Trauma RegistrarBeacon Health System • Elkhart, Indiana, United States, 46514

Trauma Registrar

Beacon Health System • Elkhart, Indiana, United States, 46514

4 days ago

Job type

Full-time

Job description

Trauma Registrar

Identifies, collects, and manages health, medical and outcome information on all trauma patients and in accordance with established policies, procedures and regulatory requirements. Primary responsibilities include abstracting and coding specific patient, injuries and treatment information from various sources as well as maintaining and updating existing patient records. Exhibits exceptional experience by upholding Beacon values of respect, trust integrity and compassion and displaying relationship-based care. Reports to Trauma Coordinator. EGH Nursing Purpose : To ensure safe, compassionate, innovative patient centered care, promote and engage in the advancement of evidenced-based nursing practice, create a culture of collaboration, professionalism and a healthy work environment.

MISSION, VALUES and SERVICE GOALS

MISSION : We deliver outstanding care, inspire health, and connect with heart.
VALUES : Trust. Respect. Integrity. Compassion.
SERVICE GOALS : Personally connect. Keep everyone informed. Be on their team.

Efficient and timely processing of Trauma Registry data

Enters all collected patient data into the computerized Trauma Registry data system in a manner which meets the requirements (for accuracy and completeness and timeliness) of the American College of Surgeons' Committee on Trauma.

Utilizes the AIS and ICD-9 scoring systems with injured patients.

Collaborates with other team members to ensure accuracy of the data, as well as offering input for inclusion / exclusion into the registry.

As needed, re-abstracts core information from patient medical records (including demographic characteristics, history of injuries, diagnostic procedures and treatment); also contacting referring hospital and EMS agencies for information.

Utilizes internal support staff to trouble shoot and diagnose hardware and software problems. Collaborates with EGH for annual trauma registry update. Keeps registry updated to current version.

Ensures the confidentiality and security of patient data stored in the Trauma registry files.

Aligns with NTDB dictionary to ensure data point knowledge and updates required for ACS Level III trauma center verification and yearly data submissions.

Collaborates with Indiana State Registry data download requirements; discusses or identifies issues with Indiana State level Registrar.

Trauma Quality

Runs quality reports as requested or determined by quality review for Trauma Committee and Trauma Morbidity and Mortality Conference.

Coordinates and answers requests for data and maintains Data Request Log according to established policy and procedures.

Provides written reports from the Trauma Registry for performance improvement, Trauma Service report cards, and Trauma Surgeon report cards.

Contributes to the overall effectiveness of the department

Completes other job-related duties and projects as assigned.

Active Staffer Date Entry and Running of Reports

Process state board of health staffing reports as requested.

Print 2-3 days of the daily staffing every night.

Ensure notes are entered for all absences / LOA's, STD's. Accurately enters all absences, LOA's and other non-productive time into scheduling system.

Make copies and maintains a supply of the daily staffing sheets.

Take confidential papers to HR.

Utilizes the nursing supervisor staffing allocation sheets to enter actual staffing into the scheduling system every shift.

Enters all 1 : 1's and the nursing personnel taking care of them accurately in Active Staffer.

Runs next shift staffing sheet for Nursing Supervisor.

Maintains data for administrative reports and maintains vex list.

ORGANIZATIONAL RESPONSIBILITIES

Associate complies with the following organizational requirements :

Attends and participates in department meetings and is accountable for all information shared.

Completes mandatory education, annual competencies and department specific education within established timeframes.

Completes annual employee health requirements within established timeframes.

Maintains license / certification, registration in good standing throughout fiscal year.

Direct patient care providers are required to maintain current BCLS (CPR), and other certifications as required by position / department.

Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.

Adheres to regulatory agency requirements, survey process and compliance.

Complies with established organization and department policies.

Available to work overtime in addition to working additional or other shifts and schedules when required.

Commitment to Beacon's six-point Operating System, referred to as The Beacon Way :

Leverage innovation everywhere.

Cultivate human talent.

Embrace performance improvement.

Build greatness through accountability.

Use information to improve and advance.

Communicate clearly and continuously.

Education and Experience

The knowledge, skills, and abilities indicated below are normally acquired through the successful completion of an associate's degree (preferably in medical records terminology or a related field). Attainment of certification as a CSTR (Certified Specialist in Trauma Registry), CAISS (Certified AIS Specialist), and certification as an Accredited Records Technician (ART) is preferred. Successful completion of NTRACS (Trauma Registry) training is desired (or must successfully be completed within the first six months of employment). A minimum of one-year related work experience in a medical records office is required.

Knowledge & Skills

Requires solid understanding of medical terminology, ICD-9 coding systems, anatomy, and physiology.

Requires organizational skills, the ability to prioritize workload, follow schedules and meet deadlines. Also, must have the ability to work independently as a member of a team.

Proficiency in basic computer skills, (i.e. data entry, word processing, spreadsheets, and presentation software) is desired.

Demonstrates the analytical skills to gather and process data, based upon predetermined criteria, and identify problems. Also, must be detail oriented.

Requires solid secretarial / office skill (i.e. telephone, grammar, and spelling). Also requires ability to operate standard office equipment (printers, fax machines, copiers, scanners, etc.) that meet department need.

Requires the interpersonal and communication (both written and verbal) skills needed to interact and communicate effectively with a variety of people.

Requires solid understanding of Hospital's policies and practices related to patient confidentiality.

Demonstrates knowledge of and a commitment to Beacon Health System's mission and values; and the organization's goal of providing exceptional patient experiences by following Elkhart's Performance Essentials.

Working Conditions

Because of our responsibility to provide the highest level of medical care, patient attention, and staff support, employees must be available to work mandatory overtime as a condition of their employment. As such, mandatory overtime is considered an essential job function. Likewise, the ability to work additional or other shifts and schedules as needed is an essential job function.

Works in a fast-paced environment.

Some mental / visual fatigue is possible, as there is the constant and careful review of data and data entry.

Physical Demands

Requires the physical ability and stamina to perform the essential functions of the position.

PI9a856fe92300-30511-38928520

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