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. ? Supervisory Responsibilities: ? This job has no supervisory responsibilities. ? Compliance Accountability: ? 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 appropriate action. ? Coordinates hospitalization transfer and transportation. ? Prints and distributes diagnostic reports and notifies appropriate personnel of abnormal lab results. ? Transports patients, equipment, supplies, and specimens throughout the Medical center utilizing proper body mechanics. ? Participates in departmental process improvement activities, i.e., planning, measuring/ monitoring, assessing, and improving. ? Demonstrates competencies during the probationary period and ongoing by completion of departmental competency validation. ? Customer Service Practices customer service standards as defined by the Service Area, Medical Center, and specific department. ? Assists members who are less than satisfied with their experience by listening and taking responsibility within their scope to ensure that the issue is resolved. ? Assures that supplies are ordered and available for use. ? Provides general information and reception activities for patient/member/staff. ? Maintains telephone courtesy at all times including receiving, transferring calls, or taking messages. ? Organize and maintain department files, records, handbooks, manuals, and committee minutes. ? Collect, sort, and deliver mail; prepare outgoing mail. ? Maintain inventory of patient education materials. ? Anticipates the customers desires and take proactive steps to meet those needs. ? Promptly answers call lights, alarms and patient requests. ? Establishes and maintains inter-intra departmental communications and relationships. ? Maintains and protects patient confidentiality. ? Assures a clean, orderly, and functional work environment. ? National Language: ? Customer Service - Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other. ? Team Commitment - Viewed by others to be an effective team member who is flexible, cooperative, and willing to assist others. ? Confronts difficult or conflict situations constructively and seeks appropriate assistance. ? Takes accountability for own actions and accepts constructive criticism. ? Attends all mandatory meetings and in-services, a minimum of 50% of staff meetings, and actively participates in other departmental professional development (Requirement may vary for per diem staff). ? Participates with the assessment of current and future unit learning needs and development of annual educational plan. ? Keeps self-informed of activities on the unit and makes recommendation for change. ? Adheres to Regional Attendance Policy. ? Reports to assigned area promptly, being present and available for report at beginning of assigned shift. ? Minimizes personal phone call time. ? Supports a collaborative labor-management partnership environment. ? Fiscal Responsibility Organizes work to minimize the use of overtime. ? Identifies and assists in systems improvement that needs simplification or correction. ? Utilizes payroll and non-payroll resources to their maximum potential.