Duties & Responsibilities
Candidate/Living Donor Phase: Identifies absolute and relative contraindications to transplantation/donation. Knowledge of abnormal diagnostic and laboratory testing in pre-transplant patient/living donor population and ability to interrupt results and maintain program criteria protocols for inclusion for transplant candidacy/living donation; Participates in both patient/living donor, and family education; Assist in the evaluation and selection of transplant candidates/potential living donors; Assist transplant candidates/living donors with reviewing informed consent information/education and confirm patient understanding. Maintains appropriate monitoring of patients’ status throughout evaluation and while on the deceased donor organ transplant waiting list/pending donation; Knowledge of UNOS and CMS regulations for pre transplant evaluation/living donation. communications, listing and waitlist maintenance/management; Knowledge of listing criteria for specific organs, upgrades, appeals and extensions/knowledge of donor selection criteria. Knowledge of UNOS/CMS policy related to transplant candidacy, organ procurement agencies, types of organ offers, recipient and donor matching and communication to facilities to accomplish transplant goal/knowledge of all policies and by paws related to living donation; Knowledge of hepatitis and HIV co infection protocols and impact on candidacy requirements and Knowledge and experience in the special needs of children being evaluated for transplant; Ability to maintain follow up and monitoring of large patient load (450-500 patients), clinic management, laboratory orders, diagnostic testing, communication and paperwork; Participates in multidisciplinary selection committee meeting. Transplant/Donation Inpatient Phase: Assumes lead in directing responsibility of all patient, donor and family education; Maintains communication with patients’ referring physicians; Contributes to the education and acts as the resource person regarding transplantation and living donation for all staff nurses. Acts as liaison between patients, donors, families, and other health care team members; Prepares patients and living donors for discharge and outpatient follow-up; Member of multidisciplinary team; Daily rounds with team on all patients. Post Transplant/Donation Phase: Knowledge of immunosuppression management and protocol adjustment of medications related to specific transplant type, co-morbid factors and time from transplant; Experience of emergency triage of post transplant patients/living donors over the phone to assess and evaluate care needs and course of action needed; Monitors and follows all diagnostic studies; Evaluates patient health status on a regular basis; Communicates all patient/living donor issues and concerns to appropriate transplant physicians; Ability to identify symptoms and issues related to long term immunosuppression, PTLD, infections, and complications of living donation. Knowledge of monitoring and assessment of post transplant patients with co infection (HIV, HCV, HPV, EBV, CMV);Ability to maintain follow up and monitoring of large patient load (300-500 patients), clinic management, medication refills, laboratory orders, diagnostic testing, prior authorizations and paperwork; Coordinates comprehensive care with other team members (i.e. financial coordinator, social worker, dietician, etc.). Monitor for signs/symptoms of post-op complications after living donation. Provide donors and families education regarding care post-donation. Communicate to donor importance of follow up with Transplant team. Additional responsibilities may include but are not limited to clinical research studies, public and professional education and completion of all required data as established by UNOS. Coordinators may also be involved with the organ procurement process by taking organ offer calls, dispatching the organ procurement team, and arranging for potential organ recipients to be admitted to the hospital. Attends (2) educational webinars scheduled via the MTI Quality Program throughout the calendar year. Attends and actively participates in program specific quality meetings. Attends patient selection committee meetings, living donor selection committee meetings, and other patient care related program meetings as indicated. Provides substantive feedback from clinical coordination perspective during these multidisciplinary discussions. Assist program with quality metrics related to specialty as identified throughout the year. Serves on a departmental or interdepartmental PI Team that has improved a process (PDSA-team). Participation in at a minimum of (1) performance improvement project during the calendar year. Participates in professional organizations. Maintains active membership in the North American Transplant Coordinators Organization (NATCO) and other related organizations as required. Assist with follow-up to assess outcome of projects and/or improvements. Actively participates in the development of the Multi-Organ Transplant Center and its ongoing Operations Improvement (OI) and patient quality care plans. Actively participates in departmental/hospital committees relevant to transplant program. Identifies, reports and resolves quality issues as per Institute protocol. Actively pursue and maintain CCTC certification within 3- years of hire date. Follows and performs all related unit specific policies and procedures, as detailed on the unit specific competency check-list. Utilizes job and unit specific equipment as required. Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Performs all other related job duties as assigned. Performs other related duties as assigned.
Valid Florida RN license is required. American Heart Association (AHA) Basic Life Support (BLS) for Healthcare Providers certification with at least 6 months validity required. Must meet and maintain valid and current all unit specific and organizational skills/competencies, certifications/licensures, as required by regulatory and/or nursing standard of practice for the specialty. Knowledge/Skill/Abilities
General Competencies: Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with professional composure. Ability to understand and follow instructions. Ability to exercise sound and independent judgment. Knowledge and skill in use of job appropriate technology and software applications. Management Competencies: Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources. Skill in monitoring/assessing the performance to make improvements or take corrective action. Skill in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems. Ability to plan, implement, and evaluate programs. Ability to establish goals and objectives. Ability to recognize, analyze, and solve a variety of problems. Nursing Competencies: Ability to understand, respects and accommodates patients preferences and needs with regards to their individual beliefs, customs and practices. Must have ability to clearly, accurately and effectively provide information to doctors, other nurses, patients, and family members. Must have ability to show compassion, patience and maintain non-judgmental approach to patients, their families as well as other employees and customers. Unit Specific: Must have clinical knowledge, skill and ability to fully and accurately complete all required unit competencies, as indicated in the unit competency check-list. Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources. Skill in monitoring/assessing the performance to make improvements or take corrective action. Skill in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems. Ability to plan, implement, and evaluate programs. Ability to establish goals and objectives. Ability to recognize, analyze, and solve a variety of problems.
Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public. Function is subject to inside environmental conditions, with occasional outdoor exposures. Exposure to various environments such as: communicable diseases, toxic substances, medicinal preparations and other conditions common to a hospital and medical office environment. May also be exposed to needle sticks, airborne infections, medical gases, X-Ray, chemical exposures and other potential hazards. Must wear Personal Protective Equipment (PPE) when exposed to infectious/clinical hospital environment. Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).
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