Health Information Management\tEnsures patient consents and Advance Directive documentation are completed accurately and that appropriate follow-up occurs.\tAssists patients who may require help understanding or completing forms, consents, or advance directives, within role limitations.\tMaintains confidentiality and complies with HIPAA policies regarding the use, disclosure, and protection of Protected Health Information (PHI).\tMaintains patient medical records in accordance with unit and organizational protocols.\tEnters admission, discharge, and transfer data into the electronic health record accurately and in a timely manner.\tPrepares patient charts and documentation for transfers, diagnostic procedures, discharge, and post-acute care transitions.\tEnsures completed discharge charts are placed in designated locations for Medical Records retrieval.\tProvides guidance to medical teams on completion and secure handling of electronic death certificates per established guidelines. Patient Safety and Access Management\tResponds promptly to patient call bell systems and communicates patient needs to the appropriate healthcare team members.\tManages access through locked unit doors and intercom systems per protocol while maintaining patient dignity and safety.\tIdentifies patients accurately using two patient identifiers per hospital policy and in accordance with National Performance Goals.\tMaintains and updates patient identification bracelets and verifies accuracy of identification materials.\tSupports nursing staff in identifying and implementing patient safety precautions (e.g., fall risk indicators, signage, monitoring equipment).\tRecognizes physical, cognitive, or sensory changes that may require additional assistance and promptly notifies nursing staff.