SCRIBE AMERICA: CLASS ONE
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
Subjective vs. Objective - ANSWER Feeling (patient) vs. Fact (doctor)
Chief complaint - ANSWER The reason the patient came to the ED
Medical Decision Making - ANSWER The physician's thought process
Pain vs. Tenderness - ANSWER Patient feeling vs. Physician assessment
benign - ANSWER Normal, nothing of concern
Distress - ANSWER Doctor's judgement of discomfort; subjective
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 individual's normal state of being
Auscultation - ANSWER Listening with a stethoscope
Palpation - ANSWER The act of pressing on an area (by the doctor)
Inpatient - ANSWER Admitted to the hospital overnight
, Outpatient - ANSWER Seen and sent home the same day
What Is An Emergency Physician Scribe - ANSWER an unlicensed person performing documentation and
other non-clinical tasks under the direction of a licensed independent practitioner.
Scribes CAN - ANSWER -Document the history, physical exam, results, procedures, assessment, and plan
-Access and document laboratory results and radiology findings
-Locate and obtain PMHx, previous charts, past results, and recent studies
-Record physician interpretations of x-rays and EKGs
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
Mid-Level Provider - ANSWER Nurse Practitioner (LNP) or Physician Assistant (PA) that works under the
supervision of a physician to diagnose and treat patients
Charge Nurse - ANSWER Manages the ED Patient flow
ED Nurse - ANSWER Records medical histories, symptoms, monitors the patient, starts IVs, administers
medications, and assists with procedures
ED Tech - ANSWER helps the nurse and assists with procedures
Respiratory Therapist (RT) - ANSWER Administers "breathing treatments" and assists with managing a
patient's airway
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
Subjective vs. Objective - ANSWER Feeling (patient) vs. Fact (doctor)
Chief complaint - ANSWER The reason the patient came to the ED
Medical Decision Making - ANSWER The physician's thought process
Pain vs. Tenderness - ANSWER Patient feeling vs. Physician assessment
benign - ANSWER Normal, nothing of concern
Distress - ANSWER Doctor's judgement of discomfort; subjective
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 individual's normal state of being
Auscultation - ANSWER Listening with a stethoscope
Palpation - ANSWER The act of pressing on an area (by the doctor)
Inpatient - ANSWER Admitted to the hospital overnight
, Outpatient - ANSWER Seen and sent home the same day
What Is An Emergency Physician Scribe - ANSWER an unlicensed person performing documentation and
other non-clinical tasks under the direction of a licensed independent practitioner.
Scribes CAN - ANSWER -Document the history, physical exam, results, procedures, assessment, and plan
-Access and document laboratory results and radiology findings
-Locate and obtain PMHx, previous charts, past results, and recent studies
-Record physician interpretations of x-rays and EKGs
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
Mid-Level Provider - ANSWER Nurse Practitioner (LNP) or Physician Assistant (PA) that works under the
supervision of a physician to diagnose and treat patients
Charge Nurse - ANSWER Manages the ED Patient flow
ED Nurse - ANSWER Records medical histories, symptoms, monitors the patient, starts IVs, administers
medications, and assists with procedures
ED Tech - ANSWER helps the nurse and assists with procedures
Respiratory Therapist (RT) - ANSWER Administers "breathing treatments" and assists with managing a
patient's airway
