Quality Coordinator Perioperative Services

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The Quality Coordinator for Perioperative Services/Children’s Hospital will supervise licensed personnel and anesthesia personnel required to participate in perioperative/HVI laboratory standards. This individual will assure all WV State Licensure requirements are maintained for all perioperative and HVI staff performing moderate complexity testing. The Quality Coordinator for Perioperative Services will organize quality control procedures utilized in Perioperative Services/HVI (e.g. Activated Clotting Time, glucose monitoring, hemoglobin, HCG, Tissue Control and administration with the Track Core tissue management system, temperature monitoring with the TempTrak management system, and Autotransfusion). This individual will ensure standard operating policies and procedures; understand method principles; perform and review quality control; and review results as to accuracy, acceptability and critical limits. This role is a support to the Director and Managers of Perioperative Services and serves as a liaison to Laboratory Services

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor of Science degree in Medical Technology or  Microbiology, Biology, or Chemistry OR Associates degree in Medical Laboratory

2. Licensed as a Laboratory Technologist in the state of West Virginia within 30 days of employment.

EXPERIENCE:

1. Four years of experience as a Medical Technologist

2. Two years supervisory experience

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Certification as a Medical Technologist by the American Society of Clinical Pathologists (ASCP) or National Certification Agency (NCA)

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Supports all State Laboratory Licensed personnel for moderate complexity testing by assisting with application completion and renewal as well as staff notification of impending licensure expirations.

2. Confirms primary source verification with the WV State DHHR for all licensed perioperative/HVI personnel.

3. Generates POC audit forms for all perioperative/HVI employees and assists to resolve any issues. Notifies managers of actions taken.

4. Supervises all quality point of care procedures monitored within Perioperative Services.  Generates, reviews, and revises point of care policies and procedures ensuring standardization of practice within the division.

5. Responsible for the development, evaluation and maintenance of all laboratory, point of care, and tissue tracking procedure manuals in Perioperative Services/HVI.

6. Assists anesthesia department and perioperative management/clinical preceptors for compliance with practice standards and annual staff validations.

7. Maintains effective communication with Perioperative Managers, Perioperative Director and Laboratory Medical Director(s) and other departments as necessary to assure identification of problems and provide problem resolution in support of the hospital's mission of patient care.

8. Serves as a member of the Perioperative Epic Team, Transfusion Review Committee, Point of Care Committee, and the Joint Commission Task Force.  Serves on ad hoc committees as necessary.

9. Serves as the divisional Tissue Tracking/Tissue System Administrator. Manages and organizes tissue regulation standards; trains personnel on tissue handling functions; completes tissue audits with inventory control personnel; develops tissue handling policies; resources off-site tissue locations; performs site validations to ensure tissue storage meets standards; and serves as the first responder to troubleshoot tissue issues.

10. Works directly with the tissue tracking software company to resolve any provider access or software issues. Coordinates tissue tracking software upgrades.

11. Monitors and suggests changes to meet FDA standards and Joint Commission’s Transplant Safety Standards.  Communicates with the AATB and FDA to ensure compliance for tracking standards.

12. Monitors records of tissue dispositions including implantations, discards, or returns to source facility as well as source file of manufacturer tissue reconstitution recommendations.

13. Prepares a monthly compliance report to the laboratory medical director to be used as a communication tool with staff and managers. Performs linearity, verification and correlations for applicable methodologies.

14. Serves as TempTrak System Administrator. Trains Perioperative Services personnel and Facilities Engineering on TempTrak usage and functions; collaborates with Department of Quality Outcomes; and monitors daily auditing of all temperature tracked storage locations.

15. Partners with Pharmacy to coordinate proper handling of medications and temperature management

16. Trains staff on Perioperative/Point of Care Testing (ACT, Hemoglobin, BHCG, Accucheck). Assesses competencies/VIP/CBL’s for all applicable staff.

17. Serves as system administrator for the RALS middleware software connection to the laboratory; manages database of hemoglobin, I-Stat, and ACT electronic downloads; and communicates with TJC, CLIA, and the laboratory medical director to ensure documentation compliance. Includes leading regulatory surveys with accrediting agencies.

18. Orders, receives, and stores appropriate levels of all necessary reagents, supplies and equipment to ensure efficient quality testing and management.

19. Prepares capital equipment request related to POC technology.

20. Oversees Perioperative Blood Management Program including quality standards for Autotransfusion within the AABB and FDA guidelines including analyzing monthly quality indicators/outcomes; maintenance of blood utilization reports requested by the laboratory medical director; and collaboration with Perfusion Services.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those 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.

Additional Job Description:

Scheduled Weekly Hours:

20

Shift:

Varied (United States of America)

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

WVUH West Virginia University Hospitals

Cost Center:

748 WVUH Surgery 6 North

Address:

1 Medical Center DriveMorgantownWest Virginia

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.