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