Course 5 scribe america - Study guides, Class notes & Summaries
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Scribe America ED Final Exam Questions with correct Answers 2023
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Scribe America ED Final Exam Questions with correct Answers 2023 
Chief Complaint 
the main reason for the pt's ED visit 
 
 
 
pain vs tenderness 
pt's feelings (subjective) vs physician's assessment (objective) 
 
 
 
distress 
the doctor's judgement of discomfort 
 
 
 
baseline 
an individual's normal state of being 
 
 
 
What CAN scribes do? 
-Document Hx, PE, results, procedures, and physician consults 
-Access and document lab results and radiology findings 
-Locate and obtains PMHx...
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Scribe America Outpatient Course 5 Assessment and Plan Test Questions With Correct Answers
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Follow-up - Answer (an) establishment of consistent contact with healthcare providers to address an ongoing health concern 
 
Subq - Answer medication injected under the skin 
 
Prognosis - Answer (a) (the) forecast of the likely course of a disease (or ailment) 
 
The assessment provides ______________ and includes the patient's ______________ - Answer a brief review of the visit, diagnoses 
 
Before seeing a patient, the doctor typically reviews _________________ - Answer the assessment from ...
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Scribe America: Course 1 Questions with correct Answers 2023
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Scribe America: Course 1 Questions with correct Answers 2023 
Flow of Patient through the ER (Before Orders) 
1. Walk in (waiting room/Ambulance Bay) 
2. Triage 
3. Bed Placement 
4. Nurse Assessment 
5. History and Physical (H&P) 
6. Physician Orders 
 
 
 
Flow of Patient through the ER (After Orders) 
1. Differential Dx 
2. Physician Orders 
-Laboratory Studies 
-Imaging Studies 
-Procedures 
-Medications 
3. Results and ED Course 
4. Final Dx 
5. Disposition 
 
 
 
Emergency Dept. Flow: Over...
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Final Exam Scribe America Questions with correct Answers 2023
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Final Exam Scribe America Questions with correct Answers 2023 
What does "IDDM" stand for? Do not include any hyphenations for your answer. 
Insulin Dependent Diabetes Mellitus 
 
 
 
What does "AMS" stand for? 
Altered Mental Status 
 
 
 
A patient states she has had a productive cough for 4 days, and yesterday she developed a fever. Would her fever be considered an associated symptom for her productive cough? Why or why not? 
Yes, because the fever started soon after the cough 
 
 
 
Matc...
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Scribe America OP Final Questions with correct Answers 2023
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Scribe America OP Final Questions with correct Answers 2023 
* What medical term describes the surgical removal of the gallbladder? 
cholecystectomy 
 
 
 
What does "PHI" stand for? Expand the abbreviation. 
Protected Health Information 
 
 
 
T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician assigned to the case. 
False 
 
 
 
** A patient underwent brain surgery to treat bleeding in the brain from a stroke. What PSHx would you recor...
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scribe America Outpatient Final Exam Questions with correct Answers 2023
- Exam (elaborations) • 10 pages • 2023
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scribe America Outpatient Final Exam Questions with correct Answers 2023 
What does "PHI" stand for? Expand the abbreviation 
protected health information 
 
 
 
What medical term describes the surgical removal of the gallbladder? 
cholecystectomy 
 
 
 
T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician assigned to the case 
False 
 
 
 
A patient's PCP is on vacation. The patient is scheduling to see the NP who is covering for the PC...
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Scribe America Final Exam Review Questions (Courses 1-5) already sorted with answers 2023
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Scribe America Final Exam Review Questions (Courses 1-5) already sorted with answers 2023 
 
Fill in the blanks for ED Flow: Walk in > *Blank 1* > Bed > Physician Assessment > Lab/Rad/Meds > Results > MDM > Diagnosis > Consults > *Blank 2* - correct answer Triage, Disposition 
 
What are the 3 disposition options? - correct answer Discharge, Admit, Transfer 
 
What are the 5 vital signs? - correct answer Heart Rate, Blood Pressure, Respiratory Rate, Temperatur...
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Scribe America Course 5 - Assessment and plan, with perfect answers 2024
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QD correct answers 
 
Subq correct answers 
 
prn correct answersas needed 
 
Prognosis correct answersa forecast of the likely course of a disease or ailment 
 
Assessment correct answersALWAYS HAVE: Diagnosis (or Ddx)/Summary of visit 
 
may also have: summary of HPI, summary of PE, summary of labs/results, prognosis 
 
Basic assessment correct answersage, sex 
HPI if relevant 
Dx 
 
Brief summary assessment correct answersage, sex 
HPI if relevant 
PE if relevant 
lab results if relevant 
D...
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inpatient scribe america final exam questions and answers :
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inpatient scribe america final 
general h&p template - ANSWER-1. HPI 
2. ROS 
3. Past History 
4. PE 
5. Hospital Course 
6. A/P 
 
when is H&P completed - ANSWER-Day 1 of admission 
 
Progress Note Template - ANSWER-1. Subjective Summary 
2. PE 
3. 
exam questions and answers :
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Final Exam Scribe America Questions and Answers
- Exam (elaborations) • 10 pages • 2023
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Final Exam Scribe America Questions and Answers 
What does "IDDM" stand for? Do not include any hyphenations for your answer. 
Insulin Dependent Diabetes Mellitus 
 
 
 
What does "AMS" stand for? 
Altered Mental Status 
 
 
 
A patient states she has had a productive cough for 4 days, and yesterday she developed a fever. Would her fever be considered an associated symptom for her productive cough? Why or why not? 
Yes, because the fever started soon after the cough 
 
 
 
Match each critica...
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