Ohio Nurses Association

Nursing Staff

1.0 FTE, 10 Hour Day Shift - 6 Month Fixed Term

At Stanford Children's Health, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.

Transplant Coordinators are specialized nurses, typically in an outpatient/ambulatory care setting, that facilitate the care and education of solid organ (e.g., heart, lung, heart-lung, liver, kidney, pancreas, small intestine, and multi-organ transplantation), blood and bone marrow (BMT), or stem cell transplant recipients and their families from initial contact, through the work-up for transplant and the waiting period, discharge planning, and then post-transplant follow-up for transplant-related care, ensuring continuity of care across the transplant continuum. Transplant Coordinators also participate in coordinating retrieval of cadaveric organs for transplantation and participating in providing educational/outreach programs regarding organ donation and transplantation to health care providers, patient groups, community organizations, and others in the hospital's service area. The Transplant Coordinator is an integral member of a larger interdisciplinary team contributing to excellence in patient care, research, teaching, and in providing leadership to the organization.

Essential Functions

• General Responsibilities: Maintains the appropriate required documentation of physician orders, communications pertaining to the process and patient medical management in the progress note, flowsheet entry, and Filemaker Pro database. Maintains the Last Word database patient roster(s); maintains the patient medical record and patient confidentiality in accordance with HIPAA regulations; completes the UNOS Transplant Recipient Registration (TRR) form after a candidate receives a transplant; ensures that the flowsheet is complete and accurate regarding data required for completion of the UNOS forms by database assistant; assists in collecting transplant related statistics; participates in the transplant program Quality Improvement Process; responsible for collaboration with affiliated transplant agencies and other transplant centers; educates the community about organ donation in conjunction with the California Transplant Donor Network (CTDN); participates in orientation of new hires in the transplant coordinator role.

• On-Call Responsibilities (Donor Retrieval and After-Hours Patient Calls): Participates in the coordination of all cadaveric organ donors for liver, kidney and pancreas organ retrievals in conjunction with UNOS and the Organ Procurement Agency (OPO) involved at the point of donor origin; accesses the current candidate wait lists and the database, and assists the Transplant Fellow and Attending Surgeon in the selection of a recipient; contacts the selected recipient(s), makes the offer to the recipient, and communicates back to the surgeon if declined, or patient has symptoms requiring assessment (if accepted, makes all necessary arrangements for the admission per the check list); notifies the appropriate hospital departments of the planned transplant surgery per checklist; notifies the on-call Histocompatibility technician of combined transplants; ensures that the appropriate blood and tissue specimens are sent for the cross match testing; receives cross match results as needed and communicates result to the surgeon; coordinates all arrangements in conjunction with UNOS for imported organs; coordinates transport of organ to another center if received to, but not used by, Stanford Hospital & Clinics (SHC); completes documentation on donor log and check lists, and submits log(s) to Business Manager and Clinical Supervisor; inquires regarding the possibility of CryoLife heart retrieval with each adult donor; reports off after 24 hour on-call shift at 9 am to next nurse on-call. Acts to facilitate the coordination of the transplant surgery as called upon and as appropriate while on-call; functions as the after hours contact team member for transplant patients; follows-up on tests/diagnostics as needed via report from post transplant kidney team and/or the patient.

• Post-Transplant: Monitors and assesses all post-transplant labs, tests, and medications, and ensures that standing lab orders are kept current; notifies physician in a timely manner of abnormal diagnostic tests, out-of-range lab values, and new/worsening patient symptoms; completes the "discharge letter" and sends out the discharge packet to the primary care physician at an appropriate post-transplant interval; reinforces the inpatient discharge teaching regarding post-operative signs and symptoms of complications, infection, and rejection; directs activity in Transplant Clinic to ensure efficient workflow, patient rooming, and performs clinical assessments/minor procedures as appropriate in a clinic setting; maintains long-term follow-up with patient and referring physician until patient becomes inactive with the program; acts as a resource to community physicians and health care workers regarding long-term medical management of the transplant patient.

• Pre-Transplant: Interviews and performs intake referral on potential recipients and their family/significant other; assesses patient and family/significant other perceptions of physical, emotional, and psychological implications of transplantation; participates in the initial educational process for patient candidates; contacts referring physicians for necessary patient information and keeps them current regarding patient's transplant status and communicates this information to the transplant surgeon/physician to expedite the evaluation process; provides the patient's financial/insurance information to the Patient Admitting Department; lists patient on transplant waiting list maintained by the United Network of Organ Sharing (UNOS); communicates acceptance into the program to the patient/support person; sends out patient information packet; monitors all accepted candidates waiting for transplantation under protocols; attends to transplant issues in the Transplant Clinic.

Minimum Qualifications

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

Education: Bachelor's Degree in Nursing from an accredited college or university

Experience: Three (3) years of progressively responsible and directly related work experience

License/Certification: Current American Heart Association (AHA) Certification for Basic Life Support (BLS) for Healthcare Providers, CA Registered Nurse (RN)

Knowledge, Skills, and Abilities

• Ability to assess the patient's understanding of and willingness to learn about transplantation.

• Ability to demonstrate proficiency and continual growth in the knowledge of transplantation.

• Ability to prepare documentation which is organized, accurate, and clear.

• Ability to work effectively with individuals at all levels of the organization.

• Ability to speak, read, write, and understand English effectively at a level appropriate for the safe and effective performance of the job.

• Knowledge of and ability to coordinate the care of the transplant recipient in an outpatient setting to achieve optimal physical, social, and emotional rehabilitation.

• Knowledge of current theories, principles, practices, standards, emerging technologies, techniques and approaches in the nursing profession, and the health care system, and the responsibility and accountability for the outcome of practice.

• Knowledge of patient and family educational needs relative to the intricacies of organ transplantation.

• Knowledge of post-transplant management including medications, complications, interventions, and discharge planning in the coordination of recipient care.

• Knowledge of the needs of and ability to monitor and coordinate the care of candidates awaiting organ transplantation.

• Knowledge of the regulations, requirements, and processes of the United Network of Organ Sharing (UNOS) and Organ Procurement and Transplantation Network (OPTN), and Organ Procurement Organizations (OPO).

Equal Opportunity Employer

L ucile Packard Children's Hospital Stanford strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, LPCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.