RN Lung Transplant Coordinator

  • Mass General Brigham
  • MGH Main Campus 55 Fruit Street Boston 02114
  • Apr 28, 2023
Full time Registered Nurse (RN)

Job Description

The Massachusetts General Hospital Transplant Center offers leading-edge consultative services, treatment and

surgical interventions to patients with a broad spectrum of diseases requiring heart, lung, kidney, liver, pancreas, islet, hematopoietic stem cell and multiple organ transplants. The only center in the region to offer adult patients transplantation for every organ, the Transplant Center is a destination for any patient requiring transplantation, including multiple organ transplants and advanced care options. Our center features a team of renowned transplant specialists committed to providing patients with the highest quality of care and innovative treatments, allowing them to return to a full and productive life.

 

Leaders in the Field of Lung Transplantation

Founded in 1990, the Lung Transplant Program at Mass General was the first Medicare-approved lung transplant program in New England. Our major milestones include:

 

- Performing New England’s first living related lung donor transplant

- Establishing New England’s first live donor lung transplant program in 1995

 

 

GENERAL SUMMARY/ OVERVIEW STATEMENT:

The Post transplant Nurse Coordinator reports to the medical and surgical directors of the lung program with administrative

oversight by the Senior Administrative Director. The Coordinator is a registered nurse who is responsible for assuring

competent, compassionate assessment and care of outpatients presenting to the lung transplant program. The

Coordinator serves as the central point of reference for all information about patients. Incumbent is responsible for

coordinating the administrative and clinical aspects of the patients, including patient care, education, quality assurance,

research, administrative and financial activities, and consultation. The coordinator will screen patients, educate

patients, assist in the preparation of office procedures, coordinating the patient’s plan of care, verifying test results and

communicating between the patient and the physician.

 

PRINCIPAL DUTIES AND RESPONSIBILITIES:

- Provides care, within his or her scope of practice and licensure in the outpatient setting to maintain optimum quality assurance in all aspects of patient care

- Identifies and responds to recipient/family/legal guardian’s educational, psychosocial and economic needs in the post transplant phase.

- Conduct assessment of patient needs

- evaluate/interview patients arriving to clinic

- obtain vital signs/weight in the absence of the Medical Assistant

- review patient chart, laboratory data, radiology results

- triage patients to appropriate care (includes direct contact and telephone

- encounters)

- Obtains brief history and relevant patient history, physical examination and reasons for the visit, and records this information. Collects and reviews data pertinent to recipient’s health and organ function and ensures that the information is documented in the patient’s chart/Epic. Reviews patient history and other supporting clinical data to facilitate optimum care.

- Provide direct care to patients. This includes the administration of Medications, IV therapy, infusions, injections, Blood Products and other clinical services per Nursing Clinical Guidelines and Standards. Assist physician and/or nurse practitioner with procedures or patient care in the absence of the Medical Assistant.

- Effectively explains and educates patients and/or family members about any necessary procedures or surgeries. Reinforces education and follow-up requirements necessary for successful outcome Teaching is based on assessment, expressed need from patient or family, and/or on the initiation of new treatment.

- Provides and maintains comprehensive documentation of recipient progress: documents and records all visits and procedures. Documentation must follow Nursing Clinical Guidelines and Standards for each patient encounter (includes direct contact and telephone encounters). Use Epic electronic medical records. Use Transplant flow sheets for laboratory, medications, other pertinent clinical data.

- Assembles all necessary clinical, laboratory, and other administrative information and data to recommend care plan to and for review of transplant MD or advanced practitioner.

- Communicates the plan of care and other pertinent information to/from other healthcare providers. Communicates directly with all members of the multidisciplinary team, using e-mail communication with all members of the multidisciplinary team as indicated to ensure quick and accurate patient care. Serve as a liaison with other health care providers, i.e. primary care physicians, other specialty physicians, in-patient nursing, visiting nurses, and insurance providers.

- Performs any and all follow up to support patient needs to include: follow-up of patients having laboratory values not attached to clinic visits and follow-up of patients per physician and/or nurse practitioner orders. Collaborates with in-patient nursing regarding patient admission, discharges, and/or patients requiring follow-up after clinic hours. Communicates lab data and diagnostic results to transplant physician/health care provider. Implements changes in drug/treatment therapy as ordered by physicians and other health care providers.

