Unit Secretary

Unit Secretary Job Summary Unit Secretary prepares and compiles records in the nursing unit. Unit Secretary Responsibilities Records information in the clinical record as outlined by center standards. Copies information, such as resident's temperature, pulse rate, and blood pressure, from nurses' records onto resident's medical records. Records diet instructions. Keep a file of medical records on residents in the unit. Prepares notice of resident's discharge to inform the business office. Requisition supplies designated by nursing staff. Answer telephone and relay messages to residents and nursing staff. Direct all visitors to residents' rooms. Checks resident ID system, ID bands, and/or resident pictures and obtains replacements as necessary. Prepares name tags for doors and places them on the door upon admission and as needed This clinical records at least monthly. Audits new admission charts using the Quality Improvement audit tools. Faxes orders to physicians, as requested. Assembles and maintains complete admission and discharge/transfer packets for assigned units. Schedules transportation to physician appointments or other appointments, as required. Arrange escort, as needed. Ensure lab printer and fax are set up correctly and ready for operation. Tracks H&P due, Informs supervisor of annual H&Ps due. Performs any various work assignments as may be required. Resident Right Know and respect residents' rights. Informs and supports residents in exercising their rights. Ensure protected health information is kept confidential. Reports complaints made by residents to the supervisor. Reports all allegations of resident abuse, neglect, and/or misappropriation of resident property. Safety and Sanitation Follows established safety policies and procedures. Observes safety needs of residents as indicated in care plan; participates in restraint reduction program. Wears and/or uses safety equipment and supplies when indicated and adequately trained to use. Demonstrates job-specific knowledge of fire and disaster preparedness during drills or actual situations. Staff Development Attends and participates in scheduled in-service training, educational classes, and meetings to maintain current certification as mandated by regulatory agencies and company policies. Participates in the QAA process. Education High School graduate or equivalent. Must have legible penmanship, knowledge of medical symbols, abbreviations, and terminology.