Total Joint Coordinator, RN


Location: Downtown Spokane Clinic

Job Description

Northwest Orthopaedic Specialists, PS is hiring a full time Registered Nurse to work in our Total Joint Program.

The Total Joint Coordinator of the 23 Hour Stay program is responsible for the overall coordination of the patient’s preoperative and postoperative care. Under the direction of the ASC Administrator, this individual will have the ability to interact with the physicians, office and surgery center staff, as well as several key participants inside and outside of NWOS. Participants include primary care, rehabilitation therapy and any others involved in the care of the patient. This individual regularly collects data through patient interviews, chart reviews and computer generated reports. Data is compiled and will be presented to ASC leadership and the Quality Assessment Performance Improvement committee and other leadership groups as directe


To perform this job successfully, an individual must be able to satisfactorily perform each of the essential duties/responsibilities listed below relevant to the area they are trained. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties/responsibilities of this job.

Patient Care:

  • Works with ASC Administrator and physicians to create and continually assess and update preop and post op protocols and the Total Joint Education class.
  • Coordinates preoperative care of patients that are preparing for surgery in the ASC that may require a 23 hour stay to ensure the patient meets all crieteria for surgery in an outpatient setting. This will include, but not be limited to medical clearance for cardiac, pulmonary, labs, DVT risk assessment, etc.
  • Coordinates preop anesthesia review.
  • Coordinates pre-habilitation to include but not be limited to physical therapy education and a post op pain medication trial.
  • Assist patient in assessment of a safe home environment prior to discharge.
  • Assist patient in choosing a support person for the home environment to aid in meeting expectations in the post op period.
  • Assist patient in obtaining the proper durable medical equipment related to their surgery including but not limited to walkers, wheelchairs, canes, etc.
  • Educates patients by providing preoperative materials and also teaches the Total Joint Education class.
  • Maintains a patient-centered mentality and ensures the confidentiality of patient information at all times. Uses tact, patients and understanding when dealing with patients and families, physicians, outside agencies and staff members.
  • Performs preop and post op calls to patients at designated times and accurately documents patient status in the medical record.
  • Reinforces perioperative teaching to patient as needed. Instruct and inform patients and families on health concerns and home patient care.
  • Participates in collaborative efforts with other nursing/medical staff to structure patient care.
  • Plans nursing interventions based on individual patient needs, surgical procedures and standard plans of care.
  • Maintains knowledge of agencies which will provide continuity of care and acts as a resource to staff and patients.
  • Accepts responsibility for problem solving regarding patient care concerns. Initiates contact with appropriate resources and initiates action on patients' problems. Seeks assistance from the ASC Administrator and/or Charge Nurse when appropriate.
  • Maintains knowledge regarding own responsibilities in ASC Disaster Plan and assists with the direction of co-workers to function according to the plan. 


  • Documents post op calls and compiles data for measuring outcomes. 
  • Prepares summaries of program data for presentation to leadership.
  • Actively participates in ASC/Clinic committees including but not limited to: ASC Quality Assessment Performance Improvement, Pharmacy and Therapeutics, Infection Control, etc.
  • Contributes to capital/operations budget suggestions as needed.
  • Complies with all policies and procedures of Northwest Orthopaedic Specialists.
  • Completes all other tasks accurately as assigned and in a timely manner.

Required Skills and Experience

  • Graduate of an accredited school of nursing.
  • Hold a Washington State Registered Nurses License.
  • BLS Certification required upon hire or within 30 days of hire.
  • Minimum of one (1) year related experience and/or training as a perioperative or orthopedic nurse in a hospital/surgery center.


Northwest Orthopaedic Specialists offers a complete and competitive benefits package including: competitive salary based upon experience, Health insurance, 401(k) match and profit sharing after eligibility requirements.

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