What are the responsibilities and job description for the ED Scribe position at Titus Regional Medical Center?
Job : ED Scribe
Classification : Hourly / Non-Exempt
Job Category : 5 Administrative Support Workers
Position Summary
The Medical Scribe will play a crucial role in enhancing the efficiency and accuracy of medical documentation, allowing healthcare providers to focus on patient care. The ED Scribes primary responsibility will be to accompany physicians and healthcare professionals during patient encounters, meticulously recording medical histories, physical examinations, and treatment plans in real-time. With a keen attention to detail and a thorough understanding of medical terminology, the ED Scribe will ensure the creation of comprehensive and precise electronic medical records (EMRs).
Essential Functions
- Functions at all times under a physician or advanced practitioners direct supervision.
- Retrieve and display current and past EKGs and imaging films for practitioner review.
- Accompanies physician into exam room with patient, entering information in the electronic medical record regarding patient symptoms and condition as physician interviews the patient.
- Transcribes medical decision-making in real time under direction of physician, creating accurate patient encounter notes.
- Inputs real-time encounter information into the electronic health record using a wireless device.
- Adapts workflows as necessary, dependent upon Emergency Department Providers.
- Edits all completed health records for accuracy regardless of whether clinicians dictated directly into the HER using voice recognition software or the information is keyed in using templates or a combination.
- Abides by all applicable Titus Regional Medical Center policies and procedures including, but not limited to, safety matters, HIPPA-compliance, and patient / computer confidentiality.
- Retrieves, collates, monitors, and reports laboratory, radiology, and other diagnostic test results to the Physician in a timely manner.
- Mindful of patient experience and safety expectations by maintaining professionalism during every encounter including introductions with the patient and explanation of role.
- Reports off to oncoming staff at shift change.
- Adheres to and follows all patient experience initiatives.
- Reports to and departs from work on time and as scheduled.
- Performs other duties as assigned.
- Must be able to deal with stress while maintaining composure.
- Follows and adheres to TRMC vaccine policy(s) mandated by the Centers for Medicare & Medicaid Services (CMS).
Work Experience
Education
Physical Demands and Work Environment
Lifting / Carrying Pushing / Pulling
Lbs. % Time Lbs. % Time
1-10 34-66 1-10 34-66
11-20 0-33 11-20 0-33
21-50 0-33 21-50 0-33
51-75 0-33 51-75 0-33
76-100 0-33 76-100 0-33
Movement % Time
Bend / Stoop / Twist 0-33
Crouch / Squat 0-33
Kneel / Crawl 0-33
Reach Above Shoulder 0-33
Reach Below Shoulder 0-33
Repetitive Arm None
Repetitive Hand 0-33
Grasping 0-33
Squeezing 0-33
Climb Stairs None
Walking Uneven 0-33
Walking Even 34-66
Environment % Time
Indoors 67-100
Outdoors 0-33
Extreme Heat None
Dusty None
Excessive Noise 34-66
Equipment % Time
Motor Vehicles None
Foot Pedals None
Extreme Heat None
Dusty None
Excessive Noise 0-33
Work near % Time
Machinery None
Electricity None
Sharps None
Chemicals 0-33
Fumes 0-33
Heights None
Vision
Depth Perception Required
Color Not Required
Peripheral Required
Endurance Hours at Once Total in 12HR
Sit 4 8
Stand 1 2
Walk 1 2
