Scribe America: CH.1 with correct answers 2024

Define Subjective correct answersFeeling Define outpatient correct answersSeen and sent home the same day Define auscultation correct answersListening for sounds with a stethoscope. Define chief complaint correct answersthe main reason why a patient is coming to see you in their own words Know duties as a scribe correct answers1. Document the patients history, physical exam, results, procedures, assessment, and plan. 2. Access and document lab results and radiology findings. 3. Locate and obtain PMHx, previous charts, past results, and recent studies. 4. Record physician interpretation of x-rays and EKGs. Levels of Providers correct answers1. Mid-level provider: NPs or PAs that works under the supervision of a physician to diagnose and treat patients 2. Nurse or Medical Assistance: records medical histories and symptoms, monitors the patient, completes meaningful use requirements, administers medications, assists with procedures. 3. Receptionist: answers phone calls, schedules appointments, answers patient questions, provides patient with summary of visit and written instructions from provider at check-out, and organizes the patient's paperwork. 4. Scribe: Documents the patient's visit on behalf of the physician. Understand meaningful use and application to that of everyone correct answersMeaningful use obtained by a nurse or an MA 1. Chief complaint 2. Vital signs: HR, BP, T, RR 3. Height, weight, BMI 4. Smoking status Past medical and surgical history correct answers Past, family, and social history (PFSH) correct answers