Unit Secretary, Mental Health Unit

at  RWJBarnabas Health

Req #: 0000183858
Category: Clerical / Administrative Support
Status: Full-Time
Shift: Evening
Facility: Trinitas Regional Medical Center
Department: Mental Health Unit-Closed Unit

QUALIFICATIONS:

Required:

• High school diploma or equivalent
• Knowledge of medical terminology preferred
• Ability to perform all competencies of the position is required for employment in the position

Preferred:

• Previous experience in a hospital office setting preferred

SCHEDULING REQUIREMENTS:

• Shift- 3:00pm- 11:30pm
• Monday- Friday including every other weekends/holidays
• Full Time/Evening

• Participates in on going staff development
• Calls other units for readiness of bed prior to patient transfer
• Arranges transportation of patient to other health care facilities in collaboration with the Charge Nurse / Nurse Manager
• Ensures that all necessary paperwork is completed and transferred with the patient
• Demonstrates the ability to use the clinical information system with minimal assistance
• Demonstrates knowledge of the hospital s accepted abbreviations and medical terminology
• Accurately transcribes orders from the physician order form to the Clinical Information System
• Files computerized printouts of transcribed orders for RN verification
• Signs off orders upon completion of all transcriptions
• Notifies the Registered Nurse to verify the accuracy of all transcriptions
• Assures that all physician orders for medication have been faxed to the pharmacy
• Identifies STAT orders as a priority and transcribes immediately
• Notifies Registered Nurse of STAT orders
• Calls consultations as per physician s orders if not done so already by the physician
• Maintains knowledge of the use of forms and paper requisitions in case of computer downtime
• Files admission, discharge, and transfer medical records in correct sequence
• Performs the clerical activities associated with the admission, discharge, and transfer of patients, including copying medical records when the Medical Records Department is closed
• Ensures that all forms in patient s medical record are labeled with the correct patient identification
• Review discharge patient records for completeness and communicates deficiencies to Charge Nurse/Nurse Manager
• Prepares patient charts using all necessary forms
• Acts as a resource person for computer order entry
• Files diagnostic results and patient record reports on a timely basis, removing duplicate copies
• Adds new forms and additional sheets to patient medical records as needed
• Condenses patient records according to the medical record policy and procedure
• Places completed discharge chart in appropriate area for messenger pick-up
• Communicates all messages received in the absence of requested personnel
• Makes necessary entries in the computer/written logs per unit specifications
• Performs other duties as requested