ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE: RN - Patient Logistics

REPORTS TO POSITION: Nurse Manager Patient Logistics

DEPARTMENT: Transfer and Dispatch Center

DATE LAST REVIEWED: December 2024

OUR VISION: Creating Americas healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

DEPARTMENT SUMMARY: The Transfer and Dispatch Center is based on the St. Charles Health Care Bend campus and includes several teams that are located together in a workspace that facilitates cross-team support and collaboration system-wide. These teams include the Transfer Center and Central Communications who are co-located with their partners in the Administrator on Duty. Additionally, this department facilitates several critical operations, communication, and facilities functions related to security, safety, and disaster preparedness.

POSITION OVERVIEW: The RN - Patient Logistics is responsible for oversight and coordination of patient acceptance, placement and movement (direct admissions, inter-system transfers, external hospital transfers, Emergency Department transfers, emergent, surgical, Interventional Radiology, Cath lab, and MDU cases) to an appropriate St. Charles Health System hospital in accordance with St. Charles Health System clinical standards and Joint Commission requirements, state regulations, and EMTALA and COBRA guidelines, ensuring patients meet requirements for acute care. Supports Transfer Center outgoing transfers as needed. Collaborates with physicians and department nursing leadership in order to centrally coordinate bed management, patient flow, with the goal of facilitating quality patient care in the most appropriate environment. Acts as liaison between community partners, providers, patient care departments and patient registration. Efficiently and effectively manage all hospital transfers in a timely manner, prioritizing transfers based on patient need and resources available at requesting facility. Consult with on-call providers regarding patient care issues, needs and concerns and escalate as appropriate to leadership team and duty administrator. Supports dispatch services. This position does not directly manage any other caregivers.

ESSENTIAL FUNCTIONS AND DUTIES:

Oversees dispatch operations and acts as a resource for support and problem solving. Partners with Airlink Shift Manager as needed.

Responsible for overseeing coordination of direct admissions and hospital transfers.

Oversees coordination of inter-facility patient transports for transfers between St. Charles Health System facilities and collaborates with transfer / dispatch to ensure timely and appropriate patient transportation

Oversees facilitation of patient transfer requests, provider consultation requests, and intra-facility nurse to nurse reports using the transfer center recorded phone lines for quality management. Maintains communication with all parties including but not limited to attending/accepting provider, charge nurse of receiving department, and referring facility.

Maintains oversight of transfers and prioritize according to acuity and patient need. Consult with on-call providers and appropriate leadership regarding patient care issues, needs and concerns and escalate as appropriate.

Communicate with provider and outlying facilities if placement of a specific patient will be problematic. Use problem -solving skills to determine the best course of action, which will be appropriate plan of care and satisfactory to the patient, the provider, and referring facility. Assists referring facility in problem solving related to transfer care of patient.

Facilitates accurate and timely data collection, monitoring, evaluation, and analyzing of transfer problems for the purpose of developing and implementing process improvement, protocols, and policies.

Excellent communication skills and the ability to succinctly exchange information with multiple entities. Exhibits professional customer service skills including telephone and personal contact with all customers.

Establishes and maintains awareness of protocols, services and special programs at St. Charles Health System facilities.

Prioritizes decision making to ensure timely patient flow (admits, discharges, transfers, emergencies, over and back) from all sources (Other St. Charles Health System facilities, critical access hospitals, internal departments, ER, provider offices and clinics, and other elective admissions and transfers) based on acuity, diagnosis, bed management, staffing, and resource / equipment availability.

Places patient safety first and ensures positive support for those who speak up for safety, reinforcing and building accountability for safety behaviors, and finding problems and identifying fixes to root causes within area or responsibility.

Understands a referring facilitys environment and limitations, anticipating and prioritizing care and service needs.

Collaborates with Administrator on Duty (AOD) and patient care departments regarding peak census protocol and diversion status and patient placement delays.

Delegated responsibility / authority for management of bed resources.

Coordinates with environmental services and clinical leadership to facilitate efficient bed turnaround times.

Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.

Monitor the overall capacity status of the four St. Charles Health System campuses.

Partner with Transfer Center staff to maintain bed availability status in HOSCAP.

Consults with clinical leadership regarding patient condition changes in relation to internal transfer needs and staffing resource changes.

Maintain collaborative relationships with managers and clinical leadership; ensure quality customer service delivery.

Problem solves in the moment and in anticipation of challenges while collaborating with clinical leadership.

Understands and ensures compliance with state, federal, and Joint Commission guidelines related to patient transport, transfers, and admissions.

Demonstrates fiscally responsible resource utilization.

Supports the vision, mission and values of the organization in all respects.

Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.

Creates a healing environment that supports all aspects of care, respects the wholeness of the individual, and demonstrates therapeutic presence through attitudes and behaviors that enhance the care experience for patients and caregivers.

Provides and maintains a safe environment for caregivers, patients and guests

Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organizations corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

May perform additional duties of similar complexity within the organization, as required or assigned.

EDUCATION

Required: As required by licensure.

Preferred: BSN

LICENSURE/CERTIFICATION/REGISTRATION

Required: Current Oregon RN license.

AHA Basic Life Support for Health Care Providers Certification.

EXPERIENCE

Required: Three years progressive acute care clinical experience..

Knowledge of EMTALA regulations.

Working knowledge of epidemiological issues, pathophysiology and treatment modalities as they relate to appropriate patient placement.

Preferred: Critical care and ER nursing experience..

Bed Tracking Software and EPIC experience.

PERSONAL PROTECTIVE EQUIPMENT

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

PHYSICAL REQUIREMENTS

Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.

Frequently (50%): Sitting, lifting/carrying/pushing or pulling 1-25 pounds.

Occasionally (25%): Bending, stooping/kneeling/crouching, reaching overhead, grasping/squeezing, ability to hear whispered speech level.

Rarely (10%): Climbing stairs.

Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, operation of a motor vehicle.

Exposure to Elemental Factors

Rarely (10%): Wet/slippery area, chemical solution.

Never (0%): Heat, cold, noise, dust, vibration, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category

Risk for Exposure to BBP

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Schedule Weekly Hours:

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