SCRIBE FINAL TEST REVIEW
QUESTIONS AND ANSWERS
TJC 2012 defines a medical scribe as "...a trained _____ professional who specializes
in charting physician-patient encounters.." - Answer-medical information
Medical scribes keep detailed notes on all of the following except:
-the work other members of the health team are doing for the patient
-the HPI and ROS
-results from diagnostic tests
-questions providers ask patients - Answer-the work other members of the health team
are doing for the patient
The following persons/personnel will have approved access to the medical notes you
write for the provider except:
-ECS student scribes
-risk and compliance dept
-spectrum health documentation services
-ECS senior scribe auditors - Answer--ECS student scribes
Social media is an appropriate place to... - Answer-connect with your coworkers socially
The following is NOT an expectation for the medical scribe:
-interpret ECG reports
-ask provider for clarifications about a medical note
-follow the dress code
-be early for your shift - Answer-interpret ECG reports
The following information IS appropriate to share with your SO:
-patient's CC
-patient's pet's name
-patient's zipcode - Answer-none
The medical scribe may NOT interact with these professionals in the ED:
-hospital admins
-news reporters
-cardiologists
-Kent Co. corrections officers - Answer-news reporters
Per TJC 2012, scribes must adhere to HIPAA, HITECH, confidentiality and patient rights
as other health professionals. - Answer-True
The medical scribe is allowed to research the entire medical history/chart of the patient
he/she is assigned to. - Answer-True
,If a scribe is fluent in language other than English, the scope of practice allows them to
interpret for patients. - Answer-False
What is an example of an engineering control to reduce or minimize the risk of exposure
to a BBP?
-providing healthcare providers with self-sheathing syringes
-providing sinks and soap for hand washing
-allowing workers to take frequent breaks when needed
-redesigning a task so it can be done more efficiently - Answer-providing healthcare
providers with self-sheathing syringes
Which form of hepatitis currently does not have a preventable vaccine? - Answer-Hep C
Which of the following is considered PPE?
-gloves
-barrier gowns
-face shield - Answer-all of them
Most common coloring for biohazard - Answer-black symbol with red background
Which of the following is a true statement concerning hand washing after an exposure
to blood or OPIM
-the best practice is to thoroughly wash your hands with soap and water after any
potential exposure
-one does not need to wash their hands if they use an alcohol-based antiseptic solution
-strong abrasive soaps are most effective
-using an antiseptic towelette is an acceptable alternative to washing hands with soap
and water - Answer-best practice is to thoroughly wash hands with soap and water
Which of the following is not an example of OPIM?
-vaginal secretions
-urine
-CSF
-fluid you cannot identify - Answer-urine
MIOSHA/s BBP standard covers... - Answer-all employees based on job description or
other duties who can reasonably be expected to be exposed to BBP
Universal Precautions means to treat ALL blood or OPIM as if they were known to be
infectious for BBPs - Answer-true
3 methods of exposure to BBPs - Answer--needlestick (or cut by sharp glassware that's
contaminated with blood)
-enters break in skin
-splash in eyes, nose, mouth
, What does PHI mean? - Answer-protected health information
Under HIPAA, patients have certain rights contained in the following document... -
Answer-Notice of privacy practice
HIPAA requirements - Answer--protect the privacy and security of an individual's PHI
-to require the use of "minimum necessary"
-to extend the rights of individuals over the use of their PHI
Healthcare organizations implement a performance improvement process to ensure that
the scribes are not acting outside of his/her job description, that authentication is
occurring as required and that no orders are being entered into the medical record by
scribes. - Answer-true
Authentication of the health record can be delegated to another physician or
practitioner. - Answer-false
Scribes must meet the following standards, as do other hospital personnel.. - Answer-
information management, HIPAA, HITECH, confidentiality and patient rights
A physician or practitioner is not permitted for use of a ____ ____ to authenticate
"scribed" entries. - Answer-signature stamp
The scribe cannot enter the date and time in the health record for the physician or
practitioner. - Answer-true
The authentication must take place before the physician and scribe... - Answer-leave
the patient care area
What is the proper way for a scribe to sign the health record - Answer-scribed for Dr.
