nursing and cardiopulmonary teams.
- Monitored patient's physiological responses to therapy such as vital signs, arterial blood gases, and blood chemistry changes.
- Managed and operated mechanical ventilators to deliver airway management.
- Provided comprehensive care to improve and strengthen clients' respiratory functions.
Interim ECMO Co-Coordinator
University of Minnesota Amplatz Children’s Hospital
07.2010 - 04.2011
- Assisted with management and coordination of the ECMO staff
- Worked on several patient-related quality improvement projects; implemented a new ECMO equipment rollout and maintained the quality standards of the ELSO program.
Neonatal/Pediatric Respiratory Therapist
Hennepin Country Medical Center
01.1997 - 01.1998
- Joined a new neonatal/pediatric focused care team
- Participated in daily rounds, managed all modalities of respiratory care, including HFOV, HFFI and mechanical ventilation
- As a Level 3 trauma center, participated in all ED emergencies and stabilizations
- Participated in patient transport, hyperbaric medicine and trauma calls.
- Cooperated and communicated with physicians to deliver patient satisfaction and meet compliance with set standards.
- Provided antibiotics, bronchodilators, and anti-inflammatory medications with hand-held nebulizers, metered-dose inhalers and positive pressure equipment.
- Completed continued education units annually to stay current with respiratory therapy advancements and maintain compliance with administrative regulations.
- Aided physicians with various procedures such as bronchoscopies, ventilator management, and intubations.
Respiratory Therapist
Fairview Southdale Hospital
01.1996 - 01.1997
- Respiratory therapist in a community-based hospital
- Provided care to all ages and assisted in all areas of the hospital, including the ED, floors, CVICU and ICU.
- Provided comprehensive care to improve and strengthen clients' respiratory functions.
- Monitored patient reactions to drugs and carefully documented findings.
- Monitored patient's physiological responses to therapy such as vital signs, arterial blood gases, and blood chemistry changes.
- Managed and operated mechanical ventilators to deliver airway management.
- Assessed, diagnosed, and treated breathing issues.
- Tested pulmonary function and analyzed arterial blood gas to identify abnormalities and issues with patient lung function.
- Cooperated and communicated with physicians to deliver patient satisfaction and meet compliance with set standards.
Education
Masters of Public Health -
Bachelor of Applied Studies (Respiratory Care Emphasis) -
Associate of Science (A.A.S) - undefined
Skills
- Team Collaboration
- Event Planning
- Simulation Trained Expert
- SME for ICU's, MCS and Cardiac Monitoring
- SME for Adult and Pediatric Resuscitation
Affiliations
- PALS Instructor
- NRP Regional Trainer (retired)
- BLS/ACLS Certified
- AARC Member #9577919
- NBRC Member #145929
- Wisconsin Board of Respiratory Care
Acknowledgements
- 2021 NCH Boss of the Month
- Exceptional Contributor Award 2011
- New RN Mentoring Award 2005, 2007 and 2007
Professionalaccomplishments
- 2018-2022 ICCAC Pediatric VAD Task Force Co-Chair
- 2020-2022 AARC Liaison to Newborn Resuscitation Steering Committee
Conference Presentations
- 8/24 MN ECMO Pinnacle Symposium “ECMO 101”
- 12/2023 2nd Annual Trauma Symposium ‘ECMO and Trauma’
- 4/2023 Northern Regional Respiratory Care Conference “Respiratory Therapy and Pediatric ECMO”
- 2/2023 Annual Children’s National Symposium: ECMO and the Advanced Therapies for Cardiovascular and Respiratory Failure Coordinator’s Meeting “VAD, CRRT and Plasma Exchange Training
- 9/2019 Kentucky Pulmonary Summit- “Adult ECMO and Current trends in Respiratory Failure”
- 9/2017 UPMC ELSO Conference, “Use of FEIBA in Post-Operative Massive Hemorrhage on ECMO”
- 11/2015 Minnesota Perfusion Society Fall Meeting “A New Center’s Experience with HVAD’s in Children”
- 9/2015 Kentuckiana Pulmonary Conference “Mechanical Circulatory Support in Children”
- 9/2013 6th District Neonatology Meeting “Life Saving Procedures in the NICU”
- 11/2012 AARC Poster “Strategies for Simulation-Based Education In a Large Multi-Campus Academic Center Respiratory Care Department”
- 9/2012 6th District Neonatology Meeting “NICU Skills Stations”
- 10/2011 Wisconsin Society of Respiratory Care “Neonatal Care from Delivery to Discharge”
- 9/2011 North Central Biomedical Association Conference “Respiratory Care 101”
- 11/2011 Wisconsin Society of Respiratory Care ‘Neonatal Stabilization and Transport”
Simulation Education Projects
- 2022-current ECMO Choreography simulation at Marshfield in the ICU’s and Emergency Room
- 2014-2022 Enhanced existing ECMO simulation program to include multidisciplinary simulations in all clinical areas, including the ED, CICU, PICU, NICU, Cath lab and operating rooms.
