Trauma PerfImprvNurseClinician

  • Evansville, IN
  • Deaconess Midtown Campus
  • Trauma Center Expense - MT
  • Part Time - 40 - Day/Evening
  • Nursing
  • Scheduled Weekday: Monday - Friday
  • Shift Start Time: 7:00 AM
  • Shift End Time: 4:30 PM
  • Weekend Shift Assignments: None
  • Holiday Shift Assignments: None
  • Position Eligible Incentives: None
  • Req #: 16113
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Summary

SUMMARY OF THE JOB

As a member of the Trauma team, facilitates efficient, effective, quality care for the trauma population across the continuum, utilizing

advanced education, expert clinical skills and practice. Collaborates with the entire multidisciplinary team to provide case management for the

trauma patients and to enhance customer satisfaction and maximize patient outcomes. Utilizes plan of care to monitor patient progress and

assure patient requirements are matched with appropriate resources. This role will require additional responsibilities related to promotion of

trauma standards of care according to nationally accepted American College of Surgeon’s (ACS) guidelines. The Performance Improvement

Nurse Clinician must be able to demonstrate knowledge of growth and development to coordinate patient care appropriate to the age of

patients served. Employee must be able to successfully complete job specific orientation, specific competencies and meet/exceed standards as

identified in the criteria in the based performance appraisal. The employee must use evidence based practices when providing care and have

good understanding and knowledge of Deaconess Trauma guidelines. Leads quality and safety priorities for the trauma patient population in

partnership with unit leadership and the Trauma Program Manager and Trauma Medical Director.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

Job Duties include the following, other duties may be assigned:

Clinical Practice and Care Coordination:

Make rounds on trauma patients Monday – Friday to assess progress in the plan of care.

Collaborates with physicians, nurses and other ancillary departments to evaluate patient needs and tailor plan of care to meet

those needs.

Responsible to coordinate and conduct Trauma Rounds with the multidisciplinary trauma team.

Works with Case Manager and Social Worker to coordinate discharge planning and decrease LOS by staying informed of

current discharge plan.

Assures that trauma patients are receiving quality patient care and all disciplines are striving to meet patient needs.

Communicates with patient and family and reviews plan of care, answers questions, addresses family concerns, and provides

an update on patient progress.

Receives PI from trauma clinic and places in Trauma Registry

Role models and promotes a safe learning environment that allows staff to identify opportunities for improvement of patient

care with EMS, ED, OR, ICU, and med/surg areas that care for trauma patients.

Participates in data collection for different PI projects when requested by Trauma Program Manager.

Serves as an internal nursing consultant in specialty patient care on the unit, within the nursing department or other

departments as directed.

Program Management/Administrative Responsibilities:

Assesses the needs for policies, procedures, protocols, supplies and equipment relating to the care of trauma patients in

coordination with the Trauma Medical Director, hospital administration, Trauma Program Manager, Nursing management, and

the Data Quality Coding Coordinators.

Coordinates the communication and implementation of standards to the hospital nursing staff through both formal and informal

settings.

Assists in the preparation for the ACS site visit and the State of Illinois designation process Maintains and monitors

documented standards through direct observation, medical record review, staff feedback, and other appropriate sources.

Identifies the need for and coordinates the development and implementation of guidelines for trauma patient populations

incorporating members from the multi-disciplinary team.

Works with EPIC teams to ensure documentation of care of the trauma patient is thorough and consistent, order sets are up to

date with current evidence based practice, and reports needed by team are available in EPIC.

Involved with hospital based and unit based committees and councils to ensure trauma regulations and protocols are carried

out and understood throughout the hospital.

Serves as a liaison for the trauma program with all departments in the hospital and with community organizations.

Concurrently collects appropriate trauma data for entry into the database in order to meet State (Illinois) and ACS standards,

departmental needs, and administrative agendas.

Directs and assists with the Trauma Program Manager’s duties in absence or during scheduled time off/vacations.

Assists with coordination of orientation for new employees concerning: trauma performance improvement indicators, trauma

registry (including reports), daily activation log (electronically saved in ED Share folder), specific software programs (EPIC,

Medical Records, TraumaBase etc., and reports in EPIC to identify daily trauma patients).

Participates with the Performance Improvement and Patient Safety Program for specialty patient population services through

identification of PI issues/complications during daily rounding, discussions with staff, patient outcomes and review of medical

record documentation. Works with the interprofessional team to develop and implement guidelines for specialty patient

population care.

Implements PI and safety changes for unit-based specialty population. Monitors implementation of new guidelines with data

collection to ensure desired outcomes achieved in conjunction with inpatient nursing unit manager.

Quality Improvement:

Reports to the Trauma Program Manager any identified quality issues or trends.

Monitors sentinel events, deaths, transfers, complications, adherence to protocols, length of stay, and variances.

Maintains current knowledge of external and internal quality indicators and standards (NTDS Data Dictionary, TQIP required

fields/definitions, AAAM Coding standards).

Identifies all Performance Improvement patient care issues throughout daily rounding with the trauma surgeon, daily data

abstracting, and collaboration with other health care providers, and customers such as the patient &/or patient’s family.

Enters all Performance Improvement issues into registry and assures that all issues are addressed & “loop closed” within a

timely fashion (60 days out).

Notifies the Trauma Program Manager with Performance Improvement issues that cannot be closed due to issues beyond

his/her control.

Networks with other Level I and II Trauma centers when challenged with the trauma Performance Improvement process.

Seeks guidance from the Trauma Program Manager when unable to meet requirements.

