Description:
The successful candidate will assist in the provision of an effective, consistent and efficient level of administrative support at ward level. This post will also provide a cross-cover service within the Neurocent Directorate on an as required basis, as per service and line manager requirements.
The primary responsibility of the Ward clerk role is the maintenance of the patient’s healthcare record.
- Flexible working approach as per demands of the busy Neurocent Directorate service
- To provide an efficient, friendly, clerical support service to internal and external customers.
- Serve as a clerical resource person for the nursing team for individual aspects of patient care.
- Serve as a communication link between the heathcare team, patients, families and other hospital departments.
- The primary responsibility of the Ward clerk role is the maintenance of the patient’s healthcare record.
- Flexible working approach as per demands of the busy Neurocent Directorate service
- To provide an efficient, friendly, clerical support service to internal and external customers.
- Serve as a clerical resource person for the nursing team for individual aspects of patient care.
- Ensure that there is a healthcare record available for all patients attending the Ward.
- Ensure that all healthcare records are tracked in and out of the ward to the appropriate department e.g. Consultant Secretary, Coding Department or Medical Records Department in accordance with hospital policy.
- Report missing healthcare records - conduct a search within the Ward/Directorate, check possible location on the tracking system and report the outcome to the Medical Records Department and the Clinical Nurse Manager/Nurse in Charge.
- Ensure that healthcare records are maintained during the patient’s episode of care in accordance with the Healthcare Records Management Policies and Procedures. This includes but is not limited to ensuring all elements of the healthcare record are filed appropriately, that there are sufficient blank continuation sheets inserted to facilitate recording of the patients care, liaising with the Medical Records Department (QC section) regarding the splitting or recovering of healthcare records as required.
- Ensure that a weekly Chart Tracking Audit is carried out in line with the Healthcare Records Tracking Policy and SOP.
- Ensure any labels/stickers within chart are from current admission and that any from previous episodes are removed.
- Ensure that the healthcare record on discharge of the patient is managed in accordance with Healthcare Records Management Policies and Procedures and then sent to the Coding Department.