{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T19:17:47Z","timestamp":1791659867211,"version":"4.3.4"},"reference-count":23,"publisher":"AACN Publishing","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>By July 2020, the Extracorporeal Life Support Organization had documented more than 133\u2009000 extracorporeal membrane oxygenation (ECMO) implementations, with more than 61\u2009000 implementations in adult patients. No clear policies regarding the authority and responsibility of nursing staff in the treatment of ECMO-supported patients are currently available.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To formulate evidence-based recommendations for nursing care of ECMO-supported patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The National Head Nurse\u2019s office and the Professional Guidelines Department in the Nursing Division of Israel\u2019s Ministry of Health formed the Professional Advisory Committee on Nursing Practice in the Care of ECMO-Supported Patients to address concerns regarding the current state of professional nursing practice in the care of these patients. The Professional Advisory Committee brought together 15 senior Israeli ECMO nursing experts who explored the potential of registered nurses in caring for ECMO-supported patients, considered the competencies of nurses treating ECMO-supported patients, discussed training programs and health care policy, and examined nursing outcomes for quality assurance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The Professional Advisory Committee formulated recommendations regarding the following priority issues: (1) determining boundaries of professional authority and nurses\u2019 responsibilities, including designated activities for different professional ranks of registered nurses; (2) providing appropriate content for the training programs offered, such as generic\/basic, above-basic, and clinical specialization nursing programs; and (3) defining relevant quality measures for nursing treatment of ECMO-supported patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Introducing international standards would ensure the safety and effectiveness of nursing care for ECMO-supported patients through quality and risk management and establishment of new evidence-based nursing practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4037\/ccn2021415","type":"journal-article","created":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T15:28:57Z","timestamp":1613575737000},"page":"e1-e8","source":"Crossref","is-referenced-by-count":23,"title":["Recommendations From the Professional Advisory Committee on Nursing Practice in the Care of ECMO\u2013Supported Patients"],"prefix":"10.4037","volume":"41","author":[{"given":"Semyon","family":"Melnikov","sequence":"first","affiliation":[{"name":"Semyon Melnikov is a senior lecturer in the Department of Nursing, Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Furmanov","sequence":"additional","affiliation":[{"name":"Alex Furmanov is a head nurse of neuro and cardiothoracic surgery intensive care units (ICUs) at Hadassah Medical Center, Ein Kerem, Jerusalem, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alik","family":"Gololobov","sequence":"additional","affiliation":[{"name":"Alik Gololobov is a coordinator of nursing professional development and standards at Assuta Medical Center, Tel Aviv."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad","family":"Atrash","sequence":"additional","affiliation":[{"name":"Muhammad Atrash is a head nurse of the ICU at Baruch Padeh Medical Center, Poriya, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaya","family":"Broyer","sequence":"additional","affiliation":[{"name":"Chaya Broyer is a head nurse of the ICU at Shaare Zedek Medical Center, Jerusalem."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Gelkop","sequence":"additional","affiliation":[{"name":"Marta Gelkop is a head nurse of the Cardiothoracic Surgery Department at Rabin Medical Center, Petah Tikva, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Slava","family":"Gezunterman","sequence":"additional","affiliation":[{"name":"Slava Gezunterman is an ECMO coordinator in the cardiac surgery ICU at Sheba Medical Center, Ramat Gan, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tova","family":"David","sequence":"additional","affiliation":[{"name":"Tova David is a coordinator, Professional Guidelines and Standards Department, Nursing Division, Ministry of Health, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Limor","family":"Eisenberg","sequence":"additional","affiliation":[{"name":"Limor Eisenberg is a head of the Professional Guidelines and Standards Department, Nursing Division, Ministry of Health."