Scribe Policies
Documentation
Dot Phrases
Labs
Miscellaneous
100

This is when timecards are due 

Every other Sunday at 8pm 

100

For every chest pain patient, you should ask provider if they want this in the chart

heart score

100

Dot phrase used for stroke alerts 

.SDEDSTROKEALERT
100

This lab analyzes red and white blood cells, platelets, hemoglobin, and hematocrit to check for infection and anemia

CBC

100

Places to find external records

Chart review tab on EPIC and Care Everywhere clinical summaries 

200

This is where I find my sick hours 

ADP website where it says "time off balance"

200

This is considered a social determinant of health

Multiple correct answers (housing, access to care, transportation, family/community support, financial strain, etc)

200

This is the dot phrase that should be used for splints

.SDEDPROCSPLINT
200

This test evaluates electrolytes, glucose levels, and kidney function

Basic metabolic panel (BMP)





200

Other than documentation, this is included in a scribe's scope

Multile correct answers- 

Includes: get water for the patient (with approval), get warm blankets, print school/work notes, set up the interpreter 

300
The first step when calling out sick

Contact GroupMe and Individual Scribes/Notify Provider 

300

These are the three main categories of critical care time

30-74 minutes

75-119 minutes

>120 minutes

300

This is the dot phrase used for critical care

.SDEDCRITICALCARE
300

This is a cardiac enzyme that can be measured in the blood to help diagnose heart damage

troponin

300

The EKG interpretation must contain this many components. 

3

400

I must take a ____ minute break before the ____ hour of work

30/5th

400

This would require critical care documentation

Multiple correct answers 

400

This is the dot phrase that should be in the chart if lactate is above 2 

.SDEDSEPSIS

400

The presence of ________ in urine could indicate infection.

white blood cells (leukocytes)

400

These words make up the acronym that is used to guide HPI's

Onset

Location

Duration

Characteristics

Aggravating Factors

Relieving Factors

Time 

500

If I were to miss a meeting, this is the minimum amount of time before that you should notify the lead scribe

48 hours

500

This is one of the three of the main components of the MDM sections (hint: there are 3)

1.  Number and complexity of problems addressed at time of encounter (COPA)

2. Amount and/or complexity of data to be reviewed and analyzed 

3. Risk of complications and/or morbidity or mortality of  patient management. 

500

Dot phrase to medically clear psych patients 

.SDEDSMARTPSYCH
500

This test helps rule out blood clots or diagnose conditions related to blood clotting.

D-dimer 

500

A hemoglobin level of less than this number would require a blood transfusion

7