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 region.
• 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 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.
• 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
2. 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. shadowing3. 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.
4. 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.
5. 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 and Mission Control.
• 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.
6. 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.
7. Professionalism
• 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.

 

• BSN
• Five years clinical or management experience
  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
• Valid Oregon RN License
• Basic Life Support (BLS) for healthcare providers
• Maintain status as Trained Organ Requestor by attending training sessions offered by Pacific Northwest Transplant Bank.
• Complete Incident Command System training through FEMA and possess knowledge on current policies, procedures and program information.

• Master’s degree in healthcare related field

We are Oregon's only public academic health center.

In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.

All are welcome.

OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply.

To request reasonable accommodation, contact askhr@ohsu.edu