Medical Records Nurse

4 weeks ago


Pulaski TN, United States Southern Tennessee Regional Health System - Pulaski Full time

The Registered Nurse in the OB Department provides direct and indirect patient care. He/She applies the nursing process to plan and implement the care of patients, including patient and family education and continuum of care planning. The Registered Nurse must possess good communication skills and must be able to effectively communicate with physicians, peers, patients and families. He/She works collaboratively with all members of the healthcare team to ensure quality care is delivered.
The Registered Nurse working in the OB department will care for various types of patients including but not limited to antepartum, intrapartum, postpartum, newborn, GYN surgery patients.
Reports to: OB Director
Minimum Education Must possess an active TN RN license or a compact state license with the intent to obtain a TN RN license within 30 days of hire.
Required Skills BLS/CPR certification required within first 30 days in position
AWHONN Intermediate Fetal Monitoring Course at time of hire or obtain certification within 8 months of hire.
S.T.A.B.L.E. preferred
ACLS preferred
Essential Functions
Providing nursing care appropriate to the condition and needs of the patient.
Consulting and collaborating with physicians and other healthcare professionals to provide care to the patients.
Establishing, reviewing, revising, and following the patient plan of care
Administering medications and treatments within the scope of practice for a Registered Nurse
Recording patient care activities including assessment, reassessment, and ongoing treatment notes within the patients medical record.
Using a variety of computer systems
Operating medical equipment used in the care of the patient.
Providing patient and family education related to treatment, diagnosis, medications, discharge, and self-care.
Providing patient care following nursing standards of care in a manner that promotes excellent outcomes, avoids harm to patients, and promotes heath and healing.
The ability and willingness to follow established Standards of Performance
Must be able to read and communicate effectively in English
Must possess the ability to work under pressure, to adapt quickly in changing situations, to function dependently and independently and to be flexible in applying basic nursing knowledge to a variety of settings.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran


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