Providing any clinical care or advice to patients or families.ģ. Act in a manner that is cordial and respectful to co-workers, patients, and patients families.Ģ.
Use two patient identifiers when discussing or documenting patient information.ġ9. Practice proper infection control practices including adhering to current isolation precaution guidelines.ġ8. Complete annual HR and/or departmental requirements within specified time frame.ġ7. Participate in departmental and/or hospital process improvement initiatives including annual hospital goals.ġ6. Assist with incomplete charts by reviewing delinquencies with the provider.ġ5. Be sure that the provider reviews the documentation prior to the end of shift and make any edits necessary.ġ4. Monitor patient tracker board and notify provider of new arrivals.ġ3. Follow up on disposition of the patient for documentation including capturing discharge instructions, admissions, and/or prescription orders.ġ2. Transcribe the results of tests, procedures, and/or imaging into the note after they are reviewed by the provider.ġ1. Follow up on the status of diagnostic tests, procedures, and imaging and alert the provider to review.ġ0. Answer and field incoming calls to the provider lines in the emergency department.ĩ. Place calls to primary care providers, consultants, transfer centers, or other departments on be-half of the provider utilizing the hospital operator.Ĩ. Review previous visit records for important information including patients returning within 30 days of an inpatient discharge or returning within 72 hours of an ER discharge.ħ. Capture all parts of patient care including things such as, but not limited to, critical care, end of life discussion, and smoking cessation counseling.Ħ.
Use medical terminology and approved abbreviations in all medical record documentation.ĥ. Record details of the physical exam including pertinent positives and negatives, noted abnormalities, and patient general conditions as it is being performed and relayed by the provider.Ĥ. Record details of the chief complaint, history of present illness, review of symptoms, past medical history, social history, family medical history, disease risk factors, and any other patient information relevant to the presentation of the patient.ģ.
Accompanying the emergency medicine provider to treatment space for patient evaluation.Ģ. Key Responsibilities / Essential Functionsġ. Position: ER Scribe Non Licensed - Part Time, Various ShiftsĪssist the Emergency Medicine providers with documentation, transcription, and clerical functions to maintain an efficient workflow according to hospital policies and procedures.ĭemonstrates through behavior Decatur Morgan Hospitals mission, vision and values.
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