Transplant Coordinator, Rn - Heart Transplant

Transplant Coordinator – Post Heart (Adults)

Job Code: 5322 | FLSA:
Exempt | Pay Target: H2 | Date Posted: 06/01/2024 | Supervisory Responsibility: N/A

Duke University Hospital in Durham, North Carolina, is consistently ranked among the best in the United States. The largest of the four Duke Health hospitals with 1,062 patient beds, it offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo‑surgery center, and more.

The Transplant Coordinator coordinates solid organ (heart, lung, heart‑lung, liver, kidney, pancreas, and multi‑organ) transplantation for all pediatric and adult organ recipients. They provide follow‑up and care across the continuum from pre‑transplant, during transplant, and post‑transplant. The Coordinator collaborates with members of the health care team to enhance patient care by developing, supporting and educating nursing staff. They act as a clinician, educator, investigator, consultant and leader, making clinical judgments based upon a synthesis of current research, concepts, principles, theories, and outcomes to solve complex problems.

The Transplant Coordinator is an integral member of a larger interdisciplinary team contributing to excellence in patient care, research, teaching, and providing leadership to the organization.

• Provides advanced nursing care for patients before and after solid‑organ transplantation, including heart, kidney, kidney‑pancreas, liver, and lung along the continuum of outpatient to inpatient 24 hours a day, 7 days a week.
• Coordinates evaluation process for pre‑transplant (referral) patients to ensure effective use of hospital and clinical resources.
• Assesses post‑transplant organ function and general health status and collaboratively determines need for additional assessment or intervention.
• Facilitates scheduling of studies or procedures for diagnostic purposes utilizing fiscal responsibility for patient and hospital costs.
• Participates in the development and implementation of protocol and standards of care for the transplant patient in collaboration with the multidisciplinary team.
• Assists nurses and other staff to assess, plan, implement and evaluate the care of the transplant patient.
• Monitors the process and outcomes of routine care to determine quality improvement need.
• 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.
• 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.
• Completes necessary documentation according to the United Network of Organ Sharing (UNOS) guidelines including listing, status changes and post‑transplant follow‑up information.
• Communicates with multidisciplinary team members and patients and families in a timely manner regarding patient care/issues.
• 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.
• Communicates with insurer case manager on an as‑needed basis.
• Refers patients or families for assistance utilizing health system and community resources as appropriate.
• Maintains patient transplant record with current data to facilitate communication.
• Plans nursing care and medical procedures with fiscal responsibility by working collaboratively with transplant administrators, financial coordinators, DUH utilization review and third‑party case managers.

• Educates patients along the continuum to assist understanding of processes and procedures surrounding pre‑ and post‑transplant issues.
• Develops patient education materials or identifies external resources that are appropriate for patient education in all phases of transplantation care.
• Educates nurses and other multidisciplinary team members about patient care…