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Pre-Surgical Chart Technician

2 months ago

Braselton, United States Northeast Georgia Health System, Inc Full time

Job Category:

Nursing - LPN

Work Shift/Schedule:

8 Hr Morning - Afternoon

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.



About the Role:

Five, 8- hour shifts

Hours: 7:30a-4:00pm

Job Summary

This position involves a variety of tasks, not limited to provision of clerical support for the Pre-surgical Testing Department (PST.) This employee prepares and maintains pre-surgical records and serves as a facilitator for communication between Surgical Services Departments. This position will care for patients in all age groups. The employee performs duties in accordance with Population Specific Guidelines and adheres to National Patient Safety Goals as outlined in policies and procedures. 
 



Minimum Job Qualifications

  • Licensure or other certifications: LPN license required.

  • Educational Requirements: High School Diploma or GED.

  • Minimum Experience:

  • Other:



Preferred Job Qualifications

  • Preferred Licensure or other certifications:

  • Preferred Educational Requirements:

  • Preferred Experience: Clerical experience in healthcare setting.

  • Other:



Job Specific and Unique Knowledge, Skills and Abilities

  • Typing skills preferred

  • Ability to work with other departments and general public

  • Ability to operate MPAC, DCR System, PHS, CardioServe, Milner System, and computerized documentation tool as appropriate
     



Essential Tasks and Responsibilities

  • Ensures the pre-operative patient’s chart is complete prior to the day of surgery and delivered to the appropriate unit. 

  • Collects results of labs, X-rays, and EKG’s done in PST and places these results on the chart.

  • Fax abnormal results to the Surgeons and places the abnormal results for anesthesia to review.  

  • Reviews the chart for complete and up to date H&P, appropriate consent, and orders.  Notifies the Surgeon’s office if any are missing.

  • Requests the results of additional tests as deemed necessary by anesthesia or the PST Nurse. 

  • Checks the chart for completeness and notes any additional tests of forms needed on the communication sheet. 

  • Communicates with Short Stay Surgery/Outpatient Surgery what charts are needed for next day surgery.

  • Maintains an up to date schedule for next day surgery. 

  • Communicates with Short Stay Surgery/Outpatient Surgery as to what is needed to complete a chart for next day surgery.  Makes every effort to collect missing forms prior to sending chart to Short Stay Surgery/Outpatient Surgery.

  • Accurate documentation on chart on what chart needs to be completed and what actions have been taken to obtain these items.  

  • Runs surgery schedule twice daily and checks schedule with charts available. 

  • Requests print results of lab, EKG and X rays. 

  • Prints medical Records from HPF as deemed necessary by the Nurse or Anesthesiologist. 

  • Assists in making patient charts

  • Reviewing Charts for Completion

  • Review of diagnostic results

  • Communication of diagnostic results to RN and Anesthesiologist and Surgeons office

  • Schedules PST appointments

  • Operation of FaxCert System

  • Performs venipunctures and vital signs

  • Obtains patient medical records in outlying facilities



Physical Demands

  • Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time

  • Weight Carried: Up to 20 lbs, Occasionally 0-30% of time

  • Vision: Heavy, Frequently 31-65% of time

  • Kneeling/Stooping/Bending: Occasionally 0-30%

  • Standing/Walking: Occasionally 0-30%

  • Pushing/Pulling: Occasionally 0-30%

  • Intensity of Work: Occasionally 0-30%

  • Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding

Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. 


NGHS: Opportunities start here.

Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.