Unit secretary

Huntington Health & Rehab Center -

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
• 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.

Last updated : 2024-09-24