DescriptionFLSA 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 REQUIREMENTSEducationGraduate of an accredited RN program.Bachelor of Science in nursing (BSN) or Associate of Science in Nursing (ADN) degree required.Work ExperienceA minimum of one year nursing experience in an acute healthcare settingLicense/CertificationCurrent 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/VisionCore Values/Standards of ConductAIDET/Organizational ExpectationsSafetyQualityFlexibilityCustomer ServiceDiversity and InclusionFinanceAbuse and Neglect of Adult PatientAbuse and Neglect of Pediatric PatientAcute Coronary Syndrome/Chest Pain ProtocolsBiohazard WasteCC Hand HygieneJOB SPECIFIC CORE COMPETENCIES Skills, Knowledge, Abilities, BehaviorRestraints (Safety)Restraints (Adults)Restraints (Pediatric)Electronic Health RecordsDepartment Specific Patient Specialty AreaAbility to interpret changes in patient condition and abnormal lab values as evidenced by shift communication and documentation in the medical recordESSENTIAL FUNCTIONSAccompany 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 proceduresKeeps Charge Nurse or Nursing Director informed of patients, needs, and problems on the nursing unit.PHYSICAL DEMANDSProlonged 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 wearMust be able to hear clearly with assistanceMay be exposed to infectious and contagious diseasesAble to handle emergency and/or crisis situationsMay be required to wear protective equipment as necessaryTransferring, 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 REQUIREMENTSActivityOccasionally (1-33%)Frequently (34% to 66%)Continuously (67% to 100%)SittingXWalkingXStandingXBendingXSquattingXClimbingXKneelingXTwistingXLiftingXCarryingXPushingXI, (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 SignatureDate
