FLSA Employment Status: Nonexempt/Hourly
JOB SUMMARY
Tasked with aiding healthcare provider in patient care by managing patient flow, recording medical history and vital signs, executing designated procedures, and offering patient education. Accompanies the provider during consultations, diligently documenting clinical observations, laboratory findings, prescription renewals, procedures, billing details, and any other necessary documentation as instructed.
Reporting Structure: Reports to the Department Director of Nursing and/or designee
MINIMUM QUALIFICATION REQUIREMENTS
Education
Graduate of an accredited RN program.
Bachelor of Science in nursing (BSN) or Associate of Science in Nursing (ADN) degree required.
Work Experience
A minimum of one year nursing experience in an acute healthcare setting
License/Certification
Current Registered Nurse license to practice in Tennessee.
Current certification in Basic Life Support (BLS),
Advanced Life Support (ACLS), and Pediatric Advanced Life Support
(PALS) through American Heart Association (AHA).
CORE COMPETENCIES
Mission/Vision
Core Values/Standards of Conduct
AIDET/Organizational Expectations
Safety
Quality
Flexibility
Customer Service
Diversity and Inclusion
Finance
Abuse and Neglect of Adult Patient
Abuse and Neglect of Pediatric Patient
Acute Coronary Syndrome/Chest Pain Protocols
Biohazard Waste
CC Hand Hygiene
JOB SPECIFIC CORE COMPETENCIES
Skills, Knowledge, Abilities, Behavior
Restraints (Safety)
Restraints (Adults)
Restraints (Pediatric)
Electronic Health Records
Department Specific Patient Specialty Area
Ability to interpret changes in patient condition and abnormal lab values as evidenced by shift communication and documentation in the medical record
ESSENTIAL FUNCTIONS
Accompany the provider during patient visits in the examination room.
Document comprehensive medical notes, including the history of present illness, review of systems, physical examination findings, diagnostic assessments, and the plan of care.
Dispense patient prescriptions according to the provider's instructions.
Input orders for procedures or laboratory tests as directed by the provider.
Enter billing details based on the nature of the office visit.
Assist in medical procedures as directed by the provider.
Maintain strict confidentiality and security in handling all information and data pertinent to the scribe role, in adherence to HIPAA regulations.
Administer prescribed medications and treatments, providing general care to patients.
Keep examination rooms stocked with necessary supplies and maintain cleanliness, while also preparing equipment and assisting physicians during patient examinations, treatments, and tests.
Monitor, record, and report patients' reactions to medications and treatments to the physician.
Educate patients and their families on diagnostic procedures, medications, nutrition, and overall health maintenance.
Welcome patients, prepare them for physical examinations, and screen them for pertinent information, providing instructions for sample collection and tests as needed.
Arrange follow-up appointments or procedures as directed by the provider.
Interact professionally with colleagues and maintain accurate patient records.
Promptly report any malfunctioning medical equipment or instruments to the supervisor.
Collaborate with physicians and other departments to identify and resolve issues.
Uphold confidentiality regarding patients, employees, and clinic affairs.
OTHER DUTIES
Participates in hospital safety programs.
Supports and enforces infection-control policies and procedures.
Is resourceful and calm in emergencies.
Maintains a professional approach with confidentiality.
Displays concern and initiative.
Observes and supports hospital policy.
Is prompt and efficient with minimal absences.
Cooperates and maintains good rapport with nursing staff, medical staff, other departments, and visitors.
Participates in orientation and in-service training for personnel.
Evaluates the performance of personnel with recommendations for appropriate action.
Assists in reviewing and revising policies and procedures
Keeps Charge Nurse or Nursing Director informed of patients, needs, and problems on the nursing unit.
PHYSICAL DEMANDS
Prolonged periods of standing and walking
Must be able to lift, push, and pull up to 40 pounds during a scheduled work shift.
Must be able to see with corrective eye wear
Must be able to hear clearly with assistance
May be exposed to infectious and contagious diseases
Able to handle emergency and/or crisis situations
May be required to wear protective equipment as necessary
Transferring, repositioning patients.
Reaching, stooping, bending, kneeling, and crouching for patient care functions.
Ability to perform effectively in a stressful and fast-paced environment.
Ability to pass all required health and other screening tests including random and reasonable suspicion drug screens.
PHYSICAL ABILITIES AND REQUIREMENTS
Activity
Occasionally (1-33%)
Frequently (34% to 66%)
Continuously (67% to 100%)
Sitting
X
Walking
X
Standing
X
Bending
X
Squatting
X
Climbing
X
Kneeling
X
Twisting
X
Lifting
X
Carrying
X
Pushing
X
I, (Print Name) ____have received a copy of this job description.
The following signature indicates that I have read and understand all aspects of the job description, and I assert that I am not aware of any reason that would prevent me from performing all job responsibilities under the conditions described. Further, my signature indicates that, upon accepting employment at HMC, I agree to perform the job duties as listed in this job description and all other duties as required.
Employee Signature____Date