Medical records nurse | Quakertown, PA

Detailed Information

  • Location: Sellersville, PA

teaching patients and staff, and for evaluating the clinical performance of nursing personnel. The Registered Nurse Operating Room acts as a resource for all levels in the clinical area. Essential Functions: backsses and monitors the overall needs of patients and family.

Ensures that required documentation is performed in an accurate and timely manner Implements accepted standards of documentation on patient electronic medical records and other hospital forms to assure that information affecting a patient, significant other or member of the healthcare team is properly recorded Assertively communicates concerns, issues and information through appropriate channels Interprets and correlates

diagnostic data with physical findings on an ongoing basis in order to backss the patient and plan appropriate intervention Establishes an appropriate plan of care based on adolescent/adult/geriatric backssment and identified problems within 24 hours in order to provide direction for caregivers Initiates discharge-planning process by identifying post-hospital care needs.

Collaborates with healthcare team members to meet those needs Evaluates patient response to nursing intervention in order to revise/update the plan of care Recognizes potential and actual emergency situations promptly and responds within established guidelines to meet the needs of the patient Initiates and maintains correct

sponge, needle and instrument counts Opens sterile supplies, maintains counts, implements surgical asepsis and safety precautions Develops a nursing care plan that integrates surgical intervention and anesthesia management using nursing diagnosis Prepares and identifies surgical specimens Ensures placement of electro surgical grounding pads On Call: one weekend of on call every seven weeks, two evenings per month to be on call and two holidays per year.

Qualifications Education and Experience: Associates Degree Nursing And Over 1 year to 3 years Perioperative nursing required BSN preferred Licenses and Certifications: Registered Nurse in PA - Licensed, Upon hire, required Basic Life Support (BLS), Upon hire, required RN Perioperative Certification, Upon hire, preferred Benefits: • Medical, Free Dental, Vision Insurance for full time and part time• 403B• Pension Plan• On-site discounted Child Care Center• Tuition Reimbursement up to $5250 per year• Free Life Insurance• Free Parking• Paid Time Off• Sick Time• Flexible Spending Accounts• Employee Referral Bonus Responsibilities Monday to Friday, 7:00 am - 5:30 pm For more details: jobs-search.

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