CVVHD/Hemodialysis Management (e.g., Prismaflex, NxStage, Aquadex): Assist in setup of continuous veno-venous hemodiafiltration (CVVHD) or hemodialysis devices integrated into the ECMO circuit; monitor therapy parameters including dialysate flow, ultrafiltration rates, electrolyte balance, and fluid removal; manage ongoing therapy by adjusting settings for optimal clearance and patient stability; troubleshoot issues such as filter clotting, pressure alarms, or access problems, following hospital guidelines for renal replacement therapy in ECMO patients. Blood Product Administration to ECMO Circuit: Following physician guidance & orders, administer blood products (e.g., packed red blood cells, platelets, fresh frozen plasma, cryoprecipitate) via the ECMO circuit to maintain target blood count parameters and physician guided platelet & coagulation cascade functionality; monitor transfusion effects on circuit function and patient hemostasis; troubleshoot & monitor for transfusion-related complications & reactions.