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Pre-Transplant Coordinator I (RN) – Lung Transplant

Houston Methodist

This is a Full-time position in Houston, TX posted May 14, 2022.

JOB SUMMARY
At Houston Methodist, the Pre Transplant Coordinator I position is a licensed staff nurse who demonstrates the ability to continuously progress in skill to care for increasingly complex patients, receiving coaching from experienced Transplant Coordinators and management, benefiting from their practice. The position functions at the Advanced Beginner to Competent stage according to Benner’s model of clinical practice, participating in department initiatives, facilitating and coordinating all aspects of the transplant referral, evaluation, waiting period, and peri-operative phases of transplantation. The Pre-Transplant Coordinator I interacts with all members of interprofessional transplant team to ensure coordination of care for the pre-transplant patient. This position demonstrates clinical knowledge and competence when providing care, as appropriate, using technology, and managing emergencies, acting as a patient and family advocate to monitor and maintain patient rights. This position communicates and collaborates with the physicians and interprofessional health care team to facilitate and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes.

PRIMARY JOB RESPONSIBILITIES
Job responsibilities labeled EF capture those duties that are essential functions of the job.

PEOPLE – 15%

  1. Communicates in an active, positive, and effective manner with all transplant team members, patients, referring physicians, and other health care providers; reports pertinent patient care and family data in a comprehensive and unbiased manner; communicates candidate’s status and evaluation outcome; and maintains communication while candidate on waitlist. (EF)
  2. Uses therapeutic communication to establish a relationship with patients and families and communicates the plan of care. Identifies and responds to the clinical, psychosocial and economic needs of the transplant patient/family/caregiver during evaluation, waiting, and pre-operative transplant phases. (EF)
  3. Fosters teamwork approach in all interactions with peers and team members. Anticipates needs of other team members; proactively offers assistance. Contributes to meeting department score for turnover/retention/employee satisfaction/engagement on unit-based scorecard. (EF)

SERVICE – 30%

  1. Coordinates with interprofessional team the evaluation process for potential transplant candidate, including, but not limited to Medical/Surgical evaluation, Psychosocial evaluation, Educational assessment, Laboratory evaluation including serologies, tissue typing, and antibodies per protocol, Radiological evaluation, and Nutritional evaluation. (EF)
  2. Establishes mutual educational goals with patient and family/caregivers and provides education and appropriate resources regarding (EF):
    • Living donation options (if applicable to organ)
    • Evaluation process
    • Organ Procurement and Transplantation Network/United Network of Organ Sharing (OPTN/UNOS) or National Marrow Donor Programs/Foundation for Accreditation of Cellular Therapy/Center of International Blood and Marrow Transplant Research (NMDP/FACT/CIBMTR) regulations, (where applicable)
    • Organ allocation, if applicable
    • Waiting phase
    • Transplant Process
    • Risk/benefits, including utilization of expanded donors, high-risk donors, if applicable
    • Post-operative phase including immunosuppressive therapy and effects
    • Potential research protocols of the transplant program
    • Candidate/Family/Caregiver responsibility throughout the transplant process
  3. Recognizes potential problems, abnormal diagnostic findings, and/or significant changes during the waiting phase, coordinating required care. Collects and evaluates medical, psychosocial, and financial data for review by transplant team in the patient selection committee. (EF)
  4. Ensures patient and referring physician are informed in writing of transplant listing, denial, or postponement. Informs and educates patient/family/caregiver at time of listing. Ensures antibody screen is obtained regularly per transplant center protocol. Maintains routine health maintenance and surveillance for malignancy during the waiting period. Identifies the need for candidate re-evaluation and initiates when appropriate. (EF)
  5. Participates in transplant event process according to transplant center protocol, as applicable. Contributes to meeting department and organ program targets for process and patient satisfaction measures on department dashboard. (EF)

