SCRIBE FINAL EVALUATION REVIEW
QUESTIONS AND ANSWERS
why shouldn't scribes fully check out patients with list and stat referrals? - Answer-PSR
will give them the list and f/u with their appointment
how are administered medications added in Athena? - Answer-1. under assessment
and plan
2. type medication and look for 'administered' in front of it in order sets
how are immunizations documented in Athena? - Answer-1. under assessment and
plan search for the diagnosis under order set
2. type the name and look for '-injection' attached to it
3. enter the dosage, lot #, expiration date, site of administration, route (IV, ID)
4. check off administered
what is an STD panel considered? - Answer-a blood test
what does a black flag mean? - Answer-a scribe is needed or room needs to be scribed
is anyone but a scribe brings patient into room
what does a red flag mean? - Answer-if parallel to blue or black flags = next in line to
see provider
`if perpendicular to flags = second in line within zone
`no more than two patient rooms per provider should have red flag up
`any team member can put up flag
`when provider enters, put down red and put up provider flag (yellow or green)
what do the yellow and green flags mean? - Answer-these are the assigned provider
flag colors
what does a blue flag mean? - Answer-a scribe is in the room
`if a scribe is bringing the patient in the room a black flag is not used
what does a white flag mean? - Answer-`if a procedure being done will take more than
10 minutes (X-ray, venipuncture, urinalysis)
`an x-ray tech is needed in the room
`an MA is needed in the room
when all flags are up and the door is closed, what does that mean? - Answer-privacy is
needed/do not disturb
when all flags are up and the door is opened what does that mean? - Answer-the room
needs to be cleaned, out of order
, what do you do in the check in process? - Answer-1. go to exam `assign provider
2. change `location and `status to 'with provider'
3. add `vitals and `reason for visit ".urgentcare"
4. put flags `red and `blue
If there are multiple HPIs for a pt, do you address them all or just one? - Answer-only
address in one HPI in they're similar symptoms
what is the minimum info needed to label all specimens obtained from urinalysis? -
Answer-name and DOB
when is the billing code 99203 used? - Answer-for low complexity cases:
asymptomatic STD testing, cough (simple), ortho injury (simple), otitis media
when is the billing code 99204? - Answer-moderate complexity cases:
ankle fracture, sore throat, complex laceration, chest pain, abdominal pain, pneumonia
what does lymphadenopathy mean? - Answer-swollen lymph nodes
How are STAT lab orders (blood labs) entered in Athena? - Answer-1. always looked up
by typing SMG under order sets
2. need venipuncture procedure for all blood labs in 'procedure documentation
3. type venipuncture in template
4. enter name of MA and arm site location
5. set up venipuncture table
6. put up white flag and inform MA/manager
how are referrals entered in Athena? - Answer-1. go to assessment and plan in order
sets
2. enter the type of referral starting with the urgency (list, routine, urgent, stat)
3. next to it type name of specialty
4. click off summary of care record
5. enter the reason for referral
for which two types of referrals should you change the location to "rm # CT/US/MRI" in
Athena before hitting sign as scribe? - Answer-stat and list referrals
how are medications added in Athena? - Answer-always added in order sets
how are stat outpatient imaging orders added in Athena? - Answer-1. under assessment
and plan in order sets
2. type "stat 'name of scan'" and select the correct one
3. in 'note to imaging facility' leave code but type the following six things:
4. urgency (STAT); type of scan (CT, US, MRI); anatomical region w/ or w/o contrast;
wet-read required; PE; Evaluation
QUESTIONS AND ANSWERS
why shouldn't scribes fully check out patients with list and stat referrals? - Answer-PSR
will give them the list and f/u with their appointment
how are administered medications added in Athena? - Answer-1. under assessment
and plan
2. type medication and look for 'administered' in front of it in order sets
how are immunizations documented in Athena? - Answer-1. under assessment and
plan search for the diagnosis under order set
2. type the name and look for '-injection' attached to it
3. enter the dosage, lot #, expiration date, site of administration, route (IV, ID)
4. check off administered
what is an STD panel considered? - Answer-a blood test
what does a black flag mean? - Answer-a scribe is needed or room needs to be scribed
is anyone but a scribe brings patient into room
what does a red flag mean? - Answer-if parallel to blue or black flags = next in line to
see provider
`if perpendicular to flags = second in line within zone
`no more than two patient rooms per provider should have red flag up
`any team member can put up flag
`when provider enters, put down red and put up provider flag (yellow or green)
what do the yellow and green flags mean? - Answer-these are the assigned provider
flag colors
what does a blue flag mean? - Answer-a scribe is in the room
`if a scribe is bringing the patient in the room a black flag is not used
what does a white flag mean? - Answer-`if a procedure being done will take more than
10 minutes (X-ray, venipuncture, urinalysis)
`an x-ray tech is needed in the room
`an MA is needed in the room
when all flags are up and the door is closed, what does that mean? - Answer-privacy is
needed/do not disturb
when all flags are up and the door is opened what does that mean? - Answer-the room
needs to be cleaned, out of order
, what do you do in the check in process? - Answer-1. go to exam `assign provider
2. change `location and `status to 'with provider'
3. add `vitals and `reason for visit ".urgentcare"
4. put flags `red and `blue
If there are multiple HPIs for a pt, do you address them all or just one? - Answer-only
address in one HPI in they're similar symptoms
what is the minimum info needed to label all specimens obtained from urinalysis? -
Answer-name and DOB
when is the billing code 99203 used? - Answer-for low complexity cases:
asymptomatic STD testing, cough (simple), ortho injury (simple), otitis media
when is the billing code 99204? - Answer-moderate complexity cases:
ankle fracture, sore throat, complex laceration, chest pain, abdominal pain, pneumonia
what does lymphadenopathy mean? - Answer-swollen lymph nodes
How are STAT lab orders (blood labs) entered in Athena? - Answer-1. always looked up
by typing SMG under order sets
2. need venipuncture procedure for all blood labs in 'procedure documentation
3. type venipuncture in template
4. enter name of MA and arm site location
5. set up venipuncture table
6. put up white flag and inform MA/manager
how are referrals entered in Athena? - Answer-1. go to assessment and plan in order
sets
2. enter the type of referral starting with the urgency (list, routine, urgent, stat)
3. next to it type name of specialty
4. click off summary of care record
5. enter the reason for referral
for which two types of referrals should you change the location to "rm # CT/US/MRI" in
Athena before hitting sign as scribe? - Answer-stat and list referrals
how are medications added in Athena? - Answer-always added in order sets
how are stat outpatient imaging orders added in Athena? - Answer-1. under assessment
and plan in order sets
2. type "stat 'name of scan'" and select the correct one
3. in 'note to imaging facility' leave code but type the following six things:
4. urgency (STAT); type of scan (CT, US, MRI); anatomical region w/ or w/o contrast;
wet-read required; PE; Evaluation
