Patient Transfer Access Center Nurse, 24 hours

Mass General Brigham•Somerville, MA

18h•Onsite

About The Position

The Access RN will lead critical system-wide coordination efforts by adopting a system mindset and leveraging their clinical expertise, situational awareness, and knowledge of MGB hospital capabilities to efficiently and effectively match patients with the right site of care. This centralized role aims to ensure timely access to care, reduce transfer delays, balance patient flow, activate standardized transfer pathways, and foster close collaboration with the multidisciplinary MGB PTAC team and site-based clinical and operational leaders.

Requirements

Associate's Degree Nursing required
Registered Nurse [RN - State License] required
3+ years of adult critical care and/or emergency department experience required
Must work well independently, have sound decision-making skills, and have flexibility to assist in times of emergency or increased need.
Responsible for contributing to a calm, organized, appreciative, and learning-oriented atmosphere.
Proactively seeks out feedback and communicates development goals.

Nice To Haves

Bachelor's Degree Nursing preferred

Responsibilities

Closely coordinates with hospital bed management teams in the MGB Capacity Center to support patient movement and placement across the system.
Elicits patient information from the referring MD and the outside facility nurse to allow appropriate patient triage and placement. Follows admission using the Transfer matrix and alternative pathways based on bed availability in collaboration with patient access services to appropriate beds based on bed availability and triage information.
Collaborates with off-shift nurse administrators regarding ED, procedures, and inpatient arrivals.
Monitors the notification process for inpatient responding clinicians, appropriate documents, including data collection, IPASS expect notes, transfer modules, emails, code activations, and reporting to senior leadership. Access nurses notify the team and inpatient service of admissions via email to attending physicians; expect a note to be placed for house staff, and collaborate with the referring physician to callback for specific information.
Serves as a department representative and consults with appropriate administrators, patient care unit leadership, procedural unit leadership, and access services during the extreme census—updates physicians and transferring facilities on bed availability. Attend daily huddles and represent the PTAC.
Responsible for making critical decisions on directing patients to the appropriate care pathway across various diagnoses, clinical scenarios, and operationally challenging situations.
Identifies patients who are safe and appropriate for standardized transfer pathways that avoid the ED and/or reduce the load on inpatient bed capacity at MGB hospitals. Coordinate these transfers with hospital-based and other MGB asset-based physicians, nurses, and capacity leaders.