Nursing Assistant and Unit Secretary - Trauma Surgical ICU - Night

at  WellSpan Health Services

GENERAL SUMMARY

Acts as a receptionist for visitors and serves as a central contact for telephone calls and a distribution point for paper and electronic communication, laboratory and test results. Interacts daily with visitors, patients, physicians and staff and displays a positive, helpful attitude. Demonstrates ability to accurately transcribe physician orders and creates and maintains the medical record. Schedules patient care services. Is responsible for electronic data entry and retrieval. Is a key member of the care delivery team. Provides clinical support services to patient care staff by performing a variety of duties related to patient care. Takes patient vital signs, assists patients with activities of daily living (e.g., bathing, feeding, toileting, etc.), inventories and replenishes supplies and equipment. May perform special assigned duties such as performing EKGs and Point-of-Care testing.

MINIMUM EDUCATION:

• Certificate Program Post High School Vocational/Specialized Training. Required

WORK EXPERIENCE:

• Less than 1 year Relevant experience. Required

KNOWLEDGE, SKILLS, AND ABILITIES:

• Excellent communication/interpersonal skills.
• Excellent computer skills and ability to use various software applications in a windows environment.

ESSENTIAL FUNCTIONS:

• Provides general nursing care and personal care assistance to patients, including bathing, dressing, eating, changing bed linens and bed pans and positioning.
• Assists in the preparation and transportation of patients for tests, procedures, etc..
• Monitors patient condition levels; reports changes to the appropriate individuals.
• Ensures patient rooms, nursing areas, supply carts, etc. are stocked with appropriate items at required levels.
• Maintains par levels of supplies and equipment on assigned unit(s). Notifies supervisor when reorder points are reached.
• Greets, directs and assists physicians, visitors, patients and ancillary department staff. Orients patients to their rooms as appropriate.
• Answers telephone using personable etiquette. Answers inquiries by providing accurate information or forwarding callers to appropriate resource. Responds to intercom and email. Identifies emergency messages, directs information to the appropriate personnel. Maintains confidentiality.
• Enters and/or retrieves data from established computer files using knowledge of various computer applications designed for functions such as patient management, patient census, acuity, composer, bed tracking, transport, etc.. Serves as a knowledgeable resource for multiple applications such as, Patient Management and PowerChart. Keeps current with system/application upgrades. Offers/provides assistance to others in navigating IS applications.
• Performs a variety of duties related to the creation and maintenance of the patient medical record in a manner which expedites patient admission, transfer and discharge. Assembles and copies charts and forms, ensuring charts contain necessary forms. Ensures all medical records have signed orders and an H & P. Places transcribed orders on the chart. Monitors and flags missing items daily. Performs data entry, chart preparation, filing and photocopying in accordance with appropriate policies.
• Transcribes orders and documents on the paper or electronic record. Places pharmacy orders on the MAR. Follows up on orders and checks on open orders. Ensures verbal orders are signed according to Hospital policy.
• Consults with appropriate clinical/nonclinical personnel to resolve issues, concerns from patients’ medical record, ancillary department results, patient/family inquiries, etc..
• Schedules tests, procedures and other patient services. Confers with clinical care provider regarding sequencing of tests, patient activity tolerance and special needs, as appropriate.
• Communicates changes in the patient’s condition and other urgent information to the Registered Nurse in a timely manner. Reports actual and potential problems concerning patients, families, staff and appropriate departments to the team members and the charge nurse/nurse manager.
• Communicates delay/difficulties in providing services or alteration of routine. Acknowledges and responds to patient alarms and notifies appropriate care provider as needed.
• Orders and stocks supplies on an ongoing basis.