Purpose of Position:
Provide float support coverage to team members in the post lung area. This float coverage includes but not limited to case coordination through patient evaluation, assessment, and implementation of planned interventions. Facilitate extensive patient education through telephone intervention and face-to-face meetings in both individual and group settings. Work collaboratively with the healthcare team to provide quality care in the outpatient setting for hepatology and abdominal transplant population. Take on call responsibility for thoracic organ transplantation with ability to cover abdominal call if necessary.
This staff member is under the direction of the Transplant Ambulatory Care Manager, and will provide Ambulatory Care Nursing support to a variety of nursing units within the Transplant Center.
- Utilize the nursing process to facilitate patient care for chronic disease management as well as through the pre- and post- transplantation stages.
- Provide skilled observations, telephone triage and health assessments of patients including history, appropriate interventions, and referrals.
- Foster continuity of care and facilitate transitions across outpatient and community patient records on patient population.
- Provide consultation and participate in problem-solving efforts with nursing staff, medical staff, referring physicians and other disciplines.
- Maintain knowledge of all applicable regulatory laws and requirements, including HIPAA, CMS Conditions of Participation, The Joint Commission, and UNOS to ensure regulatory compliance in nursing practice.
- Foster continuity of care and facilitate transitions across outpatient and community settings.
- Provide continuity through preadmission and/or post discharge outpatient visits, including telephone triage and counseling.
- Provide follow-up on discharge planning with Continuing Care Coordinator, other multi-disciplinary staff and resources in the community, as needed.
- Provide continuity through handling of post discharge outpatient care needs prior to next visit.
- Provide instruction/reinforcement regarding self care to increase adherence to prescribed treatment.
- Utilize various resources available within the Ambulatory Care and Department of Pulmonary transplant settings to determine and meet the needs of the patient/family.
- Participate in evaluation committee meetings; document process in the medical record.
- Manage status/maintain and document readiness of listed patients (pediatric and adult)
- Maintain compliance to UNOS/ CMS regulatory requirements.
- Coordinate the transplant event. One or all of the following could be included: thoracic-adult lung and heart and pediatric heart; abdominal adult and pediatric liver/kidney cases.
- Take 24-hour call as needed (variable # of days per month, including weekends & holidays, in rotation with other coordinators)
- Coordinate with organ procurement agency, preservationists, and transplant surgeons to obtain donor organs and ensure required testing performed and results obtained.
- Coordinate the arrival of organ(s) and recipient to the hospital; arrange for availability of transportation, operating room(s), and necessary staff to perform the transplant.
- Provide assessment via telephone triage and in the clinic setting and implementation of planned interventions for these patients.
- Facilitate extensive patient and family/caregiver education by telephone and in clinic, in individual and group settings.
- Work collaboratively with the multidisciplinary pulmonary transplant team to optimize patient satisfaction and provide an exemplary level of well-coordinated care to these complex patients.
- Participate in ongoing continuous quality improvement efforts in the immediate work area, as well as Transplant Center- and institution-wide, utilizing a Lean Thinking approach to increasing value and decreasing waste from the perspective of the customer.
- Develop collaborative mechanisms with appropriate others (nurse managers, peers, etc.) for providing patient care.
- Teach education classes for pre and post-transplant patients. This includes discharge teaching in patient prior to patient being discharged.
- Collaborate with Nurse Manager, education coordinator and other health team members on units providing care to patients to identify and support educational needs.
- Serve as a consultant to nursing personnel and other health care professionals caring for transplant patients.
- Perform daily in-patient rounding
- Represent the transplant team to external agencies, associations and programs, as appropriate.
- Initiate, with the interdisciplinary team, evaluation of team process and function, as appropriate.
- Participate in the development, modification and interpretation of policies and procedures, as needed.
- Participate in area nursing staff meetings as well as other departmental meetings.
- Facilitate timely communications to interdisciplinary staff regarding patient needs/plan of care. Include referring physicians as appropriate.
- Participate in on-going transplant evaluation meetings and the interdisciplinary team process.
- Monitor nursing care provided and utilize results of quality monitoring to initiate changes in practices, as indicated.
- Participate in continuous quality improvement by involvement in teams and by supporting changes recommended through the continuous quality improvement process.
- Participate in medical/multidisciplinary research as requested by
- Identifying research subjects.
- Initiating/participating in data collection/analysis.
- Providing leadership for nursing’s participation in research studies.
- Evaluate, interpret and integrate research findings into clinical practice.
- Effectively analyze and prioritize outpatient/service needs.
- Demonstrate effective time management skills.
- Demonstrates flexibility with assignments and tasks.
- Demonstrate effective delegation techniques.
- Identify opportunities to implement strategies/make recommendations for cost effective care, when appropriate.
- Demonstrate problem-solving skills as related to operational and clinical issues within the clinical area and through meeting participation and attendance.
- Assume responsibility for on-going professional development, attending appropriate continuing education, staff development programs, conferences and grand rounds as indicated.
- Maintain current knowledge of nursing and professional literature.
- Participate with nurse manager in annual evaluation of own performance.
- Assume responsibility for attendance at the hospital’s mandatory continuing education programs annually.
Nursing Specific Info
Posting may be filled after the initial 5-day posting period.
Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort. Positions less than 20 hours/week may be combined.
If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at (734) 936-5183.
- Current licensure to practice nursing in the State of Michigan.
- Five years of nursing experience as an RN
- Demonstrated competency in the care of immunocompromised patients.
- Demonstrated competency in the care of patients with severe cardiopulmonary disease
- Demonstrated competency in the assessment and interventions of laboratory testing, management of complex medical regimens, and patient and family education and counseling.
- Demonstrated excellent written and verbal communication skills as evidenced by performance and evaluation.
- Demonstrated excellent interpersonal skills as evidenced by performance and evaluation.
- Ability to interact collaboratively with all members of the interdisciplinary team effectively and manage multiple tasks.
- Demonstrated excellent attendance as evidenced by performance and evaluation.
- Critical thinking, as demonstrated in written and verbal communication, in the care of complex patients.
- Transplant certification (CCTC/CCTN) within 2 years of hire.
NOTE: Required qualifications must be met by the candidate in order to be interviewed and considered for the position.
- 2-5 Experience in the Ambulatory Care setting.
- Experience in providing care to patients with a variety of illness/conditions
- Demonstrated competency in the care of critically ill patients in the cardiothoracic acute care or ICU setting, patients with pulmonary disease processes and care of patients in the Outpatient setting.
- Demonstrated competency in the care of solid organ transplant patients, as evidenced by performance and evaluation, in the care of complex patients with severe lung disease; to include knowledge of diagnostic testing (PFT’s, CT scan, Ultrasound, MRI, bronchoscopy); laboratory testing (including understanding ABG’s); management of complex medical regimens; as well as patient/family education and counseling.
- Charge nurse or equivalent leadership experience.
- Demonstrated consistent high-level critical thinking skills and self-motivation to improve patient care.
- Knowledge of UMHS nursing policies and standards of practice.
- Knowledge of UNOS/ CMS regulatory requirements
- Experience with EPIC, OTIS, Word, Excel.
- Bachelor of Science Degree in Nursing.
- Lean training
Hours per week: 40
Shift/Days/Hours: Day Shift; Monday through Friday; specific hours and days to be determined
Location: Transplant Center- Taubman Center; FLOAT RN position
Note: All new employees will be expected to float to a designated unit(s) in times of low census.
This position is covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment.
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act.
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
U-M EEO/AA Statement
The University of Michigan is an equal opportunity/affirmative action employer.