Description
Your Role:
Responsible for collection, abstraction, and data entry of trauma patient information in the NTRACS Trauma Registry of Vanderbilt University Medical Center. Identifies and performs data collection, abstraction and entry of all trauma patients accurately. Assigns all ICD10CM, ICD10PCS and AIS codes in to the Trauma Registry. Supports the registry requirements for verification as a Level 1 Trauma Center by the State of Tennessee, National Trauma Data Bank (NTDB), Trauma Quality Improvement Program (TQTIP) and America College of Surgeons Committee on Trauma (ACS). Responsible for complete abstraction for a patient's pre-hospital care, ED summary, diagnosis, procedures and discharge information.
Discover Vanderbilt University Medical Center:
Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded and your abilities challenged. It is a place where your diversity -- of culture, thinking, learning and leading -- is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research.
Our Nursing Philosophy:
We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center's mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being.
Achieve the Remarkable:
Learn more about VUMC Nursing:
* Nursing Careers : http://www.vumcnursingcareers.com/index.html
* Benefits : http://www.vumcnursingcareers.com/benefits.html
* Our Nursing Philosophy : http://www.vumcnursingcareers.com/philosophy.html
* Our Nursing Leadership : http://www.vumcnursingcareers.com/leadership.html
* Shared Governance : http://www.vumcnursingcareers.com/shared-governance.html
* Education & Professional Development : http://www.vumcnursingcareers.com/professional-development.html
* Life In Nashville : http://www.vumcnursingcareers.com/nashville.html
* VUMC Nursing : http://www.mc.vanderbilt.edu/root/vumc.php?site=vanderbilt-nursing
Key Responsibilities:
- Collection/abstraction of 300+ data points and entry into the NTRACS Trauma Registry database on all trauma patients admitted to VUMC and MCJCH as a Level I Trauma Center. Data Management- data integrity, reports and data presentation Anatomy and Conditions of Injury Coding and Scoring Concepts Registry- NTDB, State(s), and internal registry
- Communicates with department staff including physicians, managers, nursing staff, process improvements and research coordinators. Participates in validation of 5-10% of Registry data entry, tracks inconsistencies, and educates co-workers as needed.
- Maintains knowledge of current trends and developments by participating in:a. Taking monthly TQIP quizzes and reportsb. TQIP Open Forum webinars.c. Participates in registry specific coursework and continuing education courses per year, and meetings and activities.
- Data Entry and Reporting a. Abstracts data and performs data entry by determining appropriateness of patient entry, within timelines of quality measures (=/>95) and discharge requirements. b. Codes diagnoses and hospital procedures ICD10 and enters into Trauma Registryc. Submits trauma data to registry and databank and various Level 1 Trauma centers.
