(Full-Time, Days)
Pay range: $49.72 - $74.58

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE:                                      Trauma Program Process Improvement Coordinator - RN Bend  

REPORTS TO POSITION:      Trauma Program Manager

DEPARTMENT:                        Trauma Activation

DATE LAST REVIEWED:          September 2025

OUR VISION:                            Creating America’s healthiest community, together

OUR MISSION:                         In the spirit of love and compassion, better health, better care, better value

OUR VALUES:                          Accountability, Caring and Teamwork

DEPARTMENT SUMMARY: The St. Charles Trauma Program offers extensive coverage from the Columbia River Gorge, east to Idaho and down into parts of Northern California. Our hospitals are affiliated with AirLink for emergency transportation. The SCHS serves nearly 2,500 trauma patients annually. Services include definitive trauma care for severely injured patients with 24/7 support from the AirLink & Life Flight Network Critical Care Transport helicopters and fixed-wing airplanes, as well as many ground ambulance agencies. 

POSITION OVERVIEW: The Trauma Process Improvement (PI) Coordinator - RN will represent the St. Charles Bend Trauma Program and will build and strengthen relationships with state and regional agencies and medical facilities involved in the care of the trauma patient. Evaluates the care of the trauma patient via chart and data review and acts as liaison between Trauma Services and other departments within the SCHS such as ED, ICU, OR, and Pediatrics. Provides bidirectional communication, as well as loop closure on clinical, communication, or relationship issues by attending department, agency, and facility meetings and addressing specific problems as they are identified.

Responsible for co-implementing the St. Charles- Bend Trauma PI Plan, along with the Trauma Program Manager and Trauma Coordinator, following up on PI issues and documenting all loop closure in the Oregon Trauma Registry (OTR). The PI nurse will serve as a program liaison to the Trauma Registry staff and be responsible for writing and interpreting registry and quality reports, identifying trends and developing solutions to address problems with the quality of trauma patient care.

Serves as the primary contact for the St. Charles- Bend Trauma Registry when interacting with customers. Responsible for clinical data registry activities including case finding, abstracting and coding of clinical data in accordance with State, Federal, The Joint Commission (TJC), American College of Surgeons (ACS) and other Registry guidelines & requirements. Responsible for preparing and submitting hospital and patient data to the State and National Trauma Registries.

This position does not directly manage other caregivers, however, may be asked to review and provide feedback on the work of other caregivers.

ESSENTIAL FUNCTIONS AND DUTIES:

Serves as Trauma Program representative and primary contact for the Trauma Registry.

Performs chart review, participates in and evaluates trauma team performance, M&M case review, system and regional loop closure.

Works collaboratively with other departments to ensure proper event assessment, process improvement, and loop closure, and documents and evaluates the process.

Establishes systems working with clinical departments, as well as referring facilities to retrieve and review clinical data for abstraction.

Coordinates, obtains and verifies clinical information and data to support clinical quality performance measurement and improvement.

Compiles, collates and distributes accurate, complete, and easily interpreted monthly, quarterly and yearly reports.

Exports clinical data for State, Federal or other regulatory and accreditation programs.  This includes but is not limited to: trauma data to the Oregon State Trauma Registry (as required by Oregon Law), and the National Trauma Data Bank.

Analyze Oregon Health Authority (OHA) and American College of Surgeons (ACS) Trauma Quality Improvement Program (TQIP) benchmark data and collaborates to identify specific clinical opportunities for improvement.

Collaborate with internal and external resources to perform QA, loop closure, and clinical education.

Integrates with hospital quality department by sharing data, participating in quality initiatives and ensures opportunities for confidential nursing case reviews.

Participates and is a member of relevant boards and committees which may include: Area Trauma Advisory Board (ATAB)/Regional EMS Advisory Board (REMSAB), OHA EMS Advisory Board (EMSAB), Regional health Preparedness (RHPP), ED, Trauma & Critical Care Committee, Trauma Management Committee, East Cascades EMS (ECEMS) Council, ED Provider and Staff Meetings.

Assists with coordination of program-related activities, meetings and conferences as necessary for accreditation, performance improvement and service line support.

Co-coordinates activities in preparation for both Oregon Health Authority and American College of Surgeons site visits in an effort to maintain Level II State of Oregon trauma designation and Level II ACS trauma verification.

Maintains a knowledge base regarding changes in abstracting and accreditation standards as it pertains to the Trauma Registry.

Attends relevant conferences and participates in continuing education opportunities that ensure the maintenance of a knowledge base that contributes to up-to-date, evidence-based standards of care, protocols and clinical practices.

Understands the Trauma Registry’s role in the overall hospital structure as pertains to accreditations such as The American College of Surgeons and the State of Oregon. 

Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience.

Maintains high visibility in the hospital, providing staff opportunities to interact with trauma during staff regular hours.

Develops cultural competence and provides appropriate care for patients and family members who belong to diverse cultural backgrounds.

Supports the vision, mission and values of the organization in all respects.

Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.

Provides and maintains a safe environment for caregivers, patients and guests.

Conducts all activities with the highest standards of professionalism and confidentiality.  Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. 

May perform additional duties of similar complexity within the organization, as required or assigned.

EDUCATION:          

Required: Registered Nurse in the State of Oregon, Bachelor of Science in Nursing (BSN).

Preferred: N/A 

LICENSURE/CERTIFICATION/REGISTRATION:

Required: Current Oregon RN license.

Trauma Certified Registered Nurse (TCRN).

Trauma Nursing Core Course (TNCC).

AHA ACLS, PALS & BLS certifications.              

EXPERIENCE:

Required: Three (3) years Emergency Department nursing experience in a Level I or II Trauma Center.  

Preferred: Trauma Process Improvement nursing experience within the last year. Experience with TQIP and the ACS verification process.     

PERSONAL PROTECTIVE EQUIPMENT:

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

ADDITIONAL POSITION INFORMATION: 

Skills:

General:

Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS

Ability to effectively interact with all levels within SCHS and external customers/clients/potential employees

Strong teamwork and collaborative skills

Ability to multi-task and work independently 

Attention to detail

Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions

Basic to intermediate ability and experience in computer applications, specifically electronic medical records system and MS Office

Position Specific:

Understanding and ability to operate in an Incident Command System and Critical Incident Debriefing

PHYSICAL REQUIREMENTS: 

Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.

Frequently (50%): Sitting, lifting/carrying/pushing or pulling 1-25 pounds.

Occasionally (25%): Bending, stooping/kneeling/crouching, reaching overhead, grasping/squeezing, ability to hear whispered speech level.

Rarely (10%): Climbing stairs.

Never (0%): Climbing ladder/stepstool, lifting/carrying/pushing or pulling 25-50 pounds, operation of a motor vehicle.

Exposure to Elemental Factors

Rarely (10%): Wet/slippery area, chemical solution.

Never (0%): Heat, cold, noise, dust, vibration, uneven surface.

Blood-Borne Pathogen (BBP)

Exposure Category Risk for Exposure to BBP

Schedule Weekly Hours:

40

Caregiver Type:

Regular

Shift:

First Shift (United States of America)

Is Exempt Position?

Yes

Job Family:

NON CONTRACT RN SPECIALIST

Scheduled Days of the Week:

Monday-Friday

Shift Start & End Time:

0600-1430