Pertinent +/-
When accident occurred. Seat of pt. Restrained. Impact. Airbags. Speed. LOC. Head trauma. Self extricate. Current symptoms/pain
Who do you reach out to for scheduling conflict/changes?
Russell Turner and Nathan Kumar
Name 2 independent historians
- EMS
- PD
When are compliance courses due and how many hours can you bill on your timecard?
Friday, July 28th & 1.5 hours
List 3 UTI pertinent +/- and what can you give the patient when you hear these complaints?
Fever, dysuria, hematuria, abdominal/flank/pelvic/back pain, n/v, recent antibiotics
Have urine cup ready. Can ask pt for sticker if at MET or grab sticker from file organizer at MGH.
What is the call out procedure?
1. Reach out to others for coverage
2. Let Russell T. and Nathan know (along with who you've already reached out to)
Name 2 billable procedures that can be counted as missed ancillary if not properly documented
- EKG interpretations
- Splint/ACE wrap placements
- Lac/I&D
When looking for coverage or to trade future shifts, you can do this by...
- Using new GroupMe team chat
- Reaching out to people directly
List 3 pertinent +/- for OB complaints (VB in preg)
# weeks pregnant. GPA. Abdominal pain/fever. Quantify bleeding. Passing clots/tissue. OB established? Last ultrasound. Hx of prior symptoms or prior complications
If you are not available to work for ___ days or more, a Time off request form needs to be submitted on ShiftAdmin at least ___ (ie: week/month) prior
If you are not available to work for 5 days or more, a Time off request form needs to be submitted on ShiftAdmin at least 1 month prior
List 3 social determinants of health
- Uninsured
- Can't afford rx medications
- Homeless
- No transportation to appointments
- No PCP established
Is it okay to pre-plan not taking 30 minute break and leaving early? When should you check in with provider about taking your 30 minute break?
Not okay. Half way point, when provider doing reevals/procedure, when not busy
- Stroke alert HPI should note: last seen normal, ... (name 2 more).
- What are 2 important timestamps to be recorded?
> HPI: baseline strength and mental status, presence/absence of focal deficits, blood thinner use, similar sx in past or hx of stroke
> Time stroke alert called. Time CT results resulted (called by radiologist). Time of neuro consult and recommendations.
What are the minimum requirements when filling out availability?
- At least 3 evening shifts per month (1600/1530/1900)
----> Exception: consistent availability for greater than 8 shifts a week
*Scribes typically work 2-3 shifts/wk
Read this power sentence. Name 2 charting elements that fall into "new" billing requirements:
This is an 80-year-old Vietnamese speaking male with a history of hypertension, hyperlipidemia, and diabetes mellitus arriving to the ED with son for evaluation of chest pain starting 2 hours ago.
- Son who is translating and providing additional history (independent historian)
- old EKG for comparison
- External records reviewed: last stress test, cars f/u?
- Case discussed with other specialities?
*HEART score*
If providers are doing reevals/procedures, what can you do if you are all caught up on charts? [List 2]
- Look for EKGs, print old ones
- Check UAs (Dispatched, Collected, In-Lab)
- Second Touch reeval (check MAR Summary)
- Take your 30 minute break