REQUIREMENTS
Comply with all Facility policies and procedures. Prompt and regular attendance.
Comply with all policies and procedures as may be established by your Director.
Comply with all safety, universal precautions and infection control policies and procedures.
Present a friendly, calm, cooperative, positive manner.
ESSENTIAL JOB FUNCTIONS
On occasion may need to lift up to 40 lbs.
Print Admission Packet for New/Returning Residents.
Transcribe Medical Directors monthly progress notes.
Enter/Delete/Change fax numbers on Sharp MFP/Fax Machines at both Nurses Stations via eGoldfax portals.
Assist nurses to proofread physician’s orders; carry out physician’s orders and check for signatures; make copies
for pharmacy and deal directly with Pharmacy.
Update orders in nursing computer; update and proofread resident medication administration records (MAR)
and treatment administration records (TAR).
Assist with in-house resident transfers, notifying all departments and changing records as appropriate.
Assist with admissions and with emergency transfers to ER.
Prepare appropriate forms for resident admission and discharge; assure all required information is included in
chart from the admission checklist; assemble admission record and record information. Prepare orders for
signature via encrypted Outlook-365 email to remote Physician practices.
Prepare orders for signature via encrypted Outlook-365 email to remote Physician practices.
Schedule resident appointments outside the Facility; prepare appropriate paperwork to accompany to resident,
coordinated transportation for appointment. Notify Resident 24 hours prior to Appointment.
Schedule lab; complete lab slips for local hospital’ prepare lab list for upcoming lab day and call in or fax to local
hospital; prepare x-ray requests forms for portable unit and notify hospital.
Verify all code status and allergies to assure they are accurately posted in the resident’s chart. Room, wristband and computer.
ESSENTIAL JOB FUNCTIONS (CONTINUED)
Prepare name bands for residents, place ID tags on chart, place allergy tags on chart; place O2 signs; replace ID’s as necessary.
Fax messages to physicians and fax medication list to pharmacy
Transcribe physician dictation to include residents history and physical, discharge summary, progress notes,
care plans; transcribe other correspondence/reports.
Chart monthly TPR’s, weights in resident charts and MD progress notes.
Schedule Remote Physicians appointments using Microsoft Teams app.
Assist residents returning from appointments; review orders received.
Scan discharged/deceased Resident charts into EMR at time of discharge.
Maintain and control release of information of medical records per procedure.
Scan lab reports & x-rays to computerized EMR.
Update I & O, 24-Hour Report weekly, Nurse Aide Lists and Shower List..
Check flow sheets for blank spaces and signatures; replace new flow sheets and folders as necessary.
Review contents of medical record and purge according to procedure.
Take accurate telephone messages for supervisors and residents.
Assist residents, as needed, when making personal telephone calls.
Assure adequate supply of forms and supplies are in desks and drawers.
Place blank physician’s orders and nursing notes in charts as needed.
Purge archives of records to be destroyed.
Shred confidential material as needed.
Maintain confidentiality.
Requisition supplies, as needed.
Maintain a clean, orderly, and safe work environment.
Immediately report malfunctioning or unsafe, or suspected malfunctioning or unsafe, equipment or conditions
to supervisor.
Attend required in-services and required meetings.
Other duties may be assigned.
