Registered Nurse (RN) Bed Control
The Bed Control Nurse (BCN) rapidly, efficiently, and accurately triages patient levels of acuity. The BCN facilitates patient transfer requests from referring facilities to TMC, coordinates the admission of TMC Emergency Department (ED) patients, and assigns inter-unit patient transfers in a timely manner. The BCN practices with a sense of urgency in their Bed Control (BC) workflow to manage the patient “inter-unit” bed assignments, patient transfer requests from referring facilities, and coordinating the TMC Emergency Department (ED) patient admissions. The BCN accepts all appropriate unit bed assignments made based on admission criteria. As the BCN navigates the Bed Control workflow process the BCN must exhibit proficiency in the bed assignment system using Epic Software. The BCN ensures appropriate patient bed placement using critical thinking skills and applying resource utilization to facilitate patient admission to the appropriate level of care and nursing unit.
ESSENTIAL FUNCTIONS :
Obtain clinical information, screen patient admissions requests for appropriateness of admission, patient status, and level of care.
Understand and apply the InterQual criteria (utilization management function).
Apply in-depth knowledge of EMTALA regulations.
Apply in-depth knowledge of Medicare COP to issues of admission, status, level of care, and priority.
Facilitate timely acceptance of admissions from physician offices and referring facilities so that no appropriate potential admission is lost due to untimely bed assignment.
Collaborate with the Admitting department to ensure accurate patient information in order to eliminate lost reimbursements for direct admissions.
Collaborate with admitting physician/provider to ensure correct admission status and level of care, and accept verbal admission orders.
Collaborate with nursing units, ED, and House Supervisor (HS) regarding patient admission status and level of care.
Manage patient admission and Epic patient tracking system to ensure proper patient placement.
Educate staff and physicians/providers regarding InterQual criteria and utilization.
Refer complicated patient issues relating to status to Physician Adviser and follow up to ensure accurate patient status.
Assist Bed Control Nurse Manager in maintaining and compiling direct admission statistics on a daily basis.
Orient, instruct, and educate any assigned personnel.
Identify and resolve workplace health and safety issues.
Comply with policies, procedures, regulations, and standards, and take corrective action when violations occur.
Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards.
Perform related duties as assigned.
EDUCATION: Graduation from a qualified, nationally-accredited nursing program; preferred BSN.
EXPERIENCE: Five (5) years of critical care experience; preferably Emergency Department (ED) with Triage skills.
LICENSURE OR CERTIFICATION : Current RN licensure permitting work in the state of Arizona.
KNOWLEDGE, SKILLS AND ABILITIES :
- Skill and experience in “Rapid Triage Assessment”
- Skill and experience managing competing priorities.
- Skills and experience with phone etiquette.
- Knowledge and experience of patient throughput in a hospital system.
- Skill - must demonstrate valid interpersonal skills.
- Maintain quality interpersonal skills and use appropriate phone etiquette.
- Ability to navigate an Electronic Health Record (EHR), particularly Epic..
- Knowledge of direct patient care and critical care procedures and techniques, tools, and responses required to ensure optimal patient care.
- Skill in communicating with physicians via telephone to ensure proper patient care.
- Skill in the use of computer applications such as Microsoft Office: Word, EXCEL, and systems such as SDK.
- Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
- Ability to complete routine reports and correspondence.
- Ability to listen and accurately interpret others’ communication or instructions to take appropriate action.
- Ability to speak and communicate effectively.
- Ability to define problems and collect data, establish facts, and draw valid conclusions.
- Ability to interpret an extensive variety of instructions and deal with several abstract and concrete variables.
PHYSICAL DEMANDS AND WORK ENVIRONMENT :
The physical demands and work environment described here are representative of that which an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to use hands and fingers to handle or feel; and reach with hands and arms. Frequently required to sit and talk and hear. Occasionally required to stand and walk; climb and balance; stoop, kneel, crouch, or crawl; and taste and smell. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
While performing the duties of this job, the employee is regularly exposed to toxic or caustic chemicals. The employee is occasionally exposed to fumes or airborne particles, risk of electrical shock, and risk of radiation.
While performing the duties of this job, the employee may potentially be exposed to infectious organisms during routine and emergency situations. The noise level in the work environment is usually moderate.