Ward Clerk Transcriber

**Job Summary**:
This position is responsible for supporting and coordinating the administrative activities of the nursing unit. May be assigned to cover multiple units per Medical Center protocol.

**Essential Responsibilities**:

- Processes, transfers and discharges using the Admit-Discharge-Transfer (ADT) system in the electronic medical record, including event management.
- Answers and appropriately routes internal and external telephone calls.
- Orders materials and supplies for the unit. As needed, per Unit, collects equipment and medication.
- Answers call system; follows up with the nurse, patient and/or family as appropriate.
- Makes follow-up appointments for patients as necessary.
- In conjunction with Discharge Coordinator, organizes transfers to skilled nursing facilities, including printing relevant sections of the patient chart.
- Prepares discharge packets and other documents for patients.
- Maintains the units business equipment, including maintaining appropriately charged wireless carts. Arranges for special maintenance or repair of the units business equipment.
- Updates the units white board.
- Maintains the Minimum Medical record.
- Assists unit personnel in the use of the electronic medical record and other systems; may act as the unit resource for computer-related issues.
- Acts as greeter for the unit, greeting new patients and their families.
- Coordinates discharge times, contacts family members with pending discharge times, assists and facilitates a timely discharge when the patient is ready.
- Initiates units downtime procedures when necessary.
- Communicates with other units/departments.
- May support Environmental Services in the data entry into the ADT system the status of clean and dirty beds.
- May help to facilitate co-pay collections by communicating with the Admitting office when family members are present on the unit, relaying information to Admitting or to the patient/family, etc.
- In certain circumstances assists with other unit duties such as collecting meal trays, taking specimens (i.e. blood) to the lab, etc.
- Participates in hourly rounding to promote service excellence.
- May cross train as a receptionist: (ED only).
- Will have to float to other departments as needed.
- Provide mgmt or hospital Bed Coordinator with updates on open beds.
- Performs other duties as assigned.
- **Supervisory Responsibilities**:

- **T**his job has no supervisory responsibilities.
- **Compliance Accountability**:

- Competencies: The Ward Clerk Transcriber demonstrates proficiency by exhibiting the following skills, competencies, and behaviors.
- Leadership Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
- Demonstrates a professional, supportive attitude.
- Identifies and supports new ideas.
- Utilizes effective communication strategies, including chain of command and issue escalation, which result in intended outcomes.
- Participates in problem identification and resolution.
- Demonstrates ability to problem solve with other departments in order to assist member resolution.
- Prioritizes work assignments appropriately to ensure completion of patient care activities and notifies Registered Nurse if unable to complete assignments.
- Complies with regulatory requirements, policies, procedures, and standards of practice.
- Documentation Accurately and promptly transcribes physician orders as evidenced by updated department forms and active orders within specific time frame according to standard.
- Order transcription is legible, dated, and timed.
- Assists in maintaining an accurate and up-to-date medical record.
- Identifies and reports incomplete findings.
- Maintains medical records in appropriate order and readily available, assembles and disassembles charts as needed.
- The Ward Clerk Transcriber demonstrates proficiency by exhibiting the following skills, competencies, and behaviors.
- Clinical Outcomes Applies standard precautions.
- Keeps a safe environment for self and others.
- Responds to stat requests.
- Utilizes computer systems and communication equipment effectively and efficiently.
- Assures availability of pertinent information, i.e., outpatient charts, other hospital records, etc.
- Call or fax prescriptions into pharmacy.
- Assures accurate census by inputting admission, discharge, and transfers in a timely manner and before deadlines.
- Schedules tests and coordinates patient care activities in collaboration with the RN and other departments to assure timely and appropriate action.
- Coordinates hospitalization transfer and transportation.
- Prints and distributes diagnostic reports and notifies appropriate personnel of abnormal lab results.
- Transports patients, equipment, supplies, and specimens throughout the Medical center utilizing proper body mechanics.
- Participates in departmental process improvement activities, i.e., planning, measuring/ monitoring, assessing, and improving