Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.

U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.

Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet(r) organization
• Nurses from each hospital are consistently recognizedeach year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Quality of Life: Living in the Triangle!
• Relocation Assistance!

The Pre Heart Transplant Program at Duke University Hospital is an active program, transplanting 80+ patients per year while delivering exemplary care for each patient to ensure excellent patient experiences and outcomes.

The Pre Heart Transplant Coordinator will work with Heart transplant patients during all phases of transplant. The coordinator will be part of a multidisciplinary team to include seven adult Heart coordinators and one pediatric Heart coordinator. The Pre Heart Transplant Coordinator will provide advanced nursing care for patients before and after heart transplantation along the continuum of outpatient to inpatient 24 hours a day, 7 days a week.

The Pre Heart Transplant Coordinator will coordinate the evaluation process for pre-transplant (referral) patients to ensure effective use of hospital and clinical resources. The Pre Heart Transplant Coordinator assesses post-transplant organ function and general health status and collaboratively determines need for additional assessment or intervention based on program protocols and workflows. The Pre Heart Transplant Coordinator provides on-call coverage, including coordination of activities prior to heart transplant and medical triage for out patients in collaboration with the physician on-call. The Pre Heart Transplant Coordinator organizes the transplantation process when a donor is available (24hours/7 days a week) including communication between physicians, local organ procurement organization, patient/families and the medical team involved including ED, OR, ICU (SICU, ACU), blood bank and histocompatibility labs. The Pre Heart Transplant Coordinator completes necessary documentation according to CMS and the United Network of Organ Sharing (UNOS) guidelines to include listing, status changes, and post-transplant follow-up information. The Pre Heart Transplant Coordinator communicates with multidisciplinary team members, patients, and families in a timely manner concerning patient care/issues.

This is a salaried position that does require rotational weekends and holidays when covering on call. This position does extensive patient assessment in clinic environment, phone triage, and patient education to ensure exemplary care.

Work Hours & Shifts: Monday - Friday, hours per program practice.
Full Time : Day shift, call required, rotational weekends and holidays.

Occupational Summary

The Pre Heart Transplant Coordinator coordinates solid organ heart transplantation of all pediatric and adult organ recipients. The Pre Heart Transplant Coordinator provides follow-up and care across the continuum from pre-transplant, during transplant and post-transplant. S/he collaborates with members of the health care team to enhance patient care by developing, supporting and educating nursing staff. S/he is a clinician, educator, investigator, consultant and leader. S/he makes clinical judgments based upon a synthesis of current research, concepts, principles, theories, and outcomes to solve complex problems. The Pre Heart 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.

Work Performed

Clinical Practice

1. Provides advanced nursing care for patients before and after solid-organ heart transplantation along the continuum of outpatient to inpatient 24 hours a day, 7 days a week.

2. Coordinates evaluation process for pre-transplant (referral) patients to ensure effective use of hospital and clinical resources.

3. Assesses post-transplant organ function and general health status and collaboratively determines need for additional assessment or intervention.

4. Facilitates the scheduling of studies or procedures for diagnostic purposes utilizing fiscal responsibility for patient and hospital costs.

5. Participates in the development and implementation of protocol and standards of care for the transplant patient in collaboration with the multidisciplinary team.

6. Assists nurses and other staff to assess, plan, implement and evaluate the care of the transplant patient.

7. Monitors the process and outcomes of routine care to determine quality improvement need.

8. Provides on-call coverage, including coordination of activities prior to transplant, and as medical triage for out patients in collaboration with the physician on-call.

9. Coordinates transplantation process when a donor is available (24 hours/7 days a week) including communication between physicians, local organ procurement organization, patient/families and the medical team involved including ED, OR, ICU (SICU, ACU), blood bank and histocompatibility labs.

10. Completes necessary documentation according to the United Network of Organ Sharing (UNOS) guidelines including listing, status changes and post-transplant follow-up information.

11. Communicates with multidisciplinary team members and patients and families in a timely manner in regard to patient care/issues.

12. Collaborates with PRM and other team members in coordinating discharge plans for patients pre-transplant or post-transplant including referral to home health / IV therapy / Hospice / Rehab / SNF.

13. Communicates with insurer case manager on an as needed basis.

14. Refers patients or families for assistance utilizing health system and community resources as appropriate.

15. Maintains patient transplant record with current data to facilitate communication.

16. Plans nursing care and medical procedures with fiscal responsibility by working collaboratively with transplant administrators, financial coordinators, DUH utilization review and third-part case managers.

Teacher/Educator

1. Educates patients along the continuum to assist understanding of processes and procedures surrounding pre- and post-transplant issues.

2. Develops patient education materials or identifies external resources that are appropriate for patient education in all phases of transplantation care.

3. Educates nurses and other multidisciplinary team members about patient care issues to promote positive outcomes for transplant patients.

4. Provides education and consultation about transplantation, and organ donations for the Duke Health System, public organizations or referral centers/practices.

5. Serves as a resource person/preceptor in organ transplant for graduate and undergraduate nursing programs.

6. Participates or leads team conferences, rounds, or meetings in relation to care of the transplant patient or program issues.

Research Utilization and Scholarly Inquiry

1. Interprets research and published data to nursing staff and colleagues concerning current issues in transplantation including those of a clinical, legal, ethical and economic nature.

2. Incorporates research relating to the care of transplant patients into evidence-based practice while collaboratively determining appropriateness with the medical team.

3. Identifies areas for study and participates in and/or designs and conducts research.

4. Disseminates findings or information through professional publications and/or presentations.

Consultant

1. Serves as a consultant to nurses and other health care professionals regarding the care of the organ transplant patient.

2. Advises referring physicians/nurses in the care of patients in collaboration with the surgical and medical teams.

3. Serves as a community consultation resource through media, telephone and transplant internet links for information about transplantation and organ donation.

4. Consults with unit leadership to resolve issues relating to transplant patients.

Professional Leadership and Development

1. Role models advanced practice professional nursing through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, and problem-solving skills.

2. Communicates effectively to maintain positive working relationships and achieve desired outcomes.

3. Supports and participates in the strategic plan for the Duke University Health System, Department of Nursing, and Department of Advanced Practice Nursing.

4. Participates in unit, departmental and hospital-wide committees, task forces or meetings as indicated by role appropriateness.

5. Participates in organ transplant program planning and management within the health system.

6. Demonstrates responsibility for professional practice through active participation in professional organizations, a minimum of 25 continuing education hours/year, and active participation in CSU and APN departmental meetings / educational opportunities.

7. Enhances the body of knowledge in nursing and solid organ transplantation through exchange of ideas and knowledge using venues such as posters, newsletters, presentations, and publications.

Knowledge Skills and Abilities

Attention to detail and effective communication and documentation with numerous physicians, organ procurement agencies, Operating Room (O.R.), Intensive Care Unit (ICU) and Emergency Department (ED) staff, the patient and the patient's family are required.

Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas--an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.