Wilson by Mollie Pruett, Medical Scribe, with the date and time of the entry
Scribes are not allowed to enter physician or practitioner order into the health record. -
Answer-true
TJC accredits and certifies more than ____ health care organizations and programs in
the US. - Answer-20,500
TJC only provides accreditation to hospitals. - Answer-false
What are the four word parts that most medical terms build from? - Answer-prefixes,
word root, suffixes, and combining vowels
A combining vowel is ALWAYS used when two or more root words are joined. - Answer-
true
QUESTIONS AND ANSWERS
TJC 2012 defines a medical scribe as "...a trained _____ professional who specializes
in charting physician-patient encounters.." - Answer-medical information
Medical scribes keep detailed notes on all of the following except:
-the work other members of the health team are doing for the patient
-the HPI and ROS
-results from diagnostic tests
-questions providers ask patients - Answer-the work other members of the health team
are doing for the patient
The following persons/personnel will have approved access to the medical notes you
write for the provider except:
-ECS student scribes
-risk and compliance dept
-spectrum health documentation services
-ECS senior scribe auditors - Answer--ECS student scribes
Social media is an appropriate place to... - Answer-connect with your coworkers socially
The following is NOT an expectation for the medical scribe:
-interpret ECG reports
-ask provider for clarifications about a medical note
-follow the dress code
-be early for your shift - Answer-interpret ECG reports
The following information IS appropriate to share with your SO:
-patient's CC
-patient's pet's name
-patient's zipcode - Answer-none
The medical scribe may NOT interact with these professionals in the ED:
-hospital admins
-news reporters
-cardiologists
-Kent Co. corrections officers - Answer-news reporters
Per TJC 2012, scribes must adhere to HIPAA, HITECH, confidentiality and patient rights
as other health professionals. - Answer-True
The medical scribe is allowed to research the entire medical history/chart of the patient
he/she is assigned to. - Answer-True
,If a scribe is fluent in language other than English, the scope of practice allows them to
interpret for patients. - Answer-False
What is an example of an engineering control to reduce or minimize the risk of exposure
to a BBP?
-providing healthcare providers with self-sheathing syringes
-providing sinks and soap for hand washing
-allowing workers to take frequent breaks when needed
-redesigning a task so it can be done more efficiently - Answer-providing healthcare
providers with self-sheathing syringes
Which form of hepatitis currently does not have a preventable vaccine? - Answer-Hep C
Which of the following is considered PPE?
-gloves
-barrier gowns
-face shield - Answer-all of them
Most common coloring for biohazard - Answer-black symbol with red background
Which of the following is a true statement concerning hand washing after an exposure
to blood or OPIM
-the best practice is to thoroughly wash your hands with soap and water after any
potential exposure
-one does not need to wash their hands if they use an alcohol-based antiseptic solution
-strong abrasive soaps are most effective
-using an antiseptic towelette is an acceptable alternative to washing hands with soap
and water - Answer-best practice is to thoroughly wash hands with soap and water
Which of the following is not an example of OPIM?
-vaginal secretions
-urine
-CSF
-fluid you cannot identify - Answer-urine
MIOSHA/s BBP standard covers... - Answer-all employees based on job description or
other duties who can reasonably be expected to be exposed to BBP
Universal Precautions means to treat ALL blood or OPIM as if they were known to be
infectious for BBPs - Answer-true
3 methods of exposure to BBPs - Answer--needlestick (or cut by sharp glassware that's
contaminated with blood)
-enters break in skin
-splash in eyes, nose, mouth
, What does PHI mean? - Answer-protected health information
Under HIPAA, patients have certain rights contained in the following document... -
Answer-Notice of privacy practice
HIPAA requirements - Answer--protect the privacy and security of an individual's PHI
-to require the use of "minimum necessary"
-to extend the rights of individuals over the use of their PHI
Healthcare organizations implement a performance improvement process to ensure that
the scribes are not acting outside of his/her job description, that authentication is
occurring as required and that no orders are being entered into the medical record by
scribes. - Answer-true
Authentication of the health record can be delegated to another physician or
practitioner. - Answer-false
Scribes must meet the following standards, as do other hospital personnel.. - Answer-
information management, HIPAA, HITECH, confidentiality and patient rights
A physician or practitioner is not permitted for use of a ____ ____ to authenticate
"scribed" entries. - Answer-signature stamp
The scribe cannot enter the date and time in the health record for the physician or
practitioner. - Answer-true
The authentication must take place before the physician and scribe... - Answer-leave
the patient care area
What is the proper way for a scribe to sign the health record - Answer-scribed for Dr.
Wilson by Mollie Pruett, Medical Scribe, with the date and time of the entry
Scribes are not allowed to enter physician or practitioner order into the health record. -
Answer-true
TJC accredits and certifies more than ____ health care organizations and programs in
the US. - Answer-20,500
TJC only provides accreditation to hospitals. - Answer-false
What are the four word parts that most medical terms build from? - Answer-prefixes,
word root, suffixes, and combining vowels
A combining vowel is ALWAYS used when two or more root words are joined. - Answer-
true
