ScribeAmerica ED Final Exam Questions with Correct Answers.
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ScribeAmerica ED
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ScribeAmerica ED
ScribeAmerica ED Final Exam Questions with Correct Answers.ScribeAmerica ED Final Exam Questions with Correct Answers.ScribeAmerica ED Final Exam Questions with Correct Answers.ScribeAmerica ED Final Exam Questions with Correct Answers.
ScribeAmerica ED Final Exam Questions with
Correct Answers.
Chief Complaint - ANS the main reason for the pt's ED visit
pain vs tenderness - ANS pt's feelings (subjective) vs physician's assessment
(objective)
distress - ANS the doctor's judgement of discomfort
baseline - ANS an individual's normal state of being
What CAN scribes do? - ANS -Document Hx, PE, results, procedures, and physician
consults
-Access and document lab results and radiology findings
-Locate and obtains PMHx, previous charts, past results, and recent studies
-Record physician interpretations of x-rays and EKGs
What can scribes NOT do? - ANS -Touch pts
-Write orders or Rxs
-Give verbal orders
-Partake in any activity that may affect pt health/outcome
-Sign or authenticate any chart/record
-Handle bodily fluids or specimens
What does the Charge Nurse do? - ANS Manages ED pt flow
What does the ED Nurse do? - ANS Records medical Hx, symptoms, monitors pt, starts
IVs, administers medications, and assists with procedures.
What does the Unit Secretary do? - ANS Places physician's orders, answers phone
calls, pages other specialists/doctors, and organizes pt's paperwork.
What does the scribe do? - ANS Document pt's visit on behalf of the physician.
What is the ED flow? - ANS Walk in → triage → bed → physician assessment →
labs/rad/meds → results → MDM → diagnosis → consults → disposition
What are the 5 vital signs? - ANS -RR
-BP
-HR
-temp
-O2 sat
Level of acuity - ANS 5 (low) to 1 (high)
, What are all the parts of the chart? - ANS -HPI
-ROS
-Past Hx
-PE
-ED Course
-Disposition
What goes in each SOAP section? - ANS S: HPI and ROS
O: PE and ED course
A: diagnosis
P: plan and disposition
Pt says "high blood pressure," you write... - ANS hypertension (HTN)
Pt says "high cholesterol," you write... - ANS hyperlipidemia (HLD)
Pt says "diabetes," you write... - ANS diabetes mellitus (DM)
Pt says "I take pills for my diabets," you write... - ANS non-insulin dependent diabetes
mellitus (NIDDM)
Pt says "I take shots (insulin) for my diabetes," you write... - ANS insulin dependent
diabetes mellitus (IDDM)
Pt says "heart disease," you write... - ANS coronary artery disease (CAD)
Pt says "heart attack," you write... - ANS myocardial infarction (MI) and CAD
Pt says "heart failure," you write... - ANS congestive heart failure (CHF)
Pt says "irregular heartbeat," you write... - ANS atrial fibrillation (a fib) or arrhythmia
Pt says "murmur," you write... - ANS heart murmur
Pt says "abnormally fast/racing heartbeat," you write... - ANS supraventricular
tachycardia (SVT) or arrhythmia
Pt says "emphysema/chronic bronchitis," you write... - ANS chronic obstructive
pulmonary disease (COPD)
Pt says "blood clot in lung," you write... - ANS pulmonary embolism (PE)
Pt says "pneumonia," you write... - ANS pneumonia (PNA)
Pt says "reflux," you write... - ANS gastroesophageal reflux disease (GERD)
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