Hartford HealthCare

Key Responsibilities

• • Responsible for direct patient care.
• • Evaluates patients through examination and development of a detailed medical history.
• • Writes orders for diagnostic studies, medications, treatments and other matters pertaining to patient care.
• • Charts observations, test results, and all patient communication in medical record as dictated by CHH Hospital Policy and Procedure.
• • Ensures that patient records are treated as confidential information.
• • Reviews and interprets results of diagnostic studies and tests and incorporates information into a care plan.
• • Arranges for appropriate follow-up/care referral for patients.
• • Follows established departmental policies and procedures, objectives, quality improvement program, safety, environmental and infection control standards.
• • Provides healthcare and discharge information to patients and families and writes discharge instructions.
• • Advises patients and families on the use of various medications including dosage, side effects and composition.
• • Determines and discusses diagnosis/differential diagnosis with patient.
• • Documents on chart and charge slip.
• • Prioritizes work and provides prompt and efficient service.
• • Processes all paperwork, prepares charge slips accurately and verifies bills for accuracy.
• • Displays and upholds CHH core values of dignity, compassion, service excellence, community and integrity.
• • Consistently demonstrates caring for patients, for one another, and for the organization they are part of, and contributes to building trust, pride and camaraderie.