Feature

Beyond Bedside

Three hospital nursing roles that don’t involve direct patient care

Four nurses who work in beyond bedside roles that do not involve direct patient care.

Photos above: Jimmy Sariya, Amin Hasan, Henry Ansorie, Becky Mendez.


While patient care remains at the heart of nursing, today’s healthcare organizations also need nurses’ expertise in a diverse array of non-bedside roles. This important work draws on your existing skills while giving you the opportunity to support patients in new ways — and sometimes on a significantly larger scale.

This article sheds light on three of these essential nursing roles.

Infection Preventionist

Protecting staff, patients, and visitors by preventing the spread of infections in the hospital setting

The COVID-19 pandemic gave us all a renewed appreciation for the need to understand and prevent the spread of infections within healthcare facilities. That important task is the focus of infection preventionist (IP) nurses, who are responsible for implementing and maintaining infection control practices, protocols, and policies within their organizations.

IP nurses conduct assessments and surveillance to identify potential sources of infection, monitor adherence to hand hygiene and personal protective equipment guidelines, and educate staff on infection prevention measures. The IP nurse also collaborates with various departments, from frontline staff to senior leadership, to develop strategies, implement outbreak control measures, and uphold a culture of safety.

Hendry Ansorie, RN-BC, MSN, CIC, an infection preventionist at UCLA Health, says that IP nurses influence the health of the entire healthcare community. “The impact of our recommendations improves the overall health of patients and healthcare workers,” he explains. “As the experts in infection control, people look to us for guidance.”

While staying up-to-date and knowledgeable is essential, Ansorie says good communication skills are just as crucial. It’s helpful for IP nurses to be comfortable with public speaking, as they must often present data and education to others. Time management and multitasking are also paramount; he often juggles multiple time-sensitive tasks and projects.

A career as an IP nurse carries significant responsibility and involves many inherent challenges. “There is always something new and novel on the horizon,” Ansorie says. However, he adds that it’s precisely this dynamic environment and day-to-day variety that he finds appealing about his role.

Most organizations prefer IP nurses to have a master’s degree, although a BSN may be acceptable. The Certification Board of Infection Control and Epidemiology offers CIC certification for IP professionals, which is recommended after two years on the job.

The Zhytomyr Hospital Challenge

Every Donation Helps!

Our Working Nurse community is coming together to puchase medical equipment for a war-ravaged hospital in Ukraine.

Learn More and Donate

By combatting the transmission of infections, IP nurses play an essential part in promoting a safe and healthy environment, not only for individual patients, but also for visitors and other healthcare workers within their organization.

Sepsis Coordinator

Improving sepsis patients’ chances of survival and recovery.

As most nurses know, sepsis, or septicemia, is a relatively rare but very serious condition in which an infection triggers a severe inflammatory response throughout the body. Without prompt treatment, sepsis can result in organ failure and death.

The role of the sepsis coordinator nurse is to help care teams identify early signs of sepsis, ensure that care follows evidence-based protocols, and then monitor patient progress. The goal is to improve odds of survival and recovery.

“Sepsis is about time,” says Amin Hasan, RN, MSN, a sepsis coordinator at Kaiser Permanente Los Angeles Medical Center. “Initiation of timely interventions has been shown to improve patient outcomes.”

By calling a “Code Sepsis,” coordinators ensure that the correct labs, IV fluids, and antibiotics are ordered to halt the progression of the condition and prevent further deterioration.

Sepsis coordinators educate other healthcare staff on identifying and treating sepsis, analyze case data to identify trends, and develop strategies for sepsis care protocols. Coordinators may also prepare reports for regulatory agencies and facilitate meetings for the organization’s sepsis committee.

A DUAL ROLE

In some hospitals, sepsis coordinators may also coordinate other conditions, such as stroke, where swift intervention is vitally important to patient outcomes. Redlands Community Hospital’s Betsy Mendez, RN, BSN, has a dual role as stroke and sepsis coordinator, looking for ways to more quickly deliver life-saving interventions. She says she and her team have been able to establish “a new process that saves time in the delivery of a clot-busting medication used for eligible stroke patients.”

Hasan and Mendez both emphasize that a strong clinical background is a prerequisite for the coordinator role — she has 10 years of bedside experience, while he was an ED staff nurse for eight years.

Many institutions require coordinators to have a BSN, and an MSN or higher degree is often preferred. For roles that also involve stroke coordination, some organizations may require stroke nursing certification.

Hiring Now

While sepsis coordinators typically work a regular daytime schedule in an office setting, their nursing proficiency still directly affects patient care in a life-or-death way. “This job matters because it impacts so many people,” Hasan says.

Utilization Management

Ensuring patients get the care they need while minimizing unnecessary costs

Modern healthcare is a balancing act in the effective use of resources: making sure that patients get the services they need while also minimizing unnecessary costs and satisfying the complex requirements of insurance companies and other payors.

The role of the utilization management (UM) nurse is to review and assess the medical necessity and appropriateness of healthcare services, procedures, and treatments; help to determine the correct level of patient care; and weigh the cost-effectiveness and quality of services.

Jimmy Sariya, RN, BSN, MBA, PHN, PMH-BC, an administrative nurse in the utilization management department of Resnick Neuropsychiatric Hospital at UCLA, says the heart of his job is advocacy. “I am the patient’s voice,” he explains. “I advocate for the patient with the third-party payor and establish alignment between the payor and the treatment team.”

The UM role is particularly important in fields like psychiatric care, where patients’ ability to advocate for themselves may be limited. For example, when a patient is admitted to an inpatient mental health treatment program, they may be grossly impaired, which makes dealing with insurance an impossible task.

Without the UM nurse as a liaison, Sariya says, “their care would be interrupted and fragmented.” Not only could this result in adverse health outcomes for the patient, providers might not get paid for their services.

Sariya explains that the ultimate goal of the UM role is to meet the patients’ needs while limiting their financial burden and controlling healthcare costs, helping to maintain access for others in the community.

UM nurses must be detail-oriented, concise communicators with the ability to work independently. While this isn’t a patient care role, patient care experience is also very important.

“Reaching into my staff nurse experience helps me anticipate the patients’ care trajectory and communicate this effectively,” he says. Familiarity with insurance laws and regulations is also essential, but you can gain this knowledge through training.

The American Nurses Credentialing Center (ANCC) offers case management certification for UM nurses, but if you’re considering pursuing this specialty, Sariya recommends getting certified in your current patient care specialty. “This shows employers you’re serious and provides the expertise you’ll use to advocate for patients’ best interests,“ he explains.

Since utilization management is a desk job, it might not be the best fit if you thrive on adrenaline, but if you have a keen eye for detail and a passion for patient advocacy, this role could be an ideal professional choice.

Direct patient care is rewarding work for many nurses, but if you want (or need) to step away from the bedside, there’s a vast array of opportunities available. The three specialties described in this article are just a few of the unique ways you can embark on the next phase of your nursing career.


TIFFANY SWEDEEN, RN, MSN, CPRC/CPC, works in critical care and as a clinical instructor. Find her at www.recoverandrise.com.


In this Article:

Latest Articles

Experience the Digital Flip Mag

Flip through the pages of the latest Working Nurse magazine on your device.