QUALITY/SAFETY – 30%

  1. Identifies appropriate candidate upon referral and ascertains requirements for evaluation, including possible co-morbidities, absolute and relative contraindications to transplantation, communicating all findings with transplant team. Provides and maintains comprehensive documentation of evaluation process. Provides data to OPTN/UNOS/NMDP/CIBMTR/FACT for listing statistics, i.e., Candidate Registration Form/CIBMTR forms. (EF)
  2. Keeps up with and updates candidate listing status per OPTN/UNOS/NMDP regulations. Provides and maintains comprehensive documentation of candidate progress while on waitlist, and donor/recipient transplant information. (EF)
  3. Maintains and submits accurate data for hospital-based statistics and regulatory agencies, if applicable, such as OPTN/UNOS/CMS/NMDP/CIBMTR/FACT, and Medicaid to ensure compliance with all government reporting requirements, and proper quality outcomes monitoring. Contributes to meeting department and organ program targets for quality, compliance and safety, on department dashboard. (EF)

FINANCE – 10%

  1. Validates patient’s insurance authorization for applicable diagnostic testing, ensuring documentation of applicable clinical activities for department charge capture and proper department financial management. (EF)
  2. Utilizes time between heavy workloads efficiently and helps other team members. Contributes to meeting department and organ program financial measures on department dashboard. (EF)

GROWTH/INNOVATION – 15%

  1. Participates in transplant-specific continuous learning and growth. Applies evidence-based practice to daily work, such as reviewing the professional literature and attending professional meetings and sharing with colleagues. Identifies own learning needs and actively seeks educational opportunities, both formal and informal, to meet those needs. Completes and updates the individual development plan (IDP) on an on-going basis. (EF)
  2. Offers innovative solutions through participation in performance improvement projects. Contributes in department initiatives for quality and process improvement. (EF)

This job description is not intended to be all inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

EDUCATION REQUIREMENTS

  • Bachelor of Science degree or higher from an accredited School of Nursing

EXPERIENCE REQUIREMENTS

  • Four years nursing experience or three years’ Oncology/BMT-specific experience for area of specialty
  • Previous transplant acute care and/or ICU experience preferred

CERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED

  • Texas RN license or temporary TX RN license, should obtain permanent license within 90 days. Compact license acceptable according to current Board of Nursing requirements.
  • American Heart Association Basic Life Support (BLS)

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

  • Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations.
  • Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security.
  • Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles.
  • Uses therapeutic communication to establish a relationship with patients, families and interprofessional team to collaborate on the plan of care.
  • Strong assessment, organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components
  • Skilled at managing complex patient caseload and ability to prioritize/triage based on patient status
  • Presents a professional image at work and all work-related events
  • Complies with and is knowledgeable of OPTN/UNOS/NMDP/CIBMTR/FACT policies and listing requirements, CMS Conditions of Participation
  • Participates in department donor awareness events, educational opportunities, and community activities
  • Ability to provide assistance to physicians in perioperative setting

SUPPLEMENTAL REQUIREMENTS

Work Attire Yes/No
Uniform No  
Scrubs Yes  
Business professional Yes  
Other (dept. approved) No  

 

On-Call* Yes, on a regular basis (for Non-Exempt or Exempt jobs)

*Note that employees may be required to be on-call during emergencies (i.e. Disaster, Severe Weather Event, etc.) regardless of selection above.

Travel**

May require travel within No
Houston Metropolitan area  

 

May require travel outside No
of Houston Metropolitan area  

**Travel specifications may vary by department.

Please note any other special considerations to this job: __________________________

Company Profile:

Since its founding in 1919, Houston Methodist Hospital has earned worldwide recognition. Houston Methodist Hospital is affiliated with the Weill Medical College of Cornell University and New York-Presbyterian Hospital, one of the nation’s leading centers for medical education and research. In 2020, U.S. News & World Report named Houston Methodist Hospital to its top ranked Honor Roll for the fourth time and second consecutive year. 2020 also marked the ninth year in a row Houston Methodist Hospital has been named the No. 1 hospital in Texas. Houston Methodist Hospital directs millions of research dollars into patient care and offers the latest innovations in medical, surgical and diagnostic techniques. With 952 operating beds, 85 operating rooms and over 8,000 employees, Houston Methodist offers complete care for patients from around the world.

The same high-quality care for which Houston Methodist is known is available at several Emergency Care Centers in Houston and the surrounding areas. These Emergency Care Centers house exam rooms, full digital radiography suite, low radiation dose 16-slice CT scan, ultrasound and a full on-site stat chemistry lab.