Medical Records Nurse

Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Minimum Offer $ 47.38/hr. Maximum Offer $ 47.38/hr. Compensation DisclaimerCompensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations. Department: Behavioral Svcs at MATS CenterFTE: 0.50 PRN Shift: DaysPosition Summary: Work within the nursing process to provide direct nursing care to assigned patients. Provide clinical leadership for other staff. Serve as a role model to promote a positive work environment and quality patient care. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups.Detailed responsibilities: * PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols * DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops * ENVIRONMENT - Maintain a safe, comfortable, and therapeutic environment for patients/families in accordance with Hospitals standards * PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes * PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk * POLICIES - Work within Hospitals, Nursing division and departmental policies * CARE PLAN - Work in collaboration with the healthcare team, implement and document individualized care plans incorporating age specific considerations, including discharge planning and patient/family teaching * MEDICATION - Administer medication, including IV medication, via the Seven Rights; document and communicate clinical findings * TESTS AND PROCEDURES - Assist with special tests and procedures, ensure proper consent has been obtained * EMERGENCY MEASURES - Assist with or institute emergency measures for sudden, adverse developments in patients * PATIENT CARE - Deliver safe direct care to an assigned group of patients as required * MEDICAL RECORDS - Ensure that patient medical records contain necessary information * INQUIRIES - Answer telephones and triage calls as per departmental policy * PARTICIPATION - Participate in orientation; upon successful completion of preceptor training assume precepting and evaluation responsibilities of new personnel * PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner * PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right" Qualifications Education: Essential: * Program Graduate Nonessential: * Bachelor's Degree Education specialization: Essential: * Nationally Accredited Nursing Graduate Nonessential: * NursingExperience: Essential: 2 years directly related experience Nonessential: Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo Credentials: Essential: * CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days * RN in NM or as allowed by reciprocal agreement by NM Nonessential: * Nationally Certified in area of specialty * PALS * TNCC and/or ENPC Physical Conditions: Heavy Work: Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects or people. Physical Demand requirements are in excess of those for Medium Work.Working conditions: Essential: * Sig Hazard: Chemicals, Bio Hazardous Materials req PPE * Tuberculosis testing is completed upon hire and additionally as requiredDepartment: Registered Nurse