MidFull TimeEN
Job type: Full Time
Shift: Days
Hours: 0800-1630
GENERAL DUTIES:
Under the direction of the Director of Emergency Services and in collaboration with the Medical Director(s) of Trauma and Critical Care Services, the Trauma Program Manager/Trauma Process Improvement and Safety Nurse is responsible for the organization of services and systems necessary for the multidisciplinary approach to the care of the injured patient. The Trauma Program Manager/Trauma Process Improvement and Safety Nurse collaborates with the Trauma Medical Director in carrying out the educational, clinical, research, administrative, and outreach activities of the trauma program. Demographic information limited Patient Health Information as related to job function.
The Trauma Program Manager/Trauma Process Improvement and Safety Nurse, working in conjunction with the Director of Emergency Services and the Trauma Medical Director, assists the trauma program in monitoring all aspects of care. This position will that all guidelines and protocols are consistent with the care being provided. The Trauma Program Manager/Trauma Process Improvement and Safety Nurse identifies opportunities for improvement and manages the performance improvement program. The Trauma Program Manager/Trauma Process Improvement and Safety Nurse is responsible for: Meeting Riverside County Trauma Center Standards as well as The Joint Commission and American College of Surgeons standards, complying with all state and federal regulations, complying with corporate and hospital policy and procedures, managing patient information, promoting teamwork and positive customer service
Is actively involved, cross trained and able to perform back up in the following duties:
• Attends hospital, Tenet, Medical Staff, Department meetings as assigned.
• Meet hospital wide and department specific competencies.
• Participates willingly in Department/Hospital process improvement plans.
• Ensures confidentiality with patient and physician information and demonstrates understanding of HIPAA.
DEPARTMENT SPECIFIC DUTIES:
• Provide quarterly educational offerings to JFK MEMORIAL HOSPITAL staff
• Participate and guides the orientation of new staff in the care of trauma patients
• Provides community trauma education and prevention yearly
• Monitors trends and sentinel events, and outlines remedial action
• Coordinates day to day clinical process and performance improvement
• Manage required reporting data for filters and case reviews of county and state authorities
• Provide outgoing data for hospital quality programs and PI initiatives for trauma program
• Maintain hospital trauma registry as required by county and state guidelines without 30-day log discrepancy
• Collects, codes, scores and develops process for validation of data derived from trauma center care
• Conduct monthly trauma audits providing feedback to director and nursing staff relating to deficiencies
• Provide direct supervision of trauma registrar
• Provides clinical management support in the absence of the clinical manager
• Serves as liaison to administration and clinical staff for trauma program issues
• Represents hospital in a professional manner in community activities, county and state-wide functions including monthly county EMS meetings
• Conduct yearly JFK MEMORIAL HOSPITAL research projects relating to trauma care
• Participate in daily rounds on all inpatient trauma patients
• Maintain participation in a state or national clinical organization pertaining to trauma registry.
• Ability to work productively in a fast paced and changing environment.
• Ability to work with minimum supervision.
• Able to demonstrate proficiency with computer hardware, trauma registry software and ensuring preventative and routine maintenance for a database registry.
• Accurately identifies all patients for entry into the hospital trauma registry, abstract data from the medical records of appropriately defined trauma patients. Completes and verifies for accuracy all data collected and entered as a requirement for a level II trauma center according to current local, state and national standards.
• Aids in the preparation for the American College of Surgeons- Committee (ACS-COT) on Trauma Level 4 Trauma Center Verification/Re-verification and/or the Riverside County EMS Agency trauma survey, as applicable
• Analyzes trauma data to provide both routine and adhoc reports of trauma statistics and performance improvement and patient safety audits/filters to the TPM for but not limited to: monthly performance improvement meetings and trauma operational meetings, routine volume reporting, statistics, trends in audit filters, loop closure evaluation and opportunities for improvement, education, financial analysis, trauma audit committee and southeast trauma coordinating care committee, external oversight: The Joint Commission, CMS, and the ACS-COT, and/or Riverside County EMS Agency, Trauma research.
• Assigns and scores all injuries utilizing the AIS and ICD-9 system or equivalent. Assigns accurate E-codes, collects and codes data on all procedures, complications, ensures all data elements for the hospital trauma registry are collected, entered and validated per current local, state, and/or national standards.
• Attends required orientation and training seminars.
• Demonstrates initiative and creativity in problem solving.
• Designs, implements and tests the user interfaces and reports for database applications.
• Develops and reports trauma audit filter information to the Trauma Operational Committee and Trauma PI Committee as appropriate.
• Ensures loop closure on all identified issues.
• Establishes and maintains the databases used for testing new and modified applications.
• Maintains confidentiality of patient care and business matters.
• Meets production standards within established time requirements.
• Modifies and maintains database structure and methods as required.
• Monitors the security of data to ensure the integrity and reliability of database systems.
• Performs chart reviews for those trauma patients meeting criteria for PI/Peer Review
• Prepares the cases for review for the multidisciplinary peer review meetings.
• Proven ability to abstract data from database software into spreadsheet formats.
• Responsible for maintaining the tracking system for case review, audit filters, PI, and peer review reports.
• Submits the required data elements to the Riverside County trauma registry as required by state statute. Identifies and submits data to approved local, regional, and national trauma registry as approved by the TPM.
• Work and performance meets quality standards.
• Other duties as assigned.
Required:
• Bachelors degree in Nursing; Masters—preferred
• Licensure/ Certification/ Registration: Current California RN license, Current American Heart Association BLS/ACLS/PALS certificate
• Certification specific to Trauma (TNCC, TCRN, PHTLS, or an appropriate trauma-based equivalent)
• Five years’ experience as a clinical RN in Emergency /Trauma Center or Critical Care Unit
• Prefer previous trauma program management—preferred
• Trauma Registrar certification (CSTR or CAISS certified)— or within 2 years of hire
• Special Qualifications: Knowledge of trauma statistical reports, peer review, performance—preferred
• Experience with improvement and injury prevention, epidemiology—preferred
• Ability to create and make data presentations to groups with varied needs
• Proficiency with Microsoft Office
#LI-DH1
Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At John F. Kennedy Memorial Hospital hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.
At John F. Kennedy Memorial Hospital, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
Note: Eligibility for benefits may vary by location and is determined by employment status
