The TCRNs provide patient-centric care through the triage of admission requests and the placement of patients into the OHSU Health System (Adventist Health, Hillsboro Medical Center, and OHSU main campus) to the right location at the right time with the right services. The TCRNs are responsible for triaging many different admission types into the OHSU system such as interhospital patient transfers, direct admissions, emergency department transfers, STEMI activations to OHSU partners, and placement of complex quaternary patients at OHSU’s main campus. The TCRNs are also responsible for monitoring the list of patients awaiting transfer into the OHSU system and escalate patient clinical conditions to the appropriate Mission Control and attending provider team members. TCRNs perform case management review of patients awaiting admission from the OHSU emergency department at varying hours. The TCRNs also answer and triage the internal rapid response team (RRT) dispatch line and the public Oregon POLST (Physician Order for Life-Sustaining Treatment) Registry Request (OPR) line. The TCRN works collaboratively with the Emergency Transport Coordinator (ETC) role to manage and coordinate interhospital transfer requests. Geographic knowledge of the state of Oregon and the Pacific Northwest Region is valued to support accurate triage to the correct location with the right services. This position requires strong knowledge of medical diagnoses and the treatment and course of these conditions. Intense focus and concentration are required for multiple requests that necessitate timely action. Previous experience in high-flow patient areas are strongly preferred. Hospital system-level knowledge of patient throughput, hospital functions, and communication is recommended.
Hiring Bonus and Relocation Package Available
The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.
• Interface with various Mission Control team members, management, and administration to assess facility occupancy and capabilities including service line availability across the OHSU Health System
• Act as a liaison for referring entities (e.g. physicians, hospitals, other care providers) seeking to refer, consult, and/or transfer into the OHSU Health System
• Must be able to deal with competing needs and priorities of internal and external customers, including making correct judgments regarding ensuring safe conditions for patients, families, and other personnel
• Use their independent scope of practice to triage calls for all types of adult interhospital patient transfer requests
• Assess and triage patient clinical information as shared by the referring provider and utilize process flows, emergent and/or specialty algorithms and admission guidelines to assign a patient at the right facility, at the right level of care with the right admitting service(s).
• Must have excellent communication and reflection skills, the ability to work collaboratively in a team, and the flexibility to prioritize and adapt in stressful situations
• Facilitate and coordinate communications between referring and accepting providers
• Utilize multi-line telephones, integrated transfer center electronic health record (EHR) software, and web paging systems to facilitate conference calls with referring entities/providers and OHSU providers.
• Prolonged periods of sitting and standing in a stationary position
• Able to work independently and as part of a team
• Must be able to use all senses: seeing, hearing, touching, smelling and speaking. Reasonable accommodations include corrective lenses and/or hearing aides
• Maintain and update knowledge of and responsiveness to the state and federal laws/regulations to ensure compliance with EMTALA and regulatory standards which affect their practice.
• Complete and accurately timed documentation of interhospital transfer and patient admission communications.
*Bonus Disclaimer: current RN employees at OHSU, Adventist Medical Center in Portland or Hillsboro Medical Center are not eligible for the hiring bonus.
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