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esam","family":"Kadry","sequence":"additional","affiliation":[{"name":"Esam Kadry is a head nurse of the heart surgery ICU at Rambam Medical Center, Haifa, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruti","family":"Nave","sequence":"additional","affiliation":[{"name":"Ruti Nave is a registered nurse in the ICU at Tel Aviv Sourasky Medical Center, Tel Aviv, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edna","family":"Shalom","sequence":"additional","affiliation":[{"name":"Edna Shalom is a head nurse of the cardiothoracic surgery ICU at Sheba Medical Center."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noga","family":"Shoval","sequence":"additional","affiliation":[{"name":"Noga Shoval is a lecturer and clinical coordinator at The Yezreel Valley Academic College of Emek Yezreel, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Traytel","sequence":"additional","affiliation":[{"name":"Gregory Traytel is a deputy head nurse of the Cardiothoracic Surgery Department at Rabin Medical Center."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nagah","family":"Zaid","sequence":"additional","affiliation":[{"name":"Nagah Zaid is a head nurse of the pediatric cardiac ICU and pediatric cardiac catheterization unit at Sheba Medical Center."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoshy","family":"Goldberg","sequence":"additional","affiliation":[{"name":"Shoshy Goldberg is the National Head Nurse of Israel and the Director of the Nursing Department at Ministry of Health."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Vardi","sequence":"additional","affiliation":[{"name":"Amir Vardi is the Head of the pediatric cardiac ICU and the Director of ECMO service at the Edmond and Lily Safra Children\u2019s hospital, Sheba Medical Center."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2471","reference":[{"issue":"1","key":"2022042504253523400_b1-04100e1","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.jtcvs.2016.02.067","article-title":"Contemporary extracorporeal membrane oxygenation therapy in adults: fundamental principles and systematic review of the evidence","volume":"152","author":"Squiers","year":"2016","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022042504253523400_b2-04100e1","unstructured":"Extracorporeal Life Support Organization\n          . ECLS registry report. July\u20082020. Accessed January 25, 2021. https:\/\/www.elso.org\/Registry\/Statistics\/InternationalSummary.aspx"},{"issue":"1","key":"2022042504253523400_b3-04100e1","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1097\/MAT.0000000000000160","article-title":"Extracorporeal membrane oxygenation use has increased by 433% in adults in the United States from 2006 to 2011","volume":"61","author":"Sauer","year":"2015","journal-title":"ASAIO J"},{"issue":"2","key":"2022042504253523400_b4-04100e1","doi-asserted-by":"publisher","first-page":"416","DOI":"10.1016\/j.jtcvs.2013.09.033","article-title":"Resource use trends in extracorporeal membrane oxygenation in adults: an analysis of the Nationwide Inpatient Sample 1998\u20132009","volume":"148","author":"Maxwell","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022042504253523400_b5-04100e1","unstructured":"Global map. Johns Hopkins University & Medicine Coronavirus Resource Center. Accessed January 23, 2021. https:\/\/coronavirus.jhu.edu\/map.html"},{"issue":"13","key":"2022042504253523400_b6-04100e1","doi-asserted-by":"publisher","first-page":"1245","DOI":"10.1001\/jama.2020.2342","article-title":"Preparing for the most critically ill patients with COVID-19: the potential role of extracorporeal membrane oxygenation","volume":"323","author":"MacLaren","year":"2020","journal-title":"JAMA"},{"issue":"5","key":"2022042504253523400_b7-04100e1","doi-asserted-by":"publisher","first-page":"518","DOI":"10.1016\/S2213-2600(20)30121-1","article-title":"Planning and provision of ECMO services for severe ARDS during the COVID-19 pandemic and other outbreaks of emerging infectious diseases","volume":"8","author":"Ramanathan","year":"2020","journal-title":"Lancet Respir Med"},{"issue":"6","key":"2022042504253523400_b8-04100e1","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1007\/s00134-018-5064-5","article-title":"Position paper for the organization of ECMO programs for cardiac failure in adults","volume":"44","author":"Abrams","year":"2018","journal-title":"Intensive Care Med"},{"key":"2022042504253523400_b9-04100e1","unstructured":"New Zealand Ministry of Health\n          . Service model: extra corporeal membrane oxygenation (ECMO). May\u20082017. Accessed January 4, 2021. https:\/\/nsfl.health.govt.nz\/system\/files\/documents\/pages\/service_model_-_ecmo_consultation_version_0.pdf"},{"key":"2022042504253523400_b10-04100e1","unstructured":"Extracorporeal Life Support