Unit Secretary - Med/Surg - FT - Nights
Company: Harlingen Medical Center
Location: Harlingen
Posted on: January 14, 2021
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Job Description:
Overview JOB SUMMARY:The Unit Secretary is directly accountable
to the Director of Med/Surg, and indirectly to the Charge Nurse,
and / or House Supervisor. The Unit Secretary is an unlicensed
person who performs indirect care in the department setting.
Facilitates the communication needs of the department. Transcribes
physician orders from records (in the absence of CPOE and EMR
clinical documentation system) with notation and signature by
nursing staff. Prepares and complies records on the Emergency Room.
Orders supplies for the unit, prepares and completes each patients
chart for necessary forms needed on a daily basis. Able to assist
nursing staff for duties involving indirect patient
care.Responsibilities KNOWLEDGE OF WORK1.Transcribes physician's
orders accurately under the supervision of the RN in absence of
CPOE. Monitors authentication and validation of telephone orders of
physicians within 24 hours. Enters orders correctly in the
computer.2.Posts lab results, x-rays and other reports accurately
after being reviewed by the RN. Alerts nursing staff to abnormal
lab results.3.Checks for accuracy, completeness and correctness of
patient records. Assembles charts on new admissions and prepares
charts for patient transfers.4.Maintains an organized nursing
station, monitors for noise levels, ensures good work flow at the
desk area.5.Possesses excellent communication skills thus ensuring
cooperation from patients, co-workers and other organizations with
whom he/she is in contact.6.Possesses the ability to interact with
other departments in order to resolve any conflicting
issues.7.Demonstrates proper use of job related equipment and
supplies.8.Accomplishes assigned duties accurately, completely,
efficiently and within specified time frames according to
established policies and procedures.9.Demonstrates knowledge of
National Patient Safety Goals (NPSG).DUTIES AND
RESPONSIBILITIES1.Uses two patient identifiers when re-banding a
patient or posting lab results on a chart to ensure correct
information. Demonstrates awareness of importance of accurate
patient identification at all times.2.Does not use unacceptable
abbreviations; alerts physicians and staff when transcribing
orders. 3.Notifies the Bio-Med department for nonfunctioning
equipment in a timely manner.4.Orders supplies in cost effective
manner as needed and assists with restocking. Keeps accurate
inventory of unit supplies.5.Checks for completeness and accuracy
of patient record and correct order of documents within the
record.6.Maintains completeness of the patient chart for admission,
transfer and discharge, medication reconciliation form as
needed.7.Monitors patient charts to insure hospital requirements
and regulatory are met.8.Maintains admission, discharge and
transfer log book and Medical Surg/Tele Department staff daily
patient assignments.9.Practices telephone etiquette when placing
and answering calls for physicians, patient/families and other
departments and communicates messages timely to the appropriate
person/department.10.Avoids and prevents injury to self and
patients by applying the principle of body mechanics. Maintains a
safe environment, functioning with an awareness and application of
safety issues identified within the unit facility.11.Ensures crash
cart is immediately restocked with the appropriate items after each
code; Notifies Charge RN of any issue with timely restocking by
appropriate personnel.12.Notifies nursing personnel in a timely
manner for call lights, clinical alarms, telephone calls, or as
needed.13.Consistently ensures that all clinical alarms i.e., vital
sign monitors are set with the appropriate parameters for the
patients and are audible at all times.14.Prepares SBAR
communication tool for change of shift report.15.Assists with all
admission, discharges, transfers and physician orders, as
needed.16.Utilizes the National Patient Safety Goals in the work
place as related to job performance. Demonstrates awareness of a
safe environment for staff, patients, visitors, or any other
persons on the unit.17.Participates in data collection for PI
specific to the unit.18.Consistently performs special projects and
assignments in an accurate, efficient and thorough
manner.19.Assists discharge planner with faxing and acquiring
authorization for release of information as needed.20.Completes
additional duties as assigned by the staff; seeks clarification
from Charge Nurse when necessary.21.Performs other essential duties
as assigned or required.INITIATIVE AND JUDGMENT/ATTENDANCE AND
RELIABILITY1.Independently recognizes and performs duties which
need to be done without being directly assigned. Establishes
priorities; organizes work and time to meet them.2.Recognizes and
responds to priorities, accepts changes and new ideas. Has insight
into problems and the ability to develop workable
alternatives.3.Accepts constructive criticism in a positive
manner.4.Adheres to attendance and punctuality requirements per
hospital policy. Provides proper notification for absences and
tardiness. Takes corrective action to prevent recurring absences or
tardiness.5.Uses time effectively and constructively. Does not
abuse supplies, equipment, and service.6.Observes all hospital and
departmental policies governing conduct while at work (e.g.,
telephone and computer use, electronic messaging, smoking
regulations, parking, breaks and other related
policies).Qualifications EDUCATION, EXPERIENCE, TRAINING- High
School Diploma or Equivalent or relevant experience required for
all new hires, effective April 2014.Medical terminology preferred.-
Current BLS (AHA) certificate within 6 months of hire and maintain
current.- Experience using computers for word processing, database
management preferredWe are an Equal Opportunity/Affirmative Action
Employer and do not discriminate against applicants due to veteran
status, disability, race, gender, gender identity, sexual
orientation or other protected characteristics. If you need special
accommodation for the application process, please contact Human
Resources. EEO is the Law:
https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf
Keywords: Harlingen Medical Center, Harlingen , Unit Secretary - Med/Surg - FT - Nights, Other , Harlingen, Texas
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