- Collects and reviews data pertinent to recipient’s health and organ function and ensures that the information is documented in the patient’s chart/Epic.

- Manages medication refills and prior authorizations to ensure patients maintain appropriate medication management.

- Observes, monitors, and assesses recipient’s compliance with medications and medical regimen, lab protocols for monitoring patient and graft outcomes; collaborates with the transplant team to attain and maintain compliance.

- Collaborate with the Patient Services Coordinator in scheduling patient admissions. Arranges for consultations, diagnostic procedures and hospitalization when indicated or in the absence of the Patient Services Coordinator.

- Collaborate with the Patient Care Coordinator to follow-up with patients missing clinic appointments and/or lost to followup.

- Understands post-transplant protocols and acts as a resource for internal and external health care providers.

- Maintains communication with referring physician, other health care providers and payors

- Works with physician and office staff to maintain equipment. Participates in routine care and maintenance of equipment.

- Involved in research projects, as directed.

- Possess a global awareness of the daily schedule both for the individual as well as the entire staff.

- Performs new techniques and/or routines as necessitated by technological advances/changes. Maintains and updates clinical knowledge and skills based on current nursing education practices.

- Participates in improvement of patient care services in a cost-effective way.

- Utilizes resources efficiently to facilitate optimal patient care.

- Maintains a clean work area (i.e. clean laundry bags, counters, cabinets, machines, etc.). Assist in maintaining the

clinical environment and stocking/ordering of supplies.

- Implements precaution techniques, sterile techniques, etc. as needed.

 

Administrative:

• Participate in planning, designing, implementing, or evaluating guidelines, protocols and standards.

• Manage and maintain active patient files and data reported to the New England Organ Bank and UNOS.

• Support the maintenance of monthly and annual statistics including summaries of clinical data and postoperative follow-up care.

• Collaborate with Financial Coordinators to interface with third party payers.

• Assist with site visits of regulatory agencies, third party payors and responses to RFIs

• Collaborate with other transplant programs to ensure efficient and effective use of resources and expertise.

• Initiate and participate in quality assurance activity.

• Participate on committees and task forces that relate to organ transplantation and quality assurance and performance improvement.

• Works with professional and hospital billing and billing compliance employees and Senior Administrative Director to ensure accuracy and compliance.

 

Professional Development:

• Initiate, participate and contribute to educational programs for staff at the unit/service/interdepartmental levels.

• Reviews and integrates into practice the current professional literature in the field of transplantation

• Attends practice-related conferences (not required)

• Participates in professional transplant/procurement organizations (not required)

• Examines current transplant-related research

• Participate in and support research activities within the MGH Transplant Center and publishes results in collaboration with program directors, Chief and Transplant Center leadership as appropriate

• Shares knowledge through mentoring/precepting newly hired staff nurse, coordinators and other transplant staff as needed.

 

Professional Practice:

• Assures informed consent for procedures and transplant processes as appropriate

• Assures access for patients to treatment alternatives

• Protects the rights of patients, their families/legal guardians, and health care team members

• Respects individual privacy and holds confidential all information obtained in the course of practice

• Assures open and clear communication with patients, families and health care team members without bias or discrimination

• Assures that quality and performance improvement standards are developed, implemented and maintained

• Evaluates self-performance by comparing actual outcomes to expectations

• Monitors referrals to and from transplant clinic and transplant outcomes to meet performance

• Maintains cooperative relationships with other health care professionals

• Acts to protect the public trust when health care and safety are endangered

• Assists OPOs and other community organizations with educational presentations and information appropriate to the needs of transplant professionals and the public

• Reviews, evaluates and revises education materials and programs for transplant related practice

Adheres to requirements for mandatory continuing education and certification in the field of nursing. Identifies personal

learning needs and goals and develops a plan to meet them. Maintains and develops professional practice through

continuing educational programs and appropriate learning experiences.

• Adheres to requirements for mandatory continuing education and certification in the field of nursing. Identifies personal

learning needs and goals and develops a plan to meet them. Maintains and develops professional practice through

continuing educational programs and appropriate learning experiences.

 

 

 

Job Requirements

Current Massachusetts licensure as a registered nurse
Bachelor’s degree in nursing or equivalent experience required.
Minimum 2 years recent transplant or pulmonary experience
Current BLS certificate

 CCTC preferred