Description:
- Successful completion of a High School Diploma or equivalent.
- Completion of a Medical Terminology Course.
- Successfully able to keyboard at a speed of 50 w.p.m with minimal error and accuracy.
- Skilled in computer applications including Microsoft (Word, Excel, Outlook) and Cerner programs.
- Effectively able to work with minimal supervision.
- Able to sensitively respond to inquiries from staff, volunteers, patients, family members and members of the general public in a timely manner.
- Successfully able to perform their function in accordance with prescribed standards that focuses on the priority of People Safety and the delivery of the highest standard of Quality Care.
- Demonstrate the physical and mental capabilities necessary for proper and efficient performance of the essential duties of the position.
Position Responsibilities:
Communications
- Assists all team members in the various communications required for expedient department operation.
- Provides excellent customer service to families, physicians, other health care workers and community partners as the frontline person on the unit and directs individuals to the appropriate person or location.
- Initiates and receives telephone messages ensuring the appropriate receipt of messages. Assesses and directs phone calls to the appropriate individual in a professional manner according to Privacy legislation.
- Establishes contact with physicians and ancillary staff as required by the nurses.
- Ensures the correct and timely flow of charts, forms and requisitions.
- Coordinates the admission, transfer or discharge of patients with the Bed Allocator in collaboration with the Resource RN.
- Accurately takes, receives and relays all medical reports for the unit.
- Obtains consent for release of information to physician/institution
Transcription of Orders
- Communicates urgency of doctor’s order to appropriate nurse.
- Interprets and transcribes according to priority.
- Accurately transcribes and maintains doctor’s orders for medication to appropriate record for verification by the Nurse.
- Transcribes diet, activity and diagnostic orders from doctor’s order sheet.
- Applies appropriate patient care plan/ critical path/preprinted order set etc.
- Transcribes preliminary telephone, computer or fax transmitted results to the correct chart and informing the nurse responsible for the patient.
- Transcribes and implements orders accurately communicating with the appropriate disciplines and informing the responsible Patient Care Nurse.
Patient Health Records
- Preparing the health record for admission, transfer and discharge
- Ensuring reports are placed in the correct chart
- Ensuring the acceptable chart order is maintained
- Assessing the need and replenishing the chart with additional forms as needed
- Returns completed charts to Health Records.