RN Scribe

St. Anthony Hospital
Oklahoma City

Job Description

DescriptionRole Purpose: Accepts responsibility for clinical aspects of the program. Directs program elements including supervision of staff and program development. Documents (on behalf of the provider) all clinically relevant interaction and dialogue during the course of the patient visit. Responsibilities: Initiate patient contact and conduct RN Nurse Assessment utilizing a personalized separate template. Document (on behalf of provider) all clinically relevant interaction and dialogue during the course of the patient visit. (RN will be signed in as scribing for the physician as instructed in the Saint Anthony Medical Scribe Policy). Assist physician in the patient examination, evaluation, and clinical procedures as instructed. Coordinate ordering and scheduling of hospital-based tests and procedures. Maintain patient medical records and ensure proper documentation of examinations, evaluations, and treatments rendered, laboratory and radiology procedures and results, and prescription written or authorized in the office or by telephone. Documents all nursing care given and adheres to nursing standards and institution policies and procedures. Consistently and accurately implements and records physicians' orders. Administer prescribed medications orally, topically, and by injection as instructed. Educate patient and family based on assessed needs and documents education provided. Ensures follow up instruction are given and that the patient fully understands these instructions. Is aware of nursing practice state regulations for RNs and is responsible for professional practice within the scope of that practice. Maintain clinical skills and knowledge through continuing education activities. Is aware of SAH scribe policy and is responsible for professional practices within that scope of the practice. Perform other related duties as directed that correspond to the overall function of this position. Qualifications Minimum Qualifications: Licensed by the Oklahoma Board of Nursing as a Registered Nurse. Current CPR (Heartsaver). One year of RN experience required. Preferred Qualifications: Bachelor of Science in Nursing preferred. Electronic patient record experience preferred. About SSM St. Anthony's Hospital St. Anthony Hospital is a 601-bed regional referral facility specializing in cardiology, oncology, surgery and behavioral medicine. The hospital, established in 1898, is located in Midtown Oklahoma City and serves the needs of Central Oklahoma, as well as many counties throughout Oklahoma, through its large rural affiliate network of hospitals. Four St. Anthony Healthplex campuses provide convenient emergency and outpatient service access to the outlying communities of the metropolitan area. St. Anthony added urgent care services in May 2015 at St. Anthony North. St. Anthony has received numerous awards including the Oklahoma Quality Award for Excellence, Certified Healthy Business, Premier QUEST Award for High-value Healthcare Citation of Merit, among others. Healthsights ranks St. Anthony at performance levels for quality and patient satisfaction higher than local competitors and many national health care organizations.