Ward Clerk Transcriber

Job Summary:

This position is responsible for supporting and coordinating the administrative activities of the nursing unit. May be assigned to cover multiple units per Medical Center protocol.

Essential Responsibilities:

+ Processes, transfers and discharges using the Admit-Discharge-Transfer (ADT) system in the electronic medical record, including event management.

+ Answers and appropriately routes internal and external telephone calls.

+ Orders materials and supplies for the unit.  As needed, per Unit, collects equipment and medication.

+ Answers call system; follows up with the nurse, patient and/or family as appropriate.

+ Makes follow-up appointments for patients as necessary.

+ In conjunction with Discharge Coordinator, organizes transfers to skilled nursing facilities, including printing relevant sections of the patient chart.

+ Prepares discharge packets and other documents for patients.

+ Maintains the units business equipment, including maintaining appropriately charged wireless carts. Arranges for special maintenance or repair of the units business equipment.

+ Updates the units white board.

+ Maintains the Minimum Medical record.

+ Assists unit personnel in the use of the electronic medical record and other systems; may act as the unit resource for computer-related issues.

+ Acts as greeter for the unit, greeting new patients and their families.

+ Coordinates discharge times, contacts family members with pending discharge times, assists and facilitates a timely discharge when the patient is ready.

+ Initiates units downtime procedures when necessary.

+ Communicates with other units/departments.

+ May support Environmental Services in the data entry into the ADT system the status of clean and dirty beds.

+ May help to facilitate co-pay collections by communicating with the Admitting office when family members are present on the unit, relaying information to Admitting or to the patient/family, etc.

+ In certain circumstances assists with other unit duties such as collecting meal trays, taking specimens (i.e. blood) to the lab, etc.

+ Participates in hourly rounding to promote service excellence.

+ May cross train as a receptionist: (ED only).

+ Will have to float to other departments as needed.

+ Provide mgmt or hospital Bed Coordinator with updates on open beds.

+ Performs other duties as assigned.

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Supervisory Responsibilities:

+ This job has no supervisory responsibilities.

+ Compliance Accountability:

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Competencies:

The Ward Clerk Transcriber demonstrates proficiency by exhibiting the following skills, competencies, and behaviors.

+ Leadership Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.

+ Demonstrates a professional, supportive attitude.

+ Identifies and supports new ideas.

+ Utilizes effective communication strategies, including chain of command and issue escalation, which result in intended outcomes.

+ Participates in problem identification and resolution.

+ Demonstrates ability to problem solve with other departments in order to assist member resolution.

+ Prioritizes work assignments appropriately to ensure completion of patient care activities and notifies Registered Nurse if unable to complete assignments.

+ Complies with regulatory requirements, policies, procedures, and standards of practice.

+ Documentation Accurately and promptly transcribes physician orders as evidenced by updated department forms and active orders within specific time frame according to standard.

+ Order transcription is legible, dated, and timed.

+ Assists in maintaining an accurate and up-to-date medical record.

+ Identifies and reports incomplete findings.

+ Maintains medical records in appropriate order and readily available, assembles and disassembles charts as needed.

+ The Ward Clerk Transcriber demonstrates proficiency by exhibiting the following skills, competencies, and behaviors.

+ Clinical Outcomes Applies standard precautions.

+ Keeps a safe environment for self and others.

+ Responds to stat requests.

+ Utilizes computer systems and communication equipment effectively and efficiently.

+ Assures availability of pertinent information, i.e., outpatient charts, other hospital records, etc.

+ Call or fax prescriptions into pharmacy.

+ Assures accurate census by inputting admission, discharge, and transfers in a timely manner and before deadlines.

+ Schedules tests and coordinates patient care activities in collaboration with the RN and other departments to assure timely and…