Quality Coordinator - Trauma

This position may qualify for a sign-on bonus.

Responsible and accountable for promoting, monitoring and evaluating high quality, safe, cost-effective health care by all members of the trauma team. Responsible for the coordination and integration of trauma service performance improvement programs.

• Ongoing identification of potential care issues based on current audit filters that develop in pre-hospital, emergency department, and inpatient settings, then reporting these to the care team, TPM or TMD, to address in timely fashion.
  • Actively participates in identified loop closure needs to include trauma related education, in-services for staff and literature reviews for best practice guidelines.
  • Tracks findings within the trauma process improvement program and documents loop closure when applicable, or escalates to the appropriate level of review.
  • Assesses the appropriate use of trauma protocols and guidelines through observation in rounds and chart review.
  • Actively participates in weekly performance improvement meetings with the TPM and TMD.
  • Coordinates participation of VBMC-H Trauma Services with the State Registry and TQIP Registry in conjunction with the trauma registrar team.
  • Participates and assists in preparing for all trauma committee meetings.
  • Develops structure and maintains data, data flow, retrieval and analysis of information to evaluate the progress and effectiveness of the Trauma PI program.
  • Provides assistance and/or follow up for corrective actions as recommended by the Committee, management, or medical director.
  • Assists with preparation for trauma center verification and designation processes.
  • Provides formal and informal educational offerings regarding quality review programs based upon request and/or need.
  • Maintains established hospital/departmental policies and procedures, objectives, process improvement programs, safety, environmental and infection control standards

• Care Coordination:

• PI Coordinator rounds on trauma patients with the trauma team to assist with real time process improvement.
• Assists in plan of care to ensure appropriate treatment and trauma quality guideline compliance.
• Responds to trauma team activation to aid in any assistance needed within his/her scope of practice.
• Other Duties and Responsibilities: 
• Assists all patients, family members, physicians, visitors and employees in a professional and courteous manner, following the Customer Service standards of the organization.
  • Works together in a spirit of teamwork.
• Adheres to the following environmental care standards.
  • Demonstrates adequate knowledge of Safety Policies and Procedures, the use of MSDS sheets, Hazardous Material procedures, and Safety Codes.
  • Demonstrates adequate knowledge of Security issues, i.e., personal protection, protection of personnel and hospital property.
  • Always Follows Infection Control procedures.
• Performs and fulfills all HICS (hospital incident command system) responsibilities, assignments, tasks, and roles as directed and needed by the facility in times of emergency and/or disaster. Responsible for knowing the Hospital’s emergency codes, including the purpose and appropriate action for each, and adheres to the Hospital policies and procedures for each emergency code. Accepts/participates on assigned Team for Hurricane response.
• Complies with all policies and procedures that pertain to HIPAA including the minimum necessary requirements for this job position.
• Injury Prevention:
• Takes a proactive approach concerning the prevention of injury through community activity and public education.
• Participate in regional injury prevention through health fairs and activities.
• Provides injury prevention related education.

Education:

MINIMUM EDUCATION: Graduate of an accredited school of nursing
PREFERRED EDUCATION: Bachelor’s degree in nursing

Experience:

MINIMUM EXPERIENCE: Two (2) years of clinical experience in Emergency, Critical Care, Trauma nursing.
PREFERRED EXPERIENCE: Experience in management of, or participation in a hospital quality improvement program.

Certifications:

REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State License for Registered Nurse
PREFERRED CERTIFICATIONS/LICENSURE: Trauma PI course within 12 months of hire. ISS/AIS course within 2 years of hire. 
REQUIRED COURSES/ COMPLETIONS (e.g., CPR):   BLS, ACLS within 30 days of hire.   ENPC and TNCC certification within 12 months of hire

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