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.

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 within Mission Control with the Physician on Duty, Patient Placement Office, Emergency Communications Center, Transfer Center nurses, 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
• Uses capacity management tools and forecasting reports to plan for and manage daily flow and operations
• Minimizes divert protocols while ensuring safe and optimal utilization of healthcare
• 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
• Collaborates and communicates with university stakeholders when Modified Operations may be indicated. Collaborates with appropriate missions and departments to implement the Modified Operations
• Collaborates with Department of Public Safety to ensure safety to institution, patients, visitors, and
• 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
• Initiates and participates in debriefing support as appropriate.
• Responds to and supports staff, family, and patients in emergency situations including, Code Green, Code Blue, Code Red, Code Amber, Code Pink, Code Walker, Code Gray, and Code Silver.

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
• 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
• 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
• Participates in the implementation of interventions to meet annual goals.

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
• 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
• Identifies and communicates educational opportunities of other team members to appropriate
• 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).

• BSN

• Valid Oregon RN License

• Basic Life Support (BLS) for healthcare providers

• Five years clinical or management experience

Job Related Knowledge, Skills and Abilities (Competencies):

• 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

• Master’s degree in healthcare related field

This position rounds throughout entire hospital and hospital clinical areas throughout shift.

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.