The float medical clerk works under the direction and supervision of a Registered Nurse. Under supervision the incumbent is responsible for a variety of nursing assistant and clerical duties established by the Nurse Manager. The float nursing assistant/medical clerk provides nursing assistant and clerical support between the Inpatient, Outpatient, and Emergency Departments. Primary support is given to the Inpatient Department and coverage is for weekend and evening support. The incumbent will also function as the float clerk to provide clerical support during periods of absence of the Outpatient and Emergency Room Departmental clerks and may be subjected to on-call and callback.
Outpatient and Emergency Room Department
Contacts with Others
Personal contacts are with patients, families, and friends of patients, visitors to the hospital, physicians, nurses, and all hospital personnel. Contacts with patients are to provide nursing care. The clerk may assist the patient in obtaining hospital services available or assist in arranging transfers. There is also contact with other hospital departments regarding nursing services and treatment.
The incumbent has access to highly confidential patient medical and personal information. The Privacy Act of 1974 mandates that the incumbent shall maintain complete confidentiality of all administrative, medical and personnel records and all other pertinent information that comes to the individual’s attention or knowledge. The Privacy Act carries both civil and criminal penalties for unlawful disclosure of records. Violation of such confidentiality shall be cause for adverse actions.
Responsibility for Accuracy
The incumbent is responsible for accuracy of work performed. The charge nurse, supervising registered nurse, or immediate supervisor reviews work for accuracy and determines steps to prevent errors from reoccurring. Patient care provided by the incumbent contributes to completion of the prescribed plan of care and disposition of the patient. Incumbent initiates and follows through on all clerical procedures during the patient care and treatment process. Completion of duties affects the attitude of patients and efficiency with which the hospital provides service and therefore could have a negative effect on patient outcomes.
Incumbent performs nursing and clerical procedures pertinent to Inpatient, Outpatient, and ER care and treatment. Uses judgment in determining priority of nursing care tasks based upon the diagnosis of the patient, their condition and special circumstances related to their needs. Assembles patient records according to prescribed format. Inserts forms in chart as necessary. Interviews patients to update insurance information. Initiates appropriate requisitions from hospital staff. Records appropriate data into departmental log.
Work in the various services within the nursing department requires considerable waling, standing, bending, pushing, and lifting in helping patients to and from beds, wheelchairs, and stretchers. These same activities are required in moving equipment and medical supplies. May occasionally move more than 15 pounds.
Resourcefulness and Initiative
Incumbent works under the administrative supervision of a Supervisory Clinical Nurse, GS-610-11, who administers control of the Inpatient Department’s functional duties. Receives technical directions from the Charge Nurse. Incumbent is responsible for initiating and following through on recurring clerical assignments. Work is primarily reviewed in terms of overall quality and efficiency of service provided to patients and staff.
Guidelines consist of nursing and medical procedures, inpatient, outpatient, and emergency room manuals, Privacy Act guidelines, hospital policies and procedures. The incumbent uses judgment in locating and selecting the most appropriate guidelines, references and procedures for application and in making minor deviations to adapt the guidelines to specific cases. Unusual developments are referred to the supervisor.
Must be flexible in working hours. Work is performed in the hospital setting, which is responsible for treating patients with a wide variety of medical problems. Incumbent is frequently exposed to communicable diseases. Incumbent is required to comply with Employee Health Program guidelines including current immunization status of identified communicable diseases and safety precautions are sometimes necessary, such as use of personal protective equipment as required by hospital policy.
Consistently demonstrates superior customer service skills to all patients/customers by displaying Spotlight on Success I CARE behaviors and skills. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.