Summary of Essential Functions:
- Serves as primary staff support person to the United Regional Trauma Program.
- Maintains United Regional Trauma Registry in compliance with the American College of Surgeons and Department of State Health Services.
- Coordinates the activities of the Trauma Registry.
- Acquires and maintains trauma data.
- Demonstrates proficiency in communication skills with physicians, patients, visitors, and co-workers. Demonstrates effective and professional telephone skills.
- Acquires and maintains trauma data. Maintains quality control of case findings, abstracting, coding, follow-up and data processing. Ensures the confidentiality and security of patient data stored in the Trauma Registry System. Maintains computer data systems conforming to the American College of Surgeons. Meets requirements for compliance with the Texas Department of Health.
- Prepares research and study projects. Prepares research and study projects as indicated by the United Regional Trauma Committee. Prepares and distributes the Annual Trauma Registry Activity report. Attends Trauma meetings and provides any statistical data required. Actively participates on the Trauma Multidisciplinary Committee.
- Assists in orienting and training new personnel where applicable. Demonstrates working knowledge of equipment, in addition to maintaining accurate records.
- Demonstrates an understanding of registry. Accurately abstracts patient information from medical record for entry into registry. Assembles and disseminates information collected by registry according to defined guidelines. Coordinates requests for information from trauma registry for other hospital medical staff services.
- Participates in development and implementation of policies and procedures for trauma registry functions that comply with the American College of Surgeons requirements.
- Demonstrates knowledge of medical terminology, coding/abstracting, and data systems including: ICD 9 and 10, CM, AIS, ISS, and other appropriate coding systems.
- Other duties as assigned.
- If a nurse maintains current competency status as required in clinical area for which responsible
- High school graduate or equivalent.
- Associate degree preferred.
- Must be able to communicate effectively in English, both verbally and in writing.
Licenses and Certifications:
- Registered Nurse, Licensed Vocational Nurse, or Accredited Record Technician preferred.
- Maintains registry certification
- BLS - required
- ACLS, ENPC and TNCC desired
- At least six months of hospital experience in patient care setting or with the electronic medical record.
- Ability to communicate effectively and courteously with medical and technical personnel.
- Demonstrate patience, tact, diplomacy and persistence in daily contact with patients, physicians and their staff, visitors, and all hospital personnel.
- Must be able to prioritize work according to written or verbal instructions using organizational skills and sound judgment.
- Medical terminology and Anatomy and Physiology background.
- Within 6 months of employment attend the ATS Trauma Registry Course and AAAM Course.
- Be a certified trauma registrar and/or pass the registry certification exam within 12 months of employment.