Organization\n          . ELSO guidelines for ECMO centers. Version 1.8. March\u20082014. Accessed January 4, 2021. https:\/\/www.elso.org\/Portals\/0\/IGD\/Archive\/FileManager\/faf3f6a3c7cusersshyerdocumentselsoguidelinesecmocentersv1.8.pdf"},{"key":"2022042504253523400_b11-04100e1","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1007\/978-3-319-20101-6_12","article-title":"Training of nurses and continuing education in ECMO","volume-title":"Nursing Care and ECMO","author":"Priest","year":"2017"},{"issue":"4","key":"2022042504253523400_b12-04100e1","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1016\/j.mpsur.2018.01.007","article-title":"Design, organization and staffing of the intensive care unit","volume":"36","author":"Johnson","year":"2018","journal-title":"Surgery (Oxford)"},{"issue":"5","key":"2022042504253523400_b13-04100e1","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1164\/rccm.201404-0630CP","article-title":"Position paper for the organization of extracorporeal membrane oxygenation programs for acute respiratory failure in adult patients","volume":"190","author":"Combes","year":"2014","journal-title":"Am J Respir Crit Care Med"},{"key":"2022042504253523400_b14-04100e1","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1007\/978-3-319-20101-6_5","article-title":"Monitoring the ECMO","volume-title":"Nursing Care and ECMO","author":"Mossadegh","year":"2017"},{"issue":"2","key":"2022042504253523400_b15-04100e1","doi-asserted-by":"publisher","first-page":"233","DOI":"10.4103\/0974-2700.82211","article-title":"Clinical pathology of the shock syndromes","volume":"4","author":"Bonanno","year":"2011","journal-title":"J Emerg Trauma Shock"},{"issue":"6","key":"2022042504253523400_b16-04100e1","doi-asserted-by":"publisher","first-page":"698","DOI":"10.1016\/j.jacc.2018.11.038","article-title":"Venoarterial ECMO for adults: JACC scientific expert panel","volume":"73","author":"Guglin","year":"2019","journal-title":"J Am Coll Cardiol"},{"issue":"4","key":"2022042504253523400_b17-04100e1","doi-asserted-by":"publisher","first-page":"902","DOI":"10.1053\/j.jvca.2018.06.003","article-title":"Extracorporeal membrane oxygenation is a team sport: institutional survival benefits of a formalized ECMO team","volume":"33","author":"Dalia","year":"2019","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"2022042504253523400_b18-04100e1","unstructured":"Extracorporeal Life Support Organization\n          . ELSO guidelines for training and continuing education of ECMO specialists. Version 1.5. February\u20082010. Accessed January 4, 2021. http:\/\/www.elso.org\/portals\/0\/igd\/archive\/filemanager\/97000963d6cusersshyerdocumentselsoguidelinesfortrainingandcontinuingeducationofecmospecialists.pdf"},{"key":"2022042504253523400_b19-04100e1","first-page":"479","article-title":"ECMO administrative and training issues, and sustaining quality","volume-title":"ECMO: Extracorporeal Cardiopulmonary Support in Critical Care","author":"Ogino","year":"2012","edition":"4th"},{"key":"2022042504253523400_b20-04100e1","volume-title":"ECMO Specialist Training Manual","author":"Brogan","year":"2018","edition":"4th"},{"issue":"5","key":"2022042504253523400_b21-04100e1","doi-asserted-by":"publisher","first-page":"753","DOI":"10.1007\/s00134-016-4293-8","article-title":"Ten things that RNs should know about ECMO","volume":"42","author":"Van Kiersbilck","year":"2016","journal-title":"Intensive Care Med"},{"key":"2022042504253523400_b22-04100e1","unstructured":"World Health Organization\n          . 2020. Accessed at January 26, 2021. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/nursing-and-midwifery"},{"key":"2022042504253523400_b23-04100e1","unstructured":"Quality measures. Centers for Medicare & Medicaid Services. Accessed January 27, 2021. https:\/\/www.cms.gov\/Medicare\/Quality-Initiatives-Patient-Assessment-Instruments\/QualityMeasures"}],"container-title":["Critical Care Nurse"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aacnjournals.org\/ccnonline\/article-pdf\/41\/5\/e1\/138145\/e1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/aacnjournals.org\/ccnonline\/article-pdf\/41\/5\/e1\/138145\/e1.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,25]],"date-time":"2022-04-25T00:25:53Z","timestamp":1650846353000},"score":1,"resource":{"primary":{"URL":"https:\/\/aacnjournals.org\/ccnonline\/article\/41\/5\/e1\/31289\/Recommendations-From-the-Professional-Advisory"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,1]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,10,1]]}},"URL":"https:\/\/doi.org\/10.4037\/ccn2021415","relation":{},"ISSN":["0279-5442","1940-8250"],"issn-type":[{"value":"0279-5442","type":"print"},{"value":"1940-8250","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,1]]}}}