- 2013 Coordinated the ‘Ideal Delivery of a Preterm Infant” for a Vermont Oxford Collaborative Video
- 2011 North Memorial Medical Center-Trained Staff to implement Newborn Simulation Program using High Fidelity Simulators
- 2011 Gunderson-Lutheran Hospital Lacrosse WI-Coordinated Newborn Simulation Training and Facilitated Newborn and Maternal transport simulations
- 2010 Rocky Mountain Hospital for Children-Implementation and Training for Newborn Simulation program
Clinicalinitiatives
- Creation of a QI/QA dashboards for all forms of MCS at Marshfield Medical Center with Participation of Marshfield System Cardiac Quality Committee
- Creation of a Cardiogenic Shock Program at Marshfield Medical Center
- Leading the team to create and implement ERAS-Cardiac at Marshfield Medical Center
Specialtytraining
- Expert in simulation and debriefing
- Trained to run a variety of high fidelity simulators
- ECMO training and ongoing competency and component training
- EMS Program Educator at the University of Minnesota
- EMS Trainer for Dakota County EMS Services
- Participated in SCAI Shock Team Training 2023 and 2024
- Subject Matter Expert in ICU's, MCS and Cardiac Arrests
References
- Alicia Hanna, Manager, Pediatric ICU, Norton Children’s Hospital, Louisville, KY, 40202, Alicia.pike@nortonhealthcare.org
- Jeremy Hawkins CCP, Perfusionist, University of Alabama, Jeremy.hawkins@childrensal.org, 864-202-8896
- Dr. Kari Roberts, Division of Neonatology, Univ of MN Amplatz Children's Hospital, 2450 Riverside Ave, MB636, Mpls, MN, 55454, Rober694@umn.edu, 612-625-9577 (Office)
- Dr. Joshua Sparks, Pediatric Heart Failure/Transplant Cardiologist, Joshua.sparks@louisville.edu, 502-714-3278
- Marnie Huss, System Director for Clinical Education and Learning (retired)
Timeline
ECMO/CRRT & Hemodynamic Support Coordinator - Marshfield Medical Center
12.2022 - Current
ECMO, VAD and CRRT Program Manager - Norton Children’s Hospital and Norton Healthcare
04.2014 - 11.2022
Clinical Research Coordinator - University of Minnesota Cystic Fibrosis Center
04.2013 - 04.2014
Interim ECMO Co-Coordinator - University of Minnesota Amplatz Children’s Hospital
07.2010 - 04.2011
Newborn Resuscitation Program Coordinator - University of Minnesota Amplatz Children’s Hospital
06.2005 - 03.2014
Respiratory Therapist - University of Minnesota Amplatz Children’s Hospital
11.1998 - 03.2014
Neonatal/Pediatric Respiratory Therapist - Hennepin Country Medical Center
01.1997 - 01.1998
Respiratory Therapist - Fairview Southdale Hospital
01.1996 - 01.1997
College of St. Catherine’s University - Associate of Science (A.A.S),
Capella University - Masters of Public Health,
University of Minnesota Crookston - Bachelor of Applied Studies (Respiratory Care Emphasis),
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