Prepares Trauma Peer Review Committee meetings monthly, Performance Improvement chart reviews and timelines, assists

with preparing Trauma Operational meeting monthly, and other meetings as needed.

Participates in registry validation activities by reviewing at least 4 charts/month and reports findings to Senior Data Quality

Coding Coordinator and Trauma Program Manager.

Professional Behavior/Consultant/Leadership Responsbilities:

Identifies learning needs of the nursing staff, patient and family, students, professionals and lay community regarding the

trauma population and the trauma guidelines.

Functions as a patient advocate and encourages patient advocacy through the multi disciplinary team.

Acts in a professional respectful manner to all Deaconess Customers, assists with other duties within the department to work

as a team, and is a role model for the Trauma Service’s department.

Acts as a liaison between the trauma center, specialty services, and trauma surgeons caring for trauma patients.

Maintains a professional image by participating in assigned activities, volunteer organizations, and remaining current in trends

and changes in trauma venue.

Represents Deaconess Trauma Services in a variety of local and regional public professional meetings.

Personal stressors should not affect ability to perform job duties or disrupt the working atmosphere of others within the

Trauma Service’s department.

Serves as internal resource for staff in all departments to network in order to provide high-quality trauma patient care.

Education and Outreach:

Develops and implements programs for hospital care givers based on identification of staff learning needs, in order to assure

that the standard of care for the trauma patient is constantly maintained.

Develops, coordinates and implements orientation, nursing education and in-service programs related to care and

management of trauma patients in conjunction with the Unit Based Councils, Education Department, and Trauma Program

Manager.

Participates in mandatory educational activities and in educational activities appropriate to professional goals.

Participates in case review.

Assists with the coordination of educational and outreach opportunities sponsored by Deaconess

Regional Trauma Center (i.e. ATCN, TNCC, TNS, PHTLS, etc.).

Research Activities:

Involvement in research selection, analysis, and distribution of findings and facilitating protocol design for accurate data

collection, feedback and analysis.

Participates in research studies for publications and epidemiology research to show program growth, process improvements,

and medical practice improvements.

Self-Development/Professional Responsibilities:

Proactively pursues and participates in educational and mentoring opportunities to increase knowledge.

Utilizes feedback regarding own practice to enhance effectiveness. Promotes the Deaconess Hospital, Inc. Professional Practice

Model Nursing.

Successfully completes annual goals and/or other duties that may be assigned that are mutually agreed upon by the peer

colleagues, Medical Director, Nurse Manager, Director of Patient Care Services and CNO.

Competencies: To perform the job successfully, an individual should demonstrate the following competencies:

JOB REQUIREMENTS & QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily and must clearly demonstrate each of

the competencies listed above. The education/experience, certifications, skills, physical demands, and work environment described below

further define requirements associated with this position. Reasonable accommodations may be made to enable individuals with disabilities to

perform the essential functions.

Education and Experience

BSN required or education plan in place to obtain within agreed timeframe. Two years of recent clinical experience in

trauma/emergency/pre hospital/critical care.

Certificates, Licenses, Registrations

Must be a registered nurse licensed in Indiana. Current certification and preferred Instructor in at least (2): Trauma Nurse Core

Course (TNCC) &/or Basic Trauma Life Support (BTLS),Advanced Care for Nurses (ATCN), Trauma Nurse Specialist (TNS),

Advanced Cardiac Life Support (ACLS), Advanced Burn Life Support (ABLS) and Pediatric Advanced Life Support (PALS) &/or

Emergency Nurse Pediatric Course (ENPC). Certified Emergency Nurse (CEN) &/or Critical Care Registered Nurse (CCRN)

certification is preferred. Instructor status of TNCC, ATCN, TNS are preferred.

Language Skills

Excellent interpersonal and communications skills essential. Communicates with Hospital personnel and outside agencies and

responds to their needs. Ability to communicate effectively with all ages of patients, families and/or significant others,

physicians, co-workers, supervisors and other hospital personnel on a one to-one basis, using appropriate grammar,

vocabulary, and word usage. Requires clear speech and auditory acuity. Ability to read, analyze, and interpret professional

references, technical procedures/protocols, or governmental regulations. Ability to write reports and other forms of

correspondence. Ability to effectively present verbal and/or written information, and respond to questions, to all customers.

Mathematical Skills

Ability to apply mathematical concepts such as addition, subtraction, multiplication, division, fractions, percentages and

proportions, to calculate dosages, amounts and volumes.

Reasoning Ability

Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of

technical instructions in mathematical or diagram form and deal with several abstract and concrete variables

Computer Skills

This job requires computer and systems competency in the following areas: enters data; retrieves data; assembles and

organizes data, uses and analyzes data, integrates diverse sources of data. Job requires utilization of several software

programs: Trauma registry, Microsoft Excel, Microsoft Power Point, Microsoft Word, EPIC, OnBase, and others as necessary.

Other skills, ability or knowledge

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential

functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to walk; use hands and fingers, handle and feel; reach with

hands and arms; and talk or hear. The employee is regularly required to stand for extended periods of time. The employee may be

required to lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color

vision, peripheral vision, depth perception and ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the

essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential

functions.

While performing the duties of this job, the employee is regularly exposed to fumes or airborne particles and infectious

diseases that require following established precautionary measures. The employee is frequently exposed to moving mechanical

parts, aggressive individuals, toxic or caustic chemicals, risk of electrical shock and radiation. The noise level in the work

environment is usually moderate. This is a fast paced office environment and some mental/visual fatigue is possible due to the

constant and careful review of data and data entry.

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