ScribeAmerica - Introductory Training Packet Questions and Answers (GRADED A)
16 views 0 purchase
Course
ScribeAmerica
Institution
ScribeAmerica
Abrasion - ANSWER-Scrape of the skin due to something abrasive.
Acute - ANSWER-New, usually of rapid onset and of concern, opposite of chronic.
Anterior - ANSWER-Located towards the front of the body.
Benign - ANSWER-Normal, of no danger to health.
Bradycardia - ANSWER-Slow heart-rate (...
ScribeAmerica OP Final Exam flashcards
questions & answers( Verified 100%)
pain vs tenderness - ANSWER-patient's feeling vs physician's assessment
acute vs chronic - ANSWER-new onset vs long standing
Meaningful Use (MU) - ANSWER-a set of government mandated criteria that must be
obtained for every patient
Medical decision making - ANSWER-the physician's thought process
Mid-level providers: - ANSWER-Nurse Practitioner (LNP) or Physician's Assistant (PA)
that works under the supervision of a physician to diagnose and treat patients
Nurse or Medical Assistant - ANSWER-records medical histories and symptoms,
monitors the patient, completes meaning use requirements, administers medications,
assists with procedures
Receptionist - ANSWER-answers phone calls, schedules appointments, answers
patient questions, provides patient with summary of visit and written instructions from
provider at check-out, and organizes the patient's paperwork
Scribe - ANSWER-documents the patient's visit on behalf of the physician
Scribes CANNOT... - ANSWER--partake in any activity that may affect patient health or
outcome
-touch patients
-handle bodily fluids or specimens
-sign or authenticate any chart or record
-give verbal orders or submit electronic orders
Scribes CAN... - ANSWER--document the history, physical exam, results, procedures,
assessment and plan
-access and document laboratory results and radiology findings
-locate and obtain PMHx, previous charts, past results, and recent studies
-Record physician interpretations of x-rays and EKGs
New patients - ANSWER--no previous records
-longer visit
-detailed chart
-if patient hasn't been seen in 3 years at the clinic, they are considered new
, Established patients - ANSWER--previous records available
-shorter visit
-concise chart
-must've been seen in the clinic in the last three years
Diagnostic visit - ANSWER--new problem
-CC: new symptom
-goal is to determine the cause of the problem and appropriate treatment
-differential diagnosis is necessary
Health Maintenance visit - ANSWER--check-up
-CC: management of chronic problem
-goal is to assess progress of ongoing/chronic medical problems
allergy - ANSWER-a medication that causes a rash, itching, swelling, or difficulty
breathing
-if these symptoms not seen, it is an "adverse reaction", not an allergy
Hypertension (HTN) - ANSWER-high blood pressure
Hyperlipidemia (HLD) - ANSWER-high cholesterol
Normal heart rate - ANSWER-60-100 bpm
Pulmonary Embolism (PE) - ANSWER-blood clot in lung
Gravida/Para/Abortion - ANSWER-G - the total number of times the patient has been
pregnant
P - the # of live births the pt has had
A - the # of miscarriages or elective abortions
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller IMORA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.19. You're not tied to anything after your purchase.
