Ed scribe america 1 - Study guides, Class notes & Summaries

Scribe America Final Exam Study Guide 2023 Questions with correct Answers What does ROS stand for? Review of symptoms, head to toe checklist of symptoms The HPI and ROS are considered what type of information? Subjective The physical exam is what type of information? Objective If a physician told you a patients abdomen was nontender or the patients skin was plale, where would you document this information Physical Exam (PE) What section focuses directly on the c...

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...

Scribe America Final Exam ED Questions with correct Answers 2023 High blood pressure layman's Hypertension Hypertension (abbv) HTN High cholesterol layman's Hyperlipidemia Hyperlipidemia (abbv) HLD Diabetes layman's Diabetes mellitus Diabetes mellitus (abbv) DM "I only take pills for my diabetes" NIDDM (Type 2) "I take insulin for my diabetes" IDDM (Type 1) Heart disease layman's Usually coronary artery disease Coro...

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...

Scribe America Final Exam Review Questions (Courses 1-5) Fill in the blanks for ED Flow: Walk in > Blank 1 > Bed > Physician Assessment > Lab/Rad/Meds > Results > MDM > Diagnosis > Consults > Blank 2 Triage, Disposition What are the 3 disposition options? Discharge, Admit, Transfer What are the 5 vital signs? Heart Rate, Blood Pressure, Respiratory Rate, Temperature, Oxygen Saturation The HPI and ROS are what type of information (subjective or objective)? sub...

Scribe America ED Course 2 Questions with correct Answers 2023 Pertinent Positives Specific symptoms that raise the physician's suspicion for a particular diagnoses Pertinent Negatives Specific symptoms that are not present which cause the physician to doubt certain diagnoses Coronary Artery Disease (CAD) Etiology: Narrowing of the coronary arteries limits blood supply to the heart muscle causing angina (chest pain specifically due to heart muscle ischemia) Diagnosed by: Card...

Scribe America Final Exam ED Questions with correct Answers 2023 What are the 3 types of dispositions? Discharge, Admit, Transfer What does HPI stand for? history of present illness What does ROS stand for? review of systems The HPI and ROS are considered what type of information? subjective The physical exam is what type of information? objective If a physician told you a patient's abdomen was non tender, where would you document this? PE What s...

Scribe America Final Exam Review Questions (Courses 1-5) Fill in the blanks for ED Flow: Walk in > Blank 1 > Bed > Physician Assessment > Lab/Rad/Meds > Results > MDM > Diagnosis > Consults > Blank 2 Triage, Disposition What are the 3 disposition options? Discharge, Admit, Transfer What are the 5 vital signs? Heart Rate, Blood Pressure, Respiratory Rate, Temperature, Oxygen Saturation The HPI and ROS are what type of information (subjective or objective)? sub...

Scribe America Final Exam ED What are the 3 types of dispositions? - Discharge, Admit, Transfer What does HPI stand for? - history of present illness What does ROS stand for? - review of systems The HPI and ROS are considered what type of information? - subjective The physical exam is what type of information? - objective If a physician told you a patient's abdomen was non tender, where would you document this? - PE What section focuses directly on the chi...

Scribe America Final Exam ED What are the 3 types of dispositions? - Discharge, Admit, Transfer What does HPI stand for? - history of present illness What does ROS stand for? - review of systems The HPI and ROS are considered what type of information? - subjective The physical exam is what type of information? - objective If a physician told you a patient's abdomen was non tender, where would you document this? - PE What section focuses directly on the chi...