ED Scribe - FINAL EXAM Questions and Answers 100% VERIFIED

ED Scribe - FINAL EXAM Questions and Answers 100% VERIFIED Medical Decision Making (MDM) - ANSWER The physician's thought process Pain vs. Tenderness - ANSWER Patient's feeling vs. physician's assessment What does distress mean? - ANSWER The doctor's judgment of discomfort Baseline - ANSWER An individual's normal state of being What does Auscultation mean? - 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 the ED flow (overview)? - ANSWER 1. Check in and Chief Complaint 2. Physician assessment 3. Objective orders and results 4. Medical Decision Making 5. Disposition What is the ED flow before orders are made? - ANSWER 1. Arrival 2. Triage 3. Vital Signs / Bed Placement 4. Nurse Assessment 5. HPI, ROS, Hx, PE What is the ED flow after orders are made? - ANSWER 1. Differential Dx 2. Physician orders labs, imaging, procedures, medications 3. Results and ED course 4. Final Dx 5. Disposition What is the general documentation template? - ANSWER HPI ROS PHx PE ED course Disposition Thyroid problem means.. - ANSWER Usually Hypothyroidism, sometimes hyperthyroidism "I only take pills for my diabetes" means.. - ANSWER Non-Insulin Dependent Diabetes Mellitus - NIDDM "I take shots (insulin) for my diabetes" means.. - ANSWER Insulin Dependent Diabetes Mellitus - IDDM Heart disease means.. - ANSWER Usually Coronary Artery Disease - CAD Heart attack means.. - ANSWER