Billings Clinic Unit Clerk Non-Monitored I/P Medical (0.6FTE) in Billings, Montana
Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism.
Essential Job Functions
• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
• Performs clerical duties to maintain unit flow which may include paperwork coord ination, supply ordering and daily quality checks.
• Utilizes electronic applications to support daily staff and patient workflow, which include, but are not limited to admissions and discharges, order entry and procedures coordination.
• Effectively utilize phone systems. Answers telephone calls, responds to routine inquiries and relays other calls and messages promptly. Notifies appropriate personnel of requests.
• Interacts promptly with a polite, courteous and helpful disposition to assists patients/residents, family members, visitors and the interdisciplinary care team.
• Utilizes performance improvement principles to assess and improve the quality of patient/resident services. Supports the Magnet Model of quality nursing care.
• Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues and initiates appropriate action.
• Assists with limited patient /resident care duties such answering call lights, responding to alarms and delivering trays.
• Observes patient monitor and reports changes to patient's nurse. Can identify life threatening dysrhythmias, maintain appropriate alarm limits, and edit memory on a regular basis, merging and deleting rhythms appropriately. Prints rhythm strips per unit standards and as needed for changes in patient rhythm or condition. Maintains report on each patient and gives shift report to oncoming Unit Clerk to include each patient's rhythm and CPR status.
• Maintains competency in all organizational, departmental and outside agency safety standards relevant to job performance.
• Utilizing a holistic approach, performs basic nursing care and treatments within scope of practice as directed by the licensed nurse to include the goal-directed plan of care for the patient.
• Ensures complete, accurate and timely entry into patient medical record as indicated by patient need and documentation guidelines, consistent with departmental policies and procedures, to include, but not limited to, activities of daily living (ADLs), vital signs, intake and output measurements and hourly rounding.
• Performs all other duties as assigned or as needed to meet the needs of the department/organization.
• High School Diploma or GED
• Six months CNA experience in performing patient/resident care in a health care institution, preferred
Certifications and Licenses
• Completion of medical terminology course