Trauma Level 1-Adult Performance Improvement Coordinator

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor of Science Nursing (BSN).

2. Current unencumbered licensure with the WV Board of Registered Professional Nurses, or appropriate state board where services will be provided, as a registered professional nurse OR current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).

3. Obtain certification in Basic Life Support within 30 days of hire.

EXPERIENCE:

1. Minimum of three (3) years experience in Emergency Nursing, Critical Care nursing or Trauma Specialty related Nursing experience.

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Certified Emergency Nurse (CEN), Certified Flight Registered Nurse (CFRN), Certified Pediatric Emergency Nurse (CPEN), Certified Transport Registered Nurse (CTRN), Trauma Certified Registered Nurse (TCRN) or equivalent advanced certification.

2. Obtain Trauma Nurse Core Course (TNCC) certification within 6 months of hire and TNCC Instructor certification within 1 year of hire.

EXPERIENCE:

1. Knowledge and ability to use various computer programs including the EMR (EPIC), Microsoft programs such as Word, Publisher, Excel, Teams, data base management, and report writers.

2. Prior experience in Performance Improvement (PI), Quality Improvement (QI), and research.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Maintains secure and confidential documentation of all PI activities, including patient performance improvement files, minutes of Peer review and process improvement meetings.

2. Maintains current knowledge of and ensures compliance with the West Virginia Office of Emergency Medical Services Trauma Designation regulations, the American College of Surgeons standards, and the hospital facility quality measures related to Performance Improvement.

3. Develops and assists team members in developing action plans for process improvement and ensures follow through and loop closure on these plans.

4. Assist with development and providing trauma related education programs for physicians, nurses, pre-hospital personnel, and allied health professionals as learning needs are identified via mail surveys, requests, site visits, course evaluations, and latest trends in the care of the trauma patient. Coordinate with CEOD and applicable agencies to ensure that CEUs/CMEs are provided for healthcare providers when applicable.

5. Coordinate and/or teach established educational programs including but not limited to Trauma Nurse Core Course (TNCC) and Rural Trauma Team Development Course (RTTDC).

6. Works closely with the Trauma Registry to ensure accurate data collection and identification of performance improvement audit filters and events. Works with registry staff to develop and execute queries from the registry, using standard query tools.

7 . Participates in organizational-wide continuous improvement projects as it relates to the Trauma Performance and Patient Safety program (PIPS).

8 . Participates in the national trauma performance improvement program (TQIP) by Collaboration with the trauma leadership team and other key stakeholders to implement the annual Trauma PIPS Program plan.

9. Oversee and support the written Jon Michael Moore Trauma Center Trauma PIPs plan. This will include development of Audit Filters, event tracking and trending as well as assist with identifying the need for additional protocols/guidelines or adjustments to those that are already in place.

10. Represents JMMTC and WVU Medicine on various regional, state and national forums as directed.

11. Coordinates and/or documents all performance improvement activities i.e. weekly Trauma PI meeting, chart review, peer review presentation, include follow up and loop closure.

12. Coordinates, prepares for and participates in the monthly interdisciplinary Trauma PIPS Committee. Shares appropriate data and document all information for the peer review protected minutes.

13. Develops and maintains monthly data reporting and tracking. Oversees data validation efforts to ensure data reliability as it relates to PIPS activities.

14. Assists with developing interdisciplinary clinical protocols in consultation with Trauma Medical Director, Trauma Coordination Team and the appropriate multidisciplinary team members.

15. Exhibits professional behavior on a consistent basis while representing the JMMTC, demonstrates initiative-taking professional behaviors by assuming responsibility for and complying with continued educational requirements, and identifies own learning needs while seeking learning opportunities both internally and externally. Applies knowledge sharing to professional practice to impact and improve patient care and the injury prevention and outreach to the healthcare system and the community.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Work requires strength and/or stamina, lifting, moving, stooping, reaching, standing, walking, and carrying of materials and equipment weighing 35+lbs as well as sitting for extended periods of time.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1.In-house position, standard office environment.

2. Some travel required.

3 Working closely with others, working protracted or irregular hours, working around biohazards, working around infectious diseases, working with electrical hazards/equipment.

SKILLS AND ABILITIES:

1. Knowledge of and ability to use computers, including word processing, spread sheets, graphics, messaging (E-Mail), data base management, and report writers.2. Must possess tactful communication skills to be able to converse with staff, physicians, patients, families/caregivers, visitors, government agencies, outside facilities/agencies and the public.

3. Strong organizational skills and diligence with the ability to work as an active team member under potentially tight timelines.

4. Ability to interpret/analyze patient outcomes

5. Ability to work independently while managing multiple ongoing or recurrent tas and be result oriented.

6. Knowledge of professional theory, practice, and procedure.

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

Company:

Cost Center:

Address:

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.