Housekeeping
What should you include in a timesheet note?
WHO, WHAT, WHEN, and WHY
▪ EX: Dr. Nolf sent me home early 45 minutes before the end of my shift due to there being no patients waiting and all ED rooms full, with all notes completed – no other provider needs a scribe at this time
What does "SOB" stand for?
Shortness of Breath
What section of the chart tells the story of the patient's current illness and symptoms?
History of Present Illness (HPI)
What condition is metformin most commonly used to treat?
Type 2 diabetes
What does HIPAA protect?
Patient privacy/health information.
When are timesheet notes required?
Whenever your actual time punch differs from your scheduled shift.
What is the medical term for a heart attack?
Myocardial Infarction (MI)
What is the biggest mistake when charting a Physical Exam?
Assuming findings that the provider never stated.
A patient takes Eliquis. What is the purpose of this medication?
To prevent blood clots (anticoagulant)
True or False: It is okay to discuss a patient's visit with your friends as long as you don't mention their name.
False.
What is the corporate office phone number?
567-408-2005 (during normal business hours)
What is the medical term for fainting?
Syncope
A provider says a patient has HTN, HLD, and DM. What section of the chart would these typically be found in?
Past Medical History (PMH)
A patient takes omeprazole daily. What condition is it commonly used to treat?
GERD/Acid Reflux
What happens after a first documented call-off incident?
First written warning.
Who should you contact if you need to discuss your absence from the monthly All Scribe Meeting?
AND
Who should you contact if you need to discuss your NY training plans?
Karina Rios- krios1009@gmail.com
Daniella Mohammed- daniellamohammed4@gmail.com
What is the medical term for blood in the urine?
Hematuria
True or False: If the patient denies nausea in the HPI, nausea should be positive in the ROS.
False
A patient takes atorvastatin. What condition is it primarily used to treat?
High cholesterol
If your laptop has an issue accessing Epic or another EHR, who should you notify?
Your direct supervisor and the health system's IT department (via a ticket)
How can you update your departure date on UKG?
My account icon > My profile > Click on HR > Update in the dates section
Important: You must provide a written 30-day notice via email to your lead scribe before your last shift worked at iScribeMD.
What is the medical term for numbness and tingling?
Parasthesia
The provider says the patient's lungs are clear, but the pre-loaded dot phrase documents wheezing. What should you do?
Ensure the Physical Exam does not contradict the dot phrase/clarify with the provider.
A patient carries nitroglycerin. What symptom is this medication used to treat?
Chest pain (angina)
A scribe misses a shift due to an emergency, texts their lead, finds coverage, and never speaks to anyone from iScribeMD. What policy requirement was missed?
They did not speak directly with a live iScribeMD employee via phone call