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Job Summary

RN –  Post Liver Transplant
 
Duties
Provide quality patient care to the complex liver transplant population within the transplant program.  Coordinate case management care and follow-up care for post-liver transplant patients, based on established protocols as well as individualized treatment plans developed in collaboration with hepatologists or surgeons.  Provide patient evaluation, assessment, monitoring, and implementation of planned interventions for this medically complex patient population.  Consult with attending physicians and communicate with other care providers in order to coordinate clinical care.  Facilitate comprehensive collaboratively with other members of the health care team to provide quality care in outpatient setting.  Assist in research and quality assurance activities.  Maintain thorough and accurate documentation regarding patient assessment, intervention, evaluation and outcomes.
 
Organizational Relationships:
This staff member is under the direction of the Ambulatory Care Nurse Manager, and will provide Ambulatory Care Nursing support within the Transplant Center.  

Responsibilities*

Responsibilities:
• Utilize the nursing process to facilitate patient care during the post- transplantation periods.
• 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.
o Provide continuity through preadmission and/or post discharge outpatient visits, including telephone triage and counseling.
o Provide follow-up on discharge planning with Continuing Care Coordinator, other multi-disciplinary staff and resources in the community.
o Provide continuity through handling of post discharge outpatient care needs prior to next visit.
o Provide instruction/reinforcement regarding self-care to increase adherence to prescribed treatment.
• Develop, implement, conduct and evaluate patient education/orientation programs.
• Utilize various resources available within the Ambulatory Care and Department of Internal Medicine settings to determine and meet the needs of the patient/family.
• Develop collaborative mechanisms with appropriate others (nurse managers, peers, etc.) for providing patient care.
 
Education:
• Collaborate with nurse managers, education coordinators and other health team members on units providing care to patients to identify and support educational needs.
• Provide in-services to nursing personnel and other health care team members as indicated.
• Serve as a consultant to nursing personnel and other health care professionals caring for transplant patients.
• Plan and evaluate workshops, formal classes, conferences and/or consultation services, as necessary.
• Serve as a resource in the education of undergraduate and graduate nursing students as indicated.
 
Organizational:
• Represent the transplant team to external agencies, associations and programs, as appropriate.
• Initiate, with the interdisciplinary team, evaluation of team process and function.  Establish system to improve on-going efficiency of team operations.
• Participate in the development, modification and interpretation of policies and procedures.
• 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.
 
Research/Quality Assurance:
• 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
o Identifying research subjects.
o Initiating/participating in data collection/analysis.
o Providing leadership for nursing’s participation in research studies.
• Evaluate, interpret and integrate research findings into clinical practice.
 
Leadership:
• Effectively analyze and prioritize outpatient/service needs.
• Demonstrate effective time management skills.
• Demonstrates flexibility with assignments and tasks
• Demonstrate effective delegation techniques.
• Demonstrate effective preceptor skills.
• Identify opportunities to implement strategies/make recommendations for cost effective care.
• Demonstrate problem-solving skills as related to operational and clinical issues within the clinical area and through meeting participation and attendance.
 
Professional Development:
• Assume responsibility for on-going professional development, attending appropriate continuing education, staff development programs, conferences and grand rounds as indicated.
• Participate in professional organizations appropriate to nursing specialty.
• 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

Salary & Nursing Framework Level:
This UMPNC RN posting is posted as Nursing Framework REG NURSE - LEVEL C (B INC).
Actual Nursing Framework LEVEL and salary will be determined at time of hire.
Nursing Framework levels range from Level A to Level E.
 
Required qualifications must be met by the candidate in order to be interviewed and considered for the position.

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.

Required Qualifications*

Current licensure to practice nursing in the State of Michigan.
Demonstrated competency in the care of complex patients with severe hepatic disease/post liver txp patients.
Demonstrated high level of critical thinking, clinical judgment, and self-motivation to improve patient care.
Demonstrated competency in the care of immunocompromised patients, familiarity with immunosuppressant medications (indications, usual dosages, therapeutic levels, interactions, common side effects).
Knowledge of diagnostic testing commonly used in this patient population – endoscopy, colonoscopy, EGD, ERCP, liver ultrasound, MRI, Angio, PTC, CT scan, liver biopsy, labs (CBCP, basic metabolic profile, LFTs, coags, medication levels).
Knowledge of medical complications (diabetes mellitus, hypertension, mental status changes, coagulopathy, rejection, infectious processes, biliary and perfusion impairments, portal hypertension, renal insufficiency and hepatopulmonary syndrome) common to post-liver-transplant patients, including those with recurrent hepatic disease.
Demonstrated ability to communicate assertively and effectively as an advocate for the patient.
Ability to interact with all members of the interdisciplinary team effectively and manage multiple tasks
Demonstrated problem solving skills and independent clinical decision making as evidenced by current documentation practice.
Demonstrated excellent written and verbal communication skills as evidenced by performance evaluation.
Demonstrated excellent interpersonal skills as evidenced by performance evaluation.
Demonstrated excellent attendance as evidenced by performance evaluation
Transplant Certification within 2 years of appointment to position (ABTC certified as Clinical Transplant Coordinator or Clinical Transplant Nurse)
 
NOTE: Required qualifications must be met by the candidate in order to be interviewed and considered for the position.


RESUME REQUIRED (for both internal & external applicants): 
You must attach a complete and accurate resume to be fully considered for this position.

Desired Qualifications*

Previous nursing experience utilizing patient clinical management protocols.
Experience in the care of liver transplant patients.
Experience in the care of patients with severe hepatic disease in the ambulatory care setting.
Experience in the ambulatory care setting.
Experience in the care of patients with surgical wounds.
Experience in the role of charge nurse or commensurate leadership experience.
Experience with educational presentations.
Experience with clinical research studies.
Bachelor of Science degree in Nursing
Demonstrated computer competence with functions including Mi-Chart, OTIS, Outlook, Microsoft Word and Excel
Knowledge of UMMC nursing policies and standards of practice.

Work Schedule

Hours per week:  40
Shift/Days/Hours:  Day shift; specific days and hours to be determined upon hire
Location: Transplant Center- Taubman Center
 
Note: All new employees will be expected to float to a designated unit(s) in times of low census.
 

Union Affiliation

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.

Background Screening

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.

Mission Statement

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.