STAFF NURSE -RENAL/PANCREAS TRANSPLANT- COORDINATOR/ 32 Hours Rotating at Brigham & Women's Hospital(BWH) in Boston, Massachusetts

Posted in Other 8 days ago.

Job Description:

STAFF NURSE -RENAL/ PANCREAS TRANSPLANT- COORDINATOR/ Part Time 32 Hours/ Variable/ Rotating Shift/ BWH Boston

Excellent Care to Patients and Families • The Best Staff • In the Safest Environment

The Staff Nurse will be responsible for:

The Transplant coordinator will primarily serve in Post- Renal / Pancreas Transplant. If needed per department needs, may be utilized in Pre-Transplant. The coordinator will need an understanding of both pre- and post-renal/pancreas transplant care, and will care for post-transplant kidney or pancreas recipients. If need, care may extend to assuring living kidney donor patients, and the pre-transplant potential transplant candidates, and waitlisted candidates.

Post Transplant

  • Accountable for assessing, planning, implementing and evaluating a plan of care for our post operative renal and pancreas transplant patient population.

  • Provides in-patient teaching for renal and pancreas transplant recipients and support person/caregiver, coordinated with the inpatient nursing staff to ensure consistency and collaborates with the multidisciplinary inpatient transplant team rounds.

  • Provides ongoing education to transplant patients and family members regarding important aspects of care, including but not limited to activity, diet, medication adherence and healthcare follow-up. Helps to maintain current supply of patient/family education materials.

  • Responsible for medical management care coordination for patients in collaboration with Transplant Nephrologists and Surgeons. Responsible for revising plan of care as needed.

  • Attends post transplant clinic sessions and provides appropriate teaching, emotional support, medication administration, wound care, drain care, and other duties as needed.

  • Coordinates renal transplant medicine clinic visit follow-up, including review of same day and faxed labs results with transplant nephrologist, leading to a revised care plan.

  • Facilitates interactions of the multidisciplinary team members, including physicians, social work, finance coordinator, transplant pharmacist, nutritionist and outside consultants.

  • Telephone contact with patients to assess clinical status, monitor response to therapy, adjust medications in consultation with clinical providers, and organize outpatient or inpatient follow-up as needed.

  • Working closely with transplant nephrologists, coordinates all outpatient care follow-up for post-transplant patients, including but not limited to prescription refills and medication changes, assisting/obtaining prior authorizations, arranging for testing and treatment services, and facilitating admissions as necessary within Brigham & Women's or a patient's local treatment facility.

  • Participate in interdisciplinary post-transplant meetings, provide current information regarding patients, relaying any new developments to the multi-disciplinary team, which may impact the care plan.

  • Sets priorities when organizing care for patients with varying acuity.

  • Maintain continuity of care through clear and concise (verbal and written) communication.

  • Other duties as assigned.

Pre Transplant:

  • Meet potential transplant recipients and living donors (patients) in the clinic setting. Provide an overview of transplantation including: immunosuppressive medications, surgery, deceased donor vs. living donor transplant, need for lifelong follow-up and pros/cons of transplantation.

  • Assess patient's individual needs regarding knowledge and lifestyle and develop an individualized care plan to address these needs.

  • Assess educational needs of patient; modify education plan as needed.

  • Provide each patient and support person/caregiver with educational materials and arrange for individual teaching sessions or family meetings as needed.

  • Facilitates interactions of the multidisciplinary team members, including physicians, social work, finance coordinator, transplant pharmacist, nutritionist and outside consultants.

  • Participate in weekly interdisciplinary pre-transplant meetings, provide current information regarding patients, relaying any new developments related to candidacy to the multi-disciplinary team, which may impact the decision to transplant/donate or not.

  • Review all information prior to the meeting; ensure all outside records, radiology images, radiology reports, pathology reports, consult notes, and lab results are available.

  • Maintain meticulous records on potential recipients. Review progress frequently to prevent delays in finalizing the evaulation work-up.

  • Review status of all active potential recipients and identify those patients who need to be fast tracked due to medical necessity.

  • Communicate with the potential recipient's PCP, referring nephrologist or endocrinologist, and other specialists as applicable to request records or coordinate testing and further care.

  • Communicate with living donor's PCP, send post-donation follow-up letter including recommendations for yearly donor follow-up. Call living donors yearly to ensure they have had proper follow-up and obtain yearly lab results.

  • Oversee the re-evaluation process for all active patients ensuring readiness for transplantation.

  • Effectively manage patients by assuming responsibility for referral, evaluation, assessment, planning, and implementation of patient education and care needs.

Professional Attributes

  • Establishes effective professional relationships with other members of the healthcare team.

  • Serves as role model and resource for other staff, providing assistance with the care coordination process, clinical skills and patient teaching.

  • Maintains communication with other organ transplant programs at Brigham & Women's and other transplant centers, as needed, in order to keep abreast of current information.

  • Maintains professional relationships with appropriate professional organizations.

  • Regularly incorporates new scientific findings in specific area of expertise into clinical practice. Maintains awareness of new developments in the specialized area and participates in research activities.

  • Participatory Management

  • Utilizes time and materials effectively.

  • Participates in the orientation of new staff members, students and others as appropriate. Provides input into the evaluation of other staff as appropriate.

  • Adheres to hospital and departmental policies. Recommends changes in policies and procedures through appropriate channels.

  • Participates in determining and implementing goals and objectives for the transplant program, and in the periodic review of the program.

  • Qualifications

    To qualify you must have:

  • Graduate of an approved school of nursing with current registration in Massachusetts. BSN required.

  • Prior experience (2 + years) in the abdominal surgery/renal medicine and/or transplant patients required.

  • Telephone triage experience required.

  • Medication management familiarity with complex med regimens and management required.

  • Familiarity with immunosuppressant rejection and infection treatments and education strongly preferred.

  • Prior experience (1+ years) as a Clinical Transplant Coordinator strongly preferred.

  • Recent experience (within 3 years) in ambulatory nursing preferred.

  • ABTC Certified Clinical Transplant Coordinator preferred.

  • Knowledge of community resources and post/non-acute care providers preferred.

  • Familiarity with discharge and resource planning preferred.

  • Active membership in a related professional organization is recommended.

  • Must have strong organizational and communication skills.

  • Flexibility, excellent judgment, and the ability to work independently and as part of a team are essential.

  • Must be able to function well in a busy environment, and to juggle multiple responsibilities.

  • EEO Statement

    Brigham and Women's Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
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