Trauma Registrar

Overview

POSITION DESCRIPTION

Natividad is currently accepting applications for Trauma Registrars in the Trauma Services Department. Under general supervision, identifies, collects and abstracts data for the trauma registry, National Trauma Data Bank (NTDB), Trauma Quality Improvement Program (TQIP) and hospital quality data including data collection on defined trauma patients, entry of data into the registry, assuring accuracy of data, correcting deficiency in data, updating registry and abstracting data from registry for reporting and trend analysis in accordance with regulatory requirements and performs related work as required.

Specific Skills

THE IDEAL CANDIDATE

License and Certification: Some positions may require the possession of a Certified Abbreviated Injury Scale Specialist certificate issued by the Association for the Advancement of Automotive Medicine (AAAM) Through knowledge of:

Trauma registration practices and procedures
Medical terminology applicable to pre-hospital care, emergency room care, and discharge care
Basic anatomy and physiology and anatomical terminology
AIS/ISS and ICD-10 coding

Working Knowledge of:

Electronic data management and reporting, including the use of standard office software applications, Microsoft Excel and hospital database management (ie. Meditech)
General requirements associated with maintaining trauma registries and ensuring compliance with ACS standards
Methods of researching
American College of Surgeons Committee on Trauma (ACS COT) and Title 22 trauma data requirements
Trauma Quality Improvement Program (TQIP) data submission process

Skills and ability to:

Accurately read and interpret handwritten and transcribed documents in a medical record, identify qualifying trauma cases, and abstract/code case information into a trauma registration database
Read, interpret and evaluate complex technical reports and information.
Understand and apply anatomical, physiological, and medical terminology
Operate a personal computer
Maintain records and compile statistics
Communicate clearly and concisely, both orally and in writing; prepare reports and other written communications
Provide excellent public relations and courteous customer service; establish and maintain cooperative working relationships with others including physicians, nurses, administrators, managers, vendors, contractors and other health care industry personnel
Work with physicians and others to ensure complete and accurate information

Responsible For

THE SIGNIFICANT DUTIES OF THE POSITION

Identifies all qualifying cases from the trauma patients brought into the hospital for inclusion in the registry, in accordance with American College of Surgeons (ACS) standards; updates previously included cases as needed; assembles chart copies as listed to complete abstractions
Identifies and abstracts data from patient medical records, including demographics, location of injury, and pre-hospital data, for the purpose of statistical reporting, analysis, and inclusion into the trauma registry; collects data and researches missing patient care documentation as needed from multiple sources, including other facilities or agencies
Maintains an electronic registry that adheres to reporting requirements and complies with prescribed standards and regulations needed for trauma center accreditation by the ACS committee
Utilizes Abbreviated Injury Scale/Injury Severity Scores (AIS/ISS) and International Classification of Diseases (ICD-10) codes to compile indicators and statistics for use by the Trauma Program Manager, physicians, and other hospital staff
Generates and prepares reports on trauma populations, performs data searches for trauma related research projects, and provides information that will be used for performance improvement activities to facilitate continued education and system improvement
Maintains trauma and ambulance logs; reviews the logs for omissions and duplicates; provides log data to other departments as appropriate
Prepares and submits periodic data reports of trauma cases and information to the Trauma Program Manager, and other hospital staff/departments as directed; prepares and submits reports to the National Trauma Data Bank, in accordance with ACS guidelines
Maintains confidentiality and security of all patient information in compliance with hospital and federal regulations; maintains quality control of case findings, abstracting, coding, follow-up and data processing
Maintains records for continuing Quality Assurance indicators reviewed at periodic meetings
Participate in continuing education coursework to stay abreast of new developments in registry data management, regulations, requirements, and trends; assists in updating policies and procedures related to trauma registry activities as assigned
Performs other duties as assigned

Additional Requirements

CONDITIONS OF EMPLOYMENT

Natividad requires 100% on-site training for this position
Natividad requires that all incumbents pass a pre-employment physical/medical assessment.
Natividad will conduct a thorough background and reference check process, which includes a Department of Justice fingerprint check.
Employees who drive on County business to carry out job related duties must possess a valid CA Driver License for the class vehicle driven.
Employees must have and show their original Social Security Card and a valid CA Driver License or CA State ID prior to the first day of work.
Incumbents may be required to work all shifts, including weekends and holidays; and work with potentially hazardous and infectious substances.

Job Nature

Full Time

Educational Requirements

EXAMPLES OF EXPERIENCE/EDUCATION/TRAINING:

Any combination of training, education and/or experience which provides the knowledge, skills and abilities, and required conditions of employment is qualifying. An example of a way these requirements might be acquired is:

Education:

An associate degree in a health related field with completion of any ICD-10 coursework

Experience: One (1) year of experience as a trauma registrar or two (2) years of experience collecting and entering data into a registry is preferred Certification: Possession of current certification as a Certified Specialist in Trauma Registries (CSTR) issued by the American Trauma Society and Certified Abbreviated Injury Scale Specialist (CAISS) issued by the Association for the Advancement of Automotive Medicine

Experience Requirements

Job Location

Natividad Medical Center 1441 Constitution Blvd. Salinas, CA

Salary

$39.87-$54.45 Per Hour

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