Table 2. Nursing care for patients with COVID-19 on ECMO support.

Items	Initiation of ECMO	Continuation of ECMO	ECMO weaning, decannulation
Nursing management	Mainly ICU nurses manage the patient Day shift: 3 nurses Night shift: 2 nurses Education for Nurses Explanation of equipment from a clinical engineer Distribution of leaflets prepared by a nurse certified in intensive care	New nurses work with experienced nurses Expert nurses work at regular intervals Day shift: 3 nurses Night shift: 2 nurses Ensure a smooth handoff with a note	Day shift: 3 nurses Night shift: 2 nurses Ensure a smooth handoff with a note
Nursing Care	Monitoring ECMO Ensuring a sufficient flow rate Monitoring ventilation Checking vital signs Management of sedation Preventing MDRPUs (medical device-related pressure ulcers) Hygiene and personal care Providing comfort care	Monitoring ECMO Ensuring a sufficient flow rate Monitoring ventilation Checking vital signs Management of sedation Preventing MDRPUs (medical device-related pressure ulcers) Hygiene and personal care Providing comfort care Mobilization	Monitoring ECMO Ensuring a sufficient flow rate Monitoring ventilation Checking vital signs Management of sedation Preventing MDRPUs (medical device-related pressure ulcers) Hygiene and personal care Providing comfort care Mobilization Preparation for removal of ECMO
Family support	Family meeting Explaining the purposes and trajectory of ECMO and its time-limited nature	Family meeting Discussing where we have been, what the present looks like, and time-limited trials Family meets with the patient via video call	Family meeting Explaining the likelihood of recovery risks Family meets with the patient via video call

ECMO, extracorporeal membrane oxygenation.