Department: Medical Surgical

Schedule/Status:

7am-7pm; Full Time

Standard Hours/Week:

36

General Description:

Under the general supervision of the Nurse Manager/Director or Clinical Coordinator. Responsible for transcribing physician orders by computer entry, and recording on the medical record. Prepares and compiles patients medical records, and acts as the nursing station receptionist, answering the phone, and responding to patients and visitor requests. Responsible for observing cardiac monitors for arrhythmias. Has access to the locked Clean Utility/Meds/Nourishment rooms to complete transcription of orders and access to patient care items.

Key Responsibilities:

Observes telemetry monitors and notifies the RN of arrhythmias, maintains monitor log and records ECG strips for documentation.

Transcribes orders through computer entry of diagnostic tests, consults, demographic and Kardex information.

Responds as a receptionist to patient, staff, physician, and visitors and other departments. Relays messages and coordinates information exchanges demonstrating telephone etiquette and interpersonal communication skills.

Updates patient demographics, records vital signs, prints Pharmacy Profile, prints worksheets and reports, obtains Lab results, as requested.

Files reports, maintains the patient record, assembles and copies records and other necessary paperwork for transfers to other units or outside facilities.

Maintains cleanliness and neatness of the secretarial area and terminals in the Nursing Station.

Orders supplies on a weekly basis, as directed, maintain unit inventory of chart and office supplies.

Assembles and maintains a supply of chart admission paperwork for future admissions.

Participates in Quality Monitoring/Performance Improvement.

Performs similar or related duties as assigned.

Knows fire, disaster and safety procedures and regulations as it pertains to the work area.

Requirements:

Formal Education:

High School Diploma or equivalent required.

Work Experience:

No experience required.

Required Licenses, Certifications, Registrations:

Unit Secretary Certification preferred

EKG Monitor Certification preferred