Coordinator Trauma Quality - Trauma Services

Carle Health•Normal, IL

About The Position

The Emergency Trauma & Quality Coordinator plans, coordinates, implements, and reviews Trauma Center Quality Improvement activities, Emergency Departments Approved Pediatrics (EDAP) Quality Improvement activities, and the overall Emergency Department Quality Plan for physicians and emergency department associates. The Coordinator works with the Emergency Department leadership team and system SANE Coordinator to oversee the local Sexual Assault Program. Prior emergency department registered nurse experience of more than three years is required.

Requirements

More than three years of emergency department nursing experience.
College diploma in Nursing.
Licensed Registered Professional Nurse (RN) in Illinois.
Basic Life Support (BLS) certification from the American Heart Association within 30 days.
Advanced Cardiac Life Support (ACLS) certification from the American Heart Association within one year.
Trauma Nurse Specialist (TNS) certification from the Illinois Department of Public Health within one year.
Pediatric Advanced Life Support (PALS) certification from the American Heart Association within one year.

Responsibilities

Perform Quality Indicator chart reviews and enter status or variances into the Illinois State Trauma CQI database.
Notify the Director of Critical Care & Emergency Services about performance improvement issues that cannot be closed because of issues beyond the Coordinator’s control, and follow up to ensure loop closure.
Perform trauma nursing documentation audits.
Create variance charts and transmit variance data to department-specific dashboards.
Work with the Trauma Director and Medical Director to evaluate quality patient care.
Compile Trauma Death Summaries for monthly Department of Trauma meetings.
Assist with identifying, documenting, and resolving trauma process improvement variances.
Perform monthly chart audits for registry validation and report findings to the Medical Director and Director of Critical Care & Emergency Services.
Facilitate Trauma Registry reporting and ensure appropriate, timely submission of data to the Illinois Department of Public Health.
Work with the ED nurse manager and ED medical director to ensure compliance with and documentation of pediatric continuing education for emergency department professional staff in accordance with EDAP.
Keep current with standards of care and regulatory body standards.
Coordinate regulatory agency review processes for the hospital Trauma Center and Emergency Department Approved for Pediatrics (EDAP) designation.
Participate in regional pediatric quality improvement activities, including preparing a written quality assurance report and attending the Regional QI subcommittee meeting.
Audit nursing and UNL documentation to assess patient care quality; provide feedback to nursing, UNL, and medical staff when variances are identified.
Develop action plans to correct variances and improve quality, and collaborate with the ED educator and manager to provide formal and informal education based on trends.
Identify and address quality variances within the Coordinator’s scope, escalating issues when needed.
Write, review, and revise department policies, procedures, protocols, and guidelines.