Coordinator of Total Joint Replacement & Spinal Fusion Program


To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values—integrity, patient-centered, respect, accountability, and compassion—must guide what we do, as individuals and professionals, every day.

Manages nursing care of the orthopedic and neurosurgical patients in accordance with established policies and procedures, and protocols of the health care organization. Serves as the hospital ambassador and resource nurse for all surgical orthopedic total joint replacement and spinal fusion patients. Provides education and support for patients and family members from initial contact pre-operatively, throughout the continuum of care, and beyond discharge.



  • 1. Available clinical resource for staff, patients, and family members. (Continue present role as Clinical Resource Nurse.)
  • 2. Collaborate with surgeons, nursing staff, case management, and physical medicine to create and update the curriculum for pre-operative total joint replacement and spinal fusion classes.
  • 3. Develop and maintain all pre-op teaching and discharge material, and care map for total joint replacement and spinal fusion patients.
  • 4. Current education of all nurses and nursing assistants in the care of this patient population via in-services, memos, updates, competencies, grand rounds, including educational videos for staff.
  • 5. Develop and maintain clinical practice manuals with education dept. for Surgery A, B, and C, telemetry, ICU and PACU.
  • 6. Assist with orientation of new nurses and nursing assistants and maintenance of competencies.
  • 7. Teach pre-operative education classes for all total joint replacement patients.
  • 8. Call each patient after class but prior to admission to check for any problems, concerns, questions.
  • 9. Establish and maintain communication with neurosurgeon and orthopedic office coordinators.
  • 10. Provide continuous, daily support and education to the patient and their family via phone calls, twice daily rounds, direct instructions, etc. relating to their specific procedure. Outline the steps involved throughout their continuum of care.
  • 11. Continuous problem resolution and trouble shooting regarding pain management, mobility issues, guest relations, etc.
  • 12. Ensure patient and family of progress throughout hospital stay.
  • 13. Be available to patients and families as needed.
  • 14. Collaborate with surgeon, nursing, physical therapy, and social services to provide appropriate discharge plan.
  • 15. Meet with each patient individually (and family members if available) to provide discharge teaching verbally and in writing. This teaching is tailored to each patient focusing on reinforcement of education and expectations after discharge.
  • 16. Conduct two follow up interviews with each patient at 3-4 days post discharge and 3-4 weeks post discharge to assess their condition. Maintain telephone logs for same.
  • 17. Document follow up interviews and take appropriate action regarding patient/family problems/concerns/needs, etc.
  • 18. Assist in obtaining and maintaining requirements for disease specific certification from JCAHO.
  • 19. Assist to track and trend information for joint commission metrics, performance improvement plan, etc. Share results with nursing staff and brainstorm improvement measures.
  • 20. Collaborate with Q.I. department to identify performance measures and ensure that performance measures for the program are sustained in accordance with the goals of the program.
  • 21. Assist orthopedic and spine surgeons in the community to promote programs at GHA such as Teddy Bear Clinic, Greenwich Library Total Joint Replacement Forums, Healthy Living Center, etc.




Graduate of accredited school of professional nursing. BSN & MSN Preferred. Orthopedic Certification required within 6 months of hire.




3-5 years experience in acute care setting orthopedics/neurosurgery.  Strong data collection and teaching skills.




Current RN licensure. Current BLS. NAON certification.




Guest relations/Customer service abilities including effective listening and speaking skills.




Ability to perform work that requires frequent bending, standing, and reaching.


See Inside the Office of Yale New Haven Hospital

Yale New Haven Hospital provides diverse comprehensive care in over 100 medical specialties. As the primary teaching hospital of the Yale School of Medicine, YNHH provides around-the-clock coverage and insightful, research-supported patient care. In addition to providing quality medical care to patients and families, Yale New Haven Hospital is the second largest employer in the New Haven area, with more than 12,000 employees.

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