Medical Records Nurse

Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Department: UPC General Specialty Clinics PRN Shift: Days Work within the nursing process to provide direct nursing care to assigned patients. 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. PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols * 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 * document and communicate clinical findings * 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 * 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" Program Graduate Bachelor's Degree Nationally Accredited Nursing Graduate Nursing Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days * RN in NM or as allowed by reciprocal agreement by NM Chemicals, Bio Hazardous Materials req PPE * Tuberculosis testing is completed upon hire and additionally as required Registered Nurse