ED Treatment Area Coordinator 24 HR Nights, every other weekend 11p-7:30a

• Performs Patient Arrival. Enters demographic data and obtains medical record number.
• Arrives patient as unknown if unable to identify.
• Follows up on identity of unknown patients.
• Places ID band on patient (or delivers to room at clinician request) and verifies name and date of birth.
• Redirects accompanying visitors/family to private waiting area while patient gets settled at the direction of clinical staff.
• Contacts Social Services for Trauma patients whose family has not been notified.
• Arranges for Emergency Release and pick up of Blood products at direction of clinical staff.
• Links Arrival to Referral and CMED note.
• Rooms patient in Epic
• Conducts bedside registration interview. (May entail belongings search for ID if patient is acute)
• Understands process to secure belongings for evidence

• Enters patient data into monitoring system after discharging prior patient from monitoring system.

• Advises patients regarding valuables. Secures valuables and documents at patient's request.

• Assembles, labels and appropriately routes patient paperwork.

PATIENT TRACKING PROCEDURES

• Reviews treatment area census in Epic frequently, and updates to ensure accuracy
• Acts as liaison between clinical staff and transport to ensure timing of transport to test area is appropriate.

• Arranges patient transport for tests. Places patient's name on transport board.
• Uses and differentiates between "Back In Bed" and "Back To Bed" functions in Epic..
• Monitors Epic Trackboard to provide timely notice that all handoffs are complete and inquires of clinical staff if timing is appropriate for transfer to inpatient unit.
• Arranges transport to inpatient and observation units. Places patient name and appropriate destination on Transport Board.
• Arranges non-patient transport.
• Ensures paperwork moves with the patient,
• Supports Alternative pathway to NWH admission by documenting bed assignment from Admitting, notifying Nursing, completing transfer checklist and arranging transportation.
• Facilitates communication between patients/visitors and Providers/Nurses. Provides direction and advice to patients and visitors on non-clinical matters.

TREATMENT AREA OPERATIONS PROCEDURES

• Responds to all Clinician requests for assistance. Refers unresolved requests to Charge for follow up.

• Obtains Blood Bank requisitions and arranges for tubing or pick up of blood products.
• Observes waiting areas/treatment areas and reports disruptions, unusual activity, change in patient status to Security or Clinical staff as appropriate.
• Monitors the Pediatric waiting area and informs clinical staff of any concerns.
• Assists with security by monitoring entrances to the areas. Requests limit to number of visitors at clinician request.
• Understands Section 12 paperwork, and knows which patients are on Section 12. Notifies Security or Clinician if patient on Section 12 tries to leave.
• Responds to entrance requests in secured areas via the monitor and screens before allowing entry.
• Troubleshoots reported hardware and software problems, Opens Help Desk tickets for unresolved issues by and notifies Charge.
• When directed by Nursing, explains Violence Against Women Act billing options to patient, completes necessary paperwork, notifies appropriate parties for Registration and Billing updates.
• Understands and complies with policy related to SANE paperwork. Arranges SANE nurse parking through Charge.
• Rounds regularly and collects paperwork from Provider 'done basket', labels paperwork, checks location of the patient in Epic and appropriately routes the paperwork.
• Runs reports to determine current location of patients who have left the department and other information.
• Reviews the referral list and notifies Charge of patients in the Department with unlinked referrals.

• Sets up communication aids for patients when requested (IPOP, VPOP), or pages Interpreter services.
• Uses the Belongings function in Epic to document valuables and belongings.

PATIENT DISCHARGE / TRANSFER / DISMISSAL PROCEDURES

• Checks safe log , notifies Charge Coordinator, and ensures that valuables are returned to patient prior to departure.
• Ensures patient belongings are returned to patient if they were secured.

• Arranges discharge transportation at direction of clinicians (taxi, chair car, ambulance, etc.) Ensures that MD completes Ambulance Necessity Form.

• For patient transfers to other facilities assembles paperwork, ensures Cobra Form is complete and signed. Sends original with patient and files copies with the rest of the discharge paperwork.

• For patient deaths: labels Report of Death and gives to physician. Assembles paperwork for Medical Examiner and gives to Charge with any MGH medical record paperwork. Assists with returning valuables to families.

• Dismisses patients from Epic.

• Dismisses patients from monitoring system.

• Processes dismissal paperwork. Labels all paperwork. Alphabetizes, and files paperwork.

TELEPHONE / PAGING / VOALTE PROCEDURES

• Answers all incoming calls for treatment area. Directs calls or assists callers.
• Understands protocols related to off scope patients and appropriately directs inquiries.

• Records and communicates lab results (stats and panic values).
• Appropriately re-directs stat result calls from the Micro lab.

• Uses intercom system and Voalte system for intradepartmental communication.

• Initiates pages at request of treatment area staff and when noting the need for support services.

• Assists patients with notifying/calling families upon request.

• Calls ancillary departments to obtain services.
• Troubleshoots issues with Voalte phones, reports unresolved issues to Charge.
• Reconciles Voalte phone inventory; notifies Charge of missing phones and phones not signed out.
• Meets all competencies to cover the main ED phone lines.

VISITOR ASSISTANCE FUNCTIONS

• Receives request via intercom for visitor permission from Front Desk Reception.

• Checks with patient's nurse for permission and relays to Front Desk Reception.

• Greets, assists, directs visitors arriving in treatment area.
• May have to redirect visitors to the family waiting area.
• Follows through on visitor inquiries throughout the patient stay.

• May request or instruct visitors to leave at request of treatment area staff.

PATIENT ON CALL TO OR PROCEDURES

• Prints additional ID band and delivers to patient room.

• Secures and documents patient valuable and belongings or arranges for family to take them.

• Assembles any patient paperwork and labels it. Places in plastic sleeve and delivers to patient room.

SUPPLIES / EQUIPMENT / EOC FUNCTIONS

• Orders and stocks specified forms and clerical supplies for treatment area.

• Tracks down and obtains supplies at request of clinical staff.

• Obtains equipment and arranges for equipment replacement/repair at request of clinical staff.

• Pages Environmental Services to clean discharge bays.

• Calls Buildings and Grounds, Network Services, Biomedical Engineering, etc. and arranges for routine immediate maintenance repairs.

• Communicates unresolved supply, equipment, physical plant, safety, etc. issues to Charge Coordinator or Team Lead for follow up.