Pre-Transplant Coordinator II – Organ Acquisition – Houston Methodist Hospital

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

PEOPLE – 15%

1. Acts as a model and coaches staff in effective verbal, non-verbal and written communication, which includes active listening and teaching. Collaborates to foster healthy relationships in the work environment such as mitigation of conflict. Advocates for a balanced workload, promotes positive behaviors, and peer-to-peer accountability. (EF)
2. Communicates candidate’s status and evaluation outcome, maintaining communication while candidate on waitlist. 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. Improves nurse engagement and turnover by serving as a role model and mentor, facilitating teamwork with RNs, non-licensed and interprofessional staff, as evidenced by the annual RN-RN teamwork score and interprofessional relationship score. (EF)

SERVICE – 30%

1. Leads the patient and family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Practices in a manner that is congruent with cultural diversity and inclusion principles. Coordinates with interprofessional team during 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. Recognizes potential problems, abnormal diagnostic findings, and/or significant changes during the waiting phase, coordinating required care. (EF)
2. Develops and implements effective patient teaching strategies based on learning needs; uses appropriate resources, incorporating planning for care after discharge. Consistently evaluates the patient’s comprehension and adapts teaching methods accordingly 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-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
1. Collects and analyzes medical, psychosocial, and financial data for review by transplant team in the patient selection committee. Ensures patient and referring physician are informed, in writing, of transplant listing, denial, or postponement. Consistently 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)
3. Participates in transplant event process according to transplant center protocol, as applicable. Drives department activities to improve department and organ program targets for patient satisfaction on unit-based scorecard, through peer-to-peer accountability. (EF)

QUALITY/SAFETY – 30%

1. Models the standards related to regulatory requirements and professional practice as outlined in the Houston Methodist Professional Nursing Practice document. Role models highly developed assessment, clinical documentation, leadership and analytical skills; integrates and contributes to professional practice standards, policies, procedures, protocols and leads improvements in patient safety-related processes at unit or service line level. (EF)
2. Provides and maintains comprehensive documentation of evaluation process. 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. (EF)
3. Complies with and applies OPTN/UNOS/NMDP/CIBMTR/FACT policies and listing requirements, maintaining comprehensive documentation of candidate progress while on waitlist, and donor/recipient transplant information. Provides data to OPTN/UNOS for listing statistics, i.e., Candidate Registration Form, maintaining and updating candidate listing status per regulatory requirements. (EF)
4. Maintains and submits accurate data for hospital-based statistics and regulatory agencies such as OPTN/UNOS/NMDP/CIBMTR/FACT, CMS, and Medicaid in order to ensure compliance with all government reporting requirements, and proper quality outcomes monitoring. Leads initiatives to improve quality and safety scores on the unit and hospital scorecards, through peer-to-peer accountability, reporting near misses and identifying solutions by collaborating with the interprofessional team. Role models situational awareness, using teachable moments to improve safety. (EF)

FINANCE – 10%

1. Models independent time management effectively and prioritization of daily tasks. Actively participates in the stewardship and efficient utilization of resources and needs including unit capital and operational budgets. 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. Implements department strategies to achieve financial target and organ program financial measures on unit-based scorecard and mentors others to do the same through timely documentation of care, optimizing efficiency, and other areas according to department specifications. (EF)

GROWTH/INNOVATION – 15%

1. Leads and identifies opportunities for practice changes and performance improvement. Investigates and incorporates transplant-specific evidence-based practices which are presented to department and leadership. Supports change initiatives and adapts to unexpected changes. (EF)
2. Expands individual nursing knowledge and coaches staff to grow in knowledge, abilities, skills, and attitudes. Serves as the clinical resource. Develops and disseminates, as appropriate, informational/educational resources and programs designed to improve quality and professional practice. Completes and updates the individual development plan (IDP) on an on-going basis. (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

• Two years Transplant Coordinator experience