Pam Marks Email & Phone Number

California Pacific Medical Center, San Francisco, Ca

Responsible for all aspects of coordination of patient evaluation for advanced heart failure therapies from referral through listing for transplant or ventricular assist device placement while maintaining effective use of hospital and clinical resources.Provide initial education and continually assesses need for ongoing education to patient and families through the transplant and MCS care continuum.Closely monitor patients with NYHA Class III / IV and AHA/ACC Stage C/D heart failure status while being evaluated for advanced heart failure therapies. Responsible for monitoring all patients listed with UNOS while awaiting heart donors.Participate in the development and implementation of protocol and policies for the pre-transplant patient.Provide on call coverage for all solid organ transplantation to include coordination of activities prior to transplant, communication between physicians, local organ procurement organization, histocompatibility lab, blood bank, patient / families and medical team involved.Perform all necessary documentation according to the United Network of Organ Sharing (UNOS) guidelines to include listing, status changes and post-transplant follow up forms.Coordination of inpatient mechanical circulatory support patient care including intra-operative device management and participation in post-operative preparation for discharge.Coordination of long term management and follow up care for outpatients post VAD implant.Provided on call coverage for the mechanical support device program, supporting patients in need of emergency advice for the VADs. Provided education to nursing staff ongoing basis for mechanical support devices.Facilitate ongoing data collection for INTERMACS, the national data registry for mechanical circulatory support.

Provide direct care of the TICU patient, including management of patients requiring cardiac monitoring, interpretation of dysrhythmias and the therapeutic interventions, , vasoactive drug therapy, and patients with long term stable ventricular assist devices(VAD), and patients being treated for rejection of their transplanted hearts.

• Manage general patient activities including monitoring I.V. conscious sedation cases• Serve as emergency team member• Teach and Monitor all dental students and residents adherence to practice of infection control and total patient management throughout all surgical procedures• Maintain inventory to ensure adequate supplies, medications and instruments• Provide first-aid care to students, faculty, and staff to include attainment of medical/social histories; refer individuals to general practitioners or specialists as necessary; arrange for required laboratory tests.• Organize and provide all Hepatitis B, influenza vaccines and tuberculin skin testing.

Directly supervise, assist and act as a resource to the staff nurses for providing patient careCoordinate all activities related to efficient management of unitResponsible for staff scheduling, maintaining balance between effective patient care and budgetary constraintsServe as a clinical resource for co-workers ensuring that a standard of practice is maintainedDelegate and coordinate patient care, collaborating with a multi-disciplinary health care team to ensure highest level of care for patients on the unitFacilitate ongoing change of unit to become a higher-acuity Transitional Intensive Care UnitProvide direct care of the TICU patient, including management of patients requiring cardiac monitoring, interpretation of dysrhythmias and the therapeutic interventions, pacemaker interventions, vasoactive drug therapy, long-term ventilator weaning and patients with long term stable ventricular assist devices(VAD)Taught classes on electrical therapy(defibrillation and cardioversion) and care of patients with long term VADsDemonstrate outstanding intravenous insertion skills