For new nurses to the PICU our nurse educator requires that we pick up "Manual of Pediatric Criticl Care" by Mary Fran Hazinski. Our residents and nurses both use the "Handbook of Pediatric Intensive Care" by Rogers and Helfaer. Hope this helps!
I work in a PICU that uses only RT's trained with perfusionists to run ECMO while the RN monitors the pt. I haven't worked there long, but I have found that the division of responcibility works well with the complicated pts. Not all of the RT's on the floor have the training to monitor the pump, but those that do are very competent.