Trauma Registrar-FT-Days-Trauma

DHR Health - US:TX:Edinburg - Days

Summary:

FLSA STATUS: ☐ Exempt ☒ Non-Exempt

MISSION STATEMENT:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, and every time.

VISION:

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

POSITION SUMMARY:

The Trauma Registrar will be responsible for daily case finding and data abstraction on trauma patients. This includes the daily activities of the trauma registry such as concurrent data abstraction, data validation, reporting, and identifying performance improvement opportunities. The Registrar may provide trauma education opportunities to hospital staff, EMS providers, and the community.

POSITION EDUCATION/ QUALIFICATIONS (Required upon hire /transfer to this position )

· Experience in healthcare related services, preferably in the emergency/acute care setting

· Successful completion of Anatomy & Physiology Course preferred

· BLS within 6 months of hire

· Completed an approved Trauma Registry Course with in (12) months of hire

· Completed the American Trauma Society ICD10 Injury Coding Course within (12) months of hire

· Completed the Association for the Advancement of Automotive Medicine (AAAM), Abbreviated Injury Scale (AIS) course within one (12) months of hire

JOB KNOWLEDGE/EXPERIENCE­:

· Experience with data collection, analysis, and report writing

· Understands concepts of quality and performance improvement preferred

· AIS/ISS & ICD-10 coding experience preferred

· Requires ability to work independently and within groups

· Knowledge of State, Federal, JCAHO regulations, and American College of Surgeons Committee on Trauma (ACS-COT) Designation requirements

· Computer skills required with knowledge of Microsoft Office suite

· Continuing education in trauma related topics

· Good written and verbal communications skills required

· Prefer Bilingual- English/Spanish

Responsibilities:

POSITION RESPONSIBILITIES:

· Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices.

· Represents DHR Health Trauma Services Department favorably to the community

· Consults with the Trauma Program Director and Trauma Medical Director to enhance overall program direction.

· Maintains all patient, staff, and DHR information and documents in compliance with hospital policies regarding patient confidentiality and privacy.

· Accurately identifies the patient population for entry and tracking into the Digital Innovations CV5 Trauma Registry in compliance with the National Trauma Data Set (NTDS), the American College of Surgeons Committee on Trauma (ACS-COT), Texas Department of State health Services of EMS, and DHR specific requirements (e.g. ICD-10 code, transfer, death, ICU admission, length of stay, readmission)

· Determines validity of collected data.

· Communicates identified opportunities with the Trauma department staff, leadership, and physicians.

· Ensures the facility meets all trauma registry requirements to maintain its Trauma Center designation.

· Assists with trauma activation billing.

· Participates in trauma data for injury prevention, research, and trauma related projects.

· Obtain 8 Trauma-related CEs per year

· Other duties as assigned.

Other information:

LINES OF REPSONSIBILITIES:

1. CCOO → 2. Trauma Medical Director → 3. Trauma Program Director → 4. Senior Trauma Registrar →

5. Trauma Registry Supervisor

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Compassion, Accountability, Respect, Excellence through Knowledge and Safety & Social Conscience.

AGE SPECIFIC:

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirement relative to his or her age.

AMERICANS WITH DISABILITIES ACT: (ADA):

A. Essential Duties: Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:

Light/moderate lifting up to 20 lbs, from the floor to shoulder height.

Yes

Kneeling

Yes

Must be able to assist other employees with lifting more than 20 lbs.

Yes

Walking

Yes

Light/moderate carrying up to 20 lbs.

Yes

Standing/Squatting

Yes

Straight pulling

Yes

Sitting

Yes

Pulling hand over hand

Yes

Pushing

Yes

Repeated bending

Yes

Stooping/Bending

Yes

Reaching above shoulder

Yes

Climbing Stairs

Yes

Simple grasping

Yes

Climbing Ladders

No

Dual simultaneous grasping

Yes

Depth Perceptions needed

Yes

Ability to see

Yes

Identify Colors

Yes

Operating office equipment

Yes

Twisting

Yes

Operating mechanical equipment

Yes

Crawling

No

Ability to read and write

Yes

Ability to Count

Yes

Ability to hear verbal communication without aid

Yes

Operating Personal Vehicle

Yes

Ability to comprehend written/verbal communication

Yes

Other: Ability to deal with stress

Yes

OSHA Category

III

B. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.

C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.

D. Aptitudes: HIGH 1 2 3 4 5 6 LOW

Intelligence: General learning ability: The ability to “catch on” or understand instructions and underlying principles. Ability to reason and make judgments. 3

Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3

Numerical: Ability to perform arithmetic operations quickly and accurately. 2

Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to “visualize” objects or two or three dimensions, or to think visually of geometric forms. 2

Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3

Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2

Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3

Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3

Manual Dexterity: Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3

Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3

Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3

I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.

If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.

Employee Signature: ________________________________ Date: ____________________

Transfer/Hire Date Effective: ________________________.