Quality Coordinator

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 QUALIFICATION

S:EDUCATION, CERTIFICATION, AND/OR LICENSUR

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

ry2. Licensed as a Laboratory Technologist in the state of West Virginia within 30 days of employmen

t.EXPERIENC

E:1. Four years of experience as a Medical Technologi

st2. Two years supervisory experien

ce
PREFERRED QUALIFICATIO

NS:EDUCATION, CERTIFICATION, AND/OR LICENSU

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

CA)
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 assig

ned.
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 expirat

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

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

aken.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 divi

sion.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 validat

ions.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 neces

sary.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 is

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

ades.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 stand

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

ions.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 methodolo

gies.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 locat

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

ement16. Trains staff on Perioperative/Point of Care Testing (ACT, Hemoglobin, BHCG, Accucheck). Assesses competencies/VIP/CBL’s for all applicable s

taff.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 agen

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

ment.19. Prepares capital equipment request related to POC techno

logy.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 Serv

ices.
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 func

tions.
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 fun