Chart Prep Registered Nurse RN

Surgery Partners Careers•Altoona, WI

2d•Onsite

About The Position

The Chart Prep Nurse is an integral part of the surgical and procedural team. The Chart Prep Nurse is responsible for organizing and completing the patient chart and conducting the pre-op phone call for scheduled cases. The Chart Prep Nurse works collaboratively with scheduling, pre-op, the operating room and physician offices to ensure chart completeness and readiness for the day of the scheduled surgery/procedure. The Chart Prep Nurse communicates with the mentioned departments and any others as necessary regarding any changes or special needs to ensure all departments are prepared.

Requirements

Medical Terminology
Electronic Medical Records (EMR) systems
Quality assurance and accreditation standards
Understanding of HIPAA regulations, patient confidentiality laws and patient rights
Effective English communication in verbal and written format
Quality work including attention to detail and accuracy
Basic computer proficiency
Carry out customer service standards
Prioritize tasks effectively through managing workload based on urgency and importance
Capacity to work independently and as part of a multidisciplinary team
Continuously learn and improve through staying up to date on job specific trends, policies, and new technologies
Successfully demonstrate organization-wide performance review competencies
Demonstrates eligibility for employment in the U.S.
Associate Degree in Nursing (ADN) from an accredited nursing program required
Current RN licensure in the State of Wisconsin
BLS certification is required upon hire
Must possess a cell phone that interfaces with the organization’s secure messaging system

Nice To Haves

Previous perioperative or general nursing experience is preferred

Responsibilities

Advocate for patients’ rights, preferences, and needs, ensuring that they receive high-quality, compassionate care that is tailored to their individual circumstances
Project a professional demeanor and appearance while maintaining the confidentiality of the patient, coworkers, and the organization, as appropriate
Review patient medical history, current medications, allergies, and surgical consent forms; identifying potential risks and report abnormalities to the surgical or anesthesia team
Assess patient health problems and needs to develop, implement, and evaluate care in collaboration with healthcare team
Ensure infection control protocols and safety standards are followed in all aspects of patient care
Pre-emptively calls and gathers information on patients that are scheduled up to two weeks prior to surgery
Prepares and coordinates all activities regarding patient chart preparation
Prioritizes, locates, assembles, electronically documents, and sees to the appropriate transport of records within the department
Provide patients and families with pre-operative instructions, including fasting guidelines, medication management, and what to expect during the surgical process
Communicates with Provider offices to obtain history and physicals, medication lists, labs, and any other pertinent information needed to appropriately prep a patient for surgery/procedure
Identify patients with special needs or medical complexities and alert the clinical team to ensure proper preoperative planning
Utilizes critical thinking and communicates with Pre-operative Clearance Committee and providers regarding patients who may need further examination prior to surgery
Retrieves and completes add-ons throughout the day to ensure all needs are met
Is knowledgeable of the needs for all specialties in the department in order to educate patients during the chart prep phone call
Describes the preoperative experience to the patient, guardian and family, including what to expect before, during and after procedure
Reports abnormal values to anesthesiologist and/or provider in a timely manner
May be cross-trained and assigned to other nursing departments within the hospital, with responsibility for carrying out the essential functions of the assigned role
Use the organization's secure messaging platform in accordance with departmental protocols, including timely receipt and responses to communications
Perform other duties as assigned