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Position Highlights

ESSENTIAL QUALIFICATIONS: The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed above are representative of the knowledge, skills, and/or abilities required to perform the essential functions. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions, so long as the accommodation does not cause undue hardship to the employer.

EDUCATION and/or EXPERIENCE:

• Graduate from a CCNE or NLN accredited nursing program is strongly preferred. Graduate from an approved nursing program is acceptable.

·         Bachelor’s degree preferred.

·         Emergency Department experience preferred.

·         Participates in educational conferences annually and updates and maintains professional knowledge and skills related to areas of responsibilities.

CERTIFICATION, LICENSURE, and/or REGISTRATIONS: 

·         Current licensure as a Registered Nurse in the State of South Dakota and/or meeting the requirements of multistate licensure. 

• Certification in BLS, ACLS, PALS and TNCC.

ESSENTIAL FUNCTIONS

• Develops and reviews facility policies in the areas of responsibility in accordance with SD Administrative rules, CMS, OSHA, and other applicable regulatory agencies. 
• Maintains all required records, reports, and statistics for administrative and regulatory purposes.
• Ensures regulatory compliance implementation in areas of responsibility.
• Facilitate survey readiness.
• Attends required meetings and training within the facility and within the Avera structure.

·         Trauma Coordinator essential functions as listed in separate job description.

• Coordinates and directs the facility-wide quality improvement program.
• Prepares the hospital quality improvement plan, evaluates on a regular basis, and works with facility leaders and medical staff to develop action plans if identified goals and measurable objectives are not being met.
• Submits federally required Rural Emergency Hospital quality metrics.
• Prepares and presents reports and data, in areas of responsibility, at department leader meetings, Medical Staff Meeting, and other meetings as directed.
• Develops and implements a preventative and/or corrective program to minimize infection hazards, including audits for HAIs, data extract and analysis, and data submission to correct programs.
• Collaborates with infection prevention experts to investigate any unusual epidemics, clusters of infections, infections due to unusual pathogens and any occurrence of healthcare-associated infection that exceeds endemic levels.
• Establish methods to review and monitor service excellence, to improve customer experience and engagement across care settings.
• Prepares the annual facility Infection Prevention Risk Assessment, TB Risk Assessment, Infection Prevention Plan, and surveillance plan.
• Responsible to plan, organize and implement activities for Employee Health.
• Responsible to maintain a comprehensive Employee Health Program that includes elements such as the following: immunization records, necessary titer records, TB testing, FIT testing, and other regulatory required testing/items.
• Report and coordinate care for on-duty work related injuries and completion of related documentation. Process work restrictions within the guidelines of workers compensation and American with Disabilities Act.
• Collaborate with department leaders and HR in the cases of employee medical leaves and employee illnesses.
• Coordinate facility and community immunization clinics to prevent spread of communicable disease
• Develop and oversee solutions to provide timely and effective emergency and disaster preparedness. 
• Develop emergency management plan; organize and maintain emergency response assets and supplies.
• Collaborates with environmental services and facility maintenance to ensure preventative maintenance and testing of emergency response assets is completed and documented.
• Prepares and conducts emergency exercises by coordinating with local, regional, and state organizations as appropriate.
• Completes after-action reports for emergency exercises, drills, or emergency/disaster situations.
• Responds, as available, to emergency situations including external and internal disasters, evacuation, hazardous material spills, decontamination events, fire, etc.
• Assures compliance with federal regulations for NIMS and ICS regarding facility emergency preparedness and response.
• Coordinates employee educational needs and requirements across the organization. 
• Assigns mandatory employee education through the Avera Learning Center.
• Works with department leaders to implement, coordinate, and execute specific education needs of employees in departments.
• Leads new employees through orientation requirements in areas of responsibility for this position.
• Compiles statistical information that is required for Rural Emergency Hospitals. Uses information to analyze facility utilization and review specific REH metrics on transfers and length of stay.
• Investigates and assists with grant opportunities.
• Other duties as assigned