ScribeAmerica ED Course Day 1
Exam Questions and Answers-2022/2023
chief complaint - Answer-main reason patient is in ER
medical decision making - Answer-the physicians thought process
benign - Answer-normal, nothing of concern
distress - Answer-the doctors judgement of discomfort
febrile - Answer-the state of having a fever, concerning for infection
acute - Answer-new onset, likely concerning
chronic - Answer-long standing, not of direct concern
baseline - Answer-an individuals normal state of being
auscultation - Answer-listening with a stethoscope
palpation - Answer-the act of pressing on an area by a doctor
inpatient - Answer-admitted to the hospital overnight
outpatient - Answer-seen and sent home the same day
scribe - Answer-an unlicensed person performing documentation and other non clinical
tasks under the direction of a licensed independent practitioner
scribe cannot - Answer-touch patients, write orders or prescriptions, give verbal orders,
partake in any activity that may affect patient health or outcome, sign or authenticate
any chart or record, handle bodily fluids or specimens
scribes can - Answer-document history, physical exam, results, procedures and
physician consults, access and document laboratory results and radiology findings,
access and display x rays for the physician to review, locate and obtain PMHx, previous
charts, past results and recent studies, record physician interpretations of x rays and
ECGs
scribes cannot - Answer-touch patients, write orders or prescriptions, give verbal orders,
partake in any activity that may affect patient health or outcome, sign or authenticate
any chart or record, handle bodily fluids or specimens
, charge nurse - Answer-nurse that manages the ED patient flow
mid-level provider - Answer-nurse practitioner (NP) or physician assistant (PA) that
works under the supervision of a physician to diagnose and treat patients
ED Nurse - Answer-records medical histories, symptoms, monitors the patient, starts
IVs, administers medications, and assists with procedures
Respiratory Therapist (RT) - Answer-administers breathing treatments and aids in
managing patients airwy
ED Tech - Answer-helps the nurse and assists with procedures
Unit secretary - Answer-answers phone calls, pages other specialists/doctors and
organizes the patients paperwork
emergency department flow - Answer-check in and chief complaint
physician assessment
objective orders and results
medical decision-making
disposition
triage - Answer-in Emergency department flow, what is after walk-in or admittance via
ambulance?
bed placement - Answer-in Emergency department flow, what is after triage
nurse assessment - Answer-in Emergency department flow, what is after bed
placement?
history and physical - Answer-in Emergency department flow, what is after nurse
assessment?
chief complaint, vital signs, level of acuity - Answer-during triage, what is determined?
heart rate, blood pressure, respiratory rate, teperature, oxygen saturation - Answer-what
are the vital signs tested during triage?
HPI and ROS - Answer-subjective portion of H&P (history and physical)
PMHx, PSHx, FHx, SHx - Answer-four portions of past history (Hx)
physical exam (PE) - Answer-objective part of H&P
physician orders - Answer-portion of emergency flow after H&P?
includes labs, imaging, medications and procedures
Exam Questions and Answers-2022/2023
chief complaint - Answer-main reason patient is in ER
medical decision making - Answer-the physicians thought process
benign - Answer-normal, nothing of concern
distress - Answer-the doctors judgement of discomfort
febrile - Answer-the state of having a fever, concerning for infection
acute - Answer-new onset, likely concerning
chronic - Answer-long standing, not of direct concern
baseline - Answer-an individuals normal state of being
auscultation - Answer-listening with a stethoscope
palpation - Answer-the act of pressing on an area by a doctor
inpatient - Answer-admitted to the hospital overnight
outpatient - Answer-seen and sent home the same day
scribe - Answer-an unlicensed person performing documentation and other non clinical
tasks under the direction of a licensed independent practitioner
scribe cannot - Answer-touch patients, write orders or prescriptions, give verbal orders,
partake in any activity that may affect patient health or outcome, sign or authenticate
any chart or record, handle bodily fluids or specimens
scribes can - Answer-document history, physical exam, results, procedures and
physician consults, access and document laboratory results and radiology findings,
access and display x rays for the physician to review, locate and obtain PMHx, previous
charts, past results and recent studies, record physician interpretations of x rays and
ECGs
scribes cannot - Answer-touch patients, write orders or prescriptions, give verbal orders,
partake in any activity that may affect patient health or outcome, sign or authenticate
any chart or record, handle bodily fluids or specimens
, charge nurse - Answer-nurse that manages the ED patient flow
mid-level provider - Answer-nurse practitioner (NP) or physician assistant (PA) that
works under the supervision of a physician to diagnose and treat patients
ED Nurse - Answer-records medical histories, symptoms, monitors the patient, starts
IVs, administers medications, and assists with procedures
Respiratory Therapist (RT) - Answer-administers breathing treatments and aids in
managing patients airwy
ED Tech - Answer-helps the nurse and assists with procedures
Unit secretary - Answer-answers phone calls, pages other specialists/doctors and
organizes the patients paperwork
emergency department flow - Answer-check in and chief complaint
physician assessment
objective orders and results
medical decision-making
disposition
triage - Answer-in Emergency department flow, what is after walk-in or admittance via
ambulance?
bed placement - Answer-in Emergency department flow, what is after triage
nurse assessment - Answer-in Emergency department flow, what is after bed
placement?
history and physical - Answer-in Emergency department flow, what is after nurse
assessment?
chief complaint, vital signs, level of acuity - Answer-during triage, what is determined?
heart rate, blood pressure, respiratory rate, teperature, oxygen saturation - Answer-what
are the vital signs tested during triage?
HPI and ROS - Answer-subjective portion of H&P (history and physical)
PMHx, PSHx, FHx, SHx - Answer-four portions of past history (Hx)
physical exam (PE) - Answer-objective part of H&P
physician orders - Answer-portion of emergency flow after H&P?
includes labs, imaging, medications and procedures
