Oregon Health & Science University

Administrator On Duty

Job Locations US-OR-Portland
Requisition ID
Position Category
Position Type
Regular Part-Time
Job Type
Unclassified Administrative
Mission Control
Salary Range
Commensurate with qualifications, experience and internal equity
HR Mission
Drug Testable

Department Overview

The Administrator on Duty (AOD) is responsible for daily administrative coordination of patient care and other hospital operations in conjunction with Nursing and Hospital Administration.  Responsible for administrative activities during off shifts/weekends/and holidays with appropriate Healthcare and University Administrative representatives on-call as back up.  Represents OHSU Hospital and clinical enterprise to the community and public.   


The Administrator on Duty’s (AOD) decisions and actions are based on the ethical principles outlined by the America Nurses Association’s Code of Ethics for Nursing. The AOD practices in adherence with the American Nurses Association’s (ANA) Nursing Administration: Scope and Standards of Practice for Nurse Administrators, the ANA Code of Ethics for Nursing, the Oregon State Board of Nursing’s Nurse Practice Act, and within the context of the Nurse Executive Competencies developed by the American Organization of Nurse Executives (AONE). The AOD exemplifies the principles of the OHSU Culture of Safety Position Statement by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture. 


Function/Duties of Position

Operational Leadership 

  • Communicates regularly with the Manager of AODs, Nursing Division Directors, Nurse Managers and professional and support services leadership for the purpose of mutual information sharing, planning and problem solving.  
  • Submits daily AOD report to hospital administration, summarizing hospital operations for previous 24 hours. Communicates any necessary follow-up needs with oncoming AOD. Utilizes chain of resolution including engaging the Healthcare Administrator on Call (HAOC) when necessary. 
  • Works closely with the Physician on Duty, Patient Placement Office, Emergency Communications Center, charge nurses, nursing and non-nursing leadership and referring and accepting physicians to facilitate patient placement in all inpatient care areas and maintain access to the hospital for Oregonians and others in and beyond our region 
  • Minimizes divert protocols while ensuring safe and optimal utilization of healthcare resources. 
  • Activates the Healthcare Emergency Operations Center (EOC) and serves as the initial Incident Commander in the event of a disaster until leadership relief is designated in the EOC. Collaborates with the HAOC and key stakeholders to coordinate an appropriate scalable response to disasters, threats, or other emergencies that could impact healthcare operations. 
  • Collaborates with Facilities Management to ensure timely/safe infrastructure repairs to maintain patient care operations. 
  • Collaborates and communicates with university stakeholders when Modified Operations may be indicated. Collaborates with appropriate missions and departments to implement the Modified Operations Plan. 
  • Collaborates with Department of Public Safety to ensure safety to institution, patients, visitors, and employees.  
  • Monitors for situations that may pose a risk to the organizations physical and financial resources and communicates with hospital Risk Management. 
  • Serves as a liaison between media relations, patients and hospital staff. 
  • Initiates and participates in debriefing support as appropriate. 

Human Resources  

  • Acts as a trained evaluator for drug and alcohol use of employees at work and initiates appropriate intervention with an employee suspected of violating hospital policy or professional responsibilities.  
  • Maintains understanding of current bargaining agreements as pertain to possible impairment in the workplace, intervening as needed to ensure safety and respect for persons 
  • Actively seeks resolution to interdepartmental problems utilizing principles of conflict management and the chain of resolution. 
  • Identifies and communicates educational opportunities of other team members to appropriate leadership. 
  • Facilitates understanding of how the AOD role coordinates and collaborates with other key roles in the organization (e.g. shadowing opportunities, attending committee or team meetings). 


Nursing/Clinical Practice 

  • Serves as a trained organ/eye/tissue requestor, coordinates, facilitates, and participates in donation discussions with next of kin, and collaborates with external donation agencies. 

  • Collaborates with the Decedent Affairs Coordinator to ensure completion of all required end of life documentation and activities, discussing and consenting for OHSU autopsies, referring appropriate cases to the medical examiner, coordinating post-mortem procedures, communicating with funeral homes, and supporting research initiatives related to the Decedent Affairs Program. 

  • Provides Patient Advocate services in crisis situations in collaboration with Patient Relations, social work and the medical team, and serves as a liaison to other managers regarding these issues 

Strategic Plan 

  • Collaborates in the setting of annual department goals to align with nursing, healthcare and university strategic initiatives. 

  • Participates in the implementation of interventions to meet annual goals 

Financial Management 

  • Assists staff in adhering to the daily staffing plan, makes appropriate and fiscally responsible changes, and works closely with the Centralized Staffing Office to communicate staffing needs for current and upcoming shifts. 

  • Escalates capacity, flow, and pertinent patient care issues through the tiered huddle structure or Mission Control leadership team. 

  • Monitors for inappropriate inter-hospital transfer requests and collaborates with key stakeholders, including the POD and Case Management. 

  • Identifies and communicates trends or system barriers to expediting flow and resource utilization to meet patient needs. 

Performance Improvement 

  • Identifies areas of safety and quality risk, offers recommendations to reduce risk and improve outcomes. 

  • Uses current research findings and other evidence to expand clinical knowledge, enhance role performance, and increase knowledge of profession issues. 

  • In collaboration with appropriate leadership, trends and investigates safety and quality concerns to understand and address the root cause of errors or adverse events. 

  • Communicates learning to disseminate best practices. 

  • Supports a workflow process that builds a culture of safety. 


  • Evaluates practice in relation to professional practice standards and existing evidence. 

  • Promotes translation of theory, scope & standards into practice to exercise autonomy and decision-making authority. 

  • Advances practice excellence by communicating a clear and consistent message about the ownership of role and standards-based professional practice. 

  • Engages in informal and formal processes of giving and seeking feedback regarding role performance from individuals, professional colleagues, representatives, administrators, and others.  

  • Mentors and supports others to access resources for their professional development. 

Required Qualifications

  • Baccalaureate of Science in Nursing Degree from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA)
  • Five years clinical or management experience

  • Valid Oregon RN license

  • BLS at time of hire and must be issued by the American Heart Association (AHA) or Military Training Network branch of AHA (upload documentation with online application)

  • Knowledge of Regulatory/Agency Requirements 

  • Strong communication skills, teamwork (demonstrated ability to build team and integrate existing teams), and experience in complex organizational environments 

  • Strong knowledge of current union contracts, Hospital and University policies, human resource policies, Code of Conduct, infection control and OHSA regulations 

  • Ability to remain focused while performing multiple tasks and assignments 

  • Must be able to perform the essential functions of the position with or without accommodation

Preferred Qualifications

Master’s Degree in healthcare related field 

All are welcome

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.

As an organization devoted to the health and well-being of people in Oregon and beyond, OHSU requires its employees to be fully vaccinated against COVID-19.


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