![]() Retrieve and display current and past EKGs and imaging films (e.g. Transcribe ancillary test results and their interpretationsĬheck on the progress of labs, imaging studies, and other patient data Locate and obtain past medical histories, previous charts, past results and studies Record provider-dictated diagnoses, prescriptions and instructions for patient follow-up ![]() It is signed with an attestation by the provider that the scribed chart accurately reflects all work, treatment, procedures, and medical decision making performed by them.Ĭhart in real-time as the provider assesses and examines the patientĭocument the history, physical exam, assessment and plan, results, procedures, treatment, and physician consultations ![]() All documentation is reviewed and edited by the physician. Under the direction of the physician, you enter information into the patient’s electronic or written chart. Your role is limited to documentation and efficiency management for the physician.Īs a scribe, you observe the physician during patient encounters and perform documentation on the physician’s behalf. You will not touch patients and will not engage in any type of patient care. The scribe is an unlicensed person and exclusively non-clinical. The central role of the Medical Scribe is to relieve the physician of clerical or secretarial duties thus allowing the physician to focus more directly on clinical care.
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