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Emergency Department - Scribe
America - Course 1 Questions and
Answers Latest 2026
Subjective vs. Objective Ans: Feeling vs. Fact
Chief Complaint Ans: The main reason for the patient's
ED visit
Medical Decision Making Ans: The physician's thought
process
Pain vs. Tenderness Ans: Patient's feeling vs. physician's
assessment
Benign Ans: normal, nothing of concern
Distress Ans: The doctor's judgement of discomfort
Febrile Ans: The state of having a fever, concerning for
infection
Acute Ans: new onset, likely concerning
Chronic Ans: Long standing, not of direct concern
Baseline Ans: An individual's normal state of being
Auscultation Ans: Listening with a stethoscope
© 2025 All rights reserved
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Palpation Ans: The act of pressing on an area (by a
doctor)
inpatient Ans: admitted to the hospital overnight
outpatient Ans: seen and sent home the same day
Scribes CAN: Ans: - document the history, physical exam,
results, procedures, and physician consults
- access and document laboratory results and radiology
findings
-access and display x-rays for the physicians to review
- locate and obtain PMHx, previous charts, past results,
and recent studies
- record physician interpretations of X-rays and ECGs
Scribes CANNOT Ans: - touch patient
- 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
© 2025 All rights reserved
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People in the Emergency Department: Ans: - Charge
Nurse: manages the ED patient flow.
- Mid-level provider: Nurse Practitioner (NP) or Physician
Assistant (PA) that works under the supervision of a
physician to diagnose and treat patients
- ED Nurse: Records medical histories, symptoms,
monitors the patient, starts IVs, administers medications,
and assists with procedures
- Respiratory Therapist (RT) : Administers "breathing
treatments" and assists with managing a patient's airway
- ED tech: helps the nurse and assists with procedures
- Unit Secretary: Places physicians orders, answers phone
calls, pages other specialist/doctors, and organizes the
patient's paperwork
Scribe: documents the patient's visit on behalf of the
physician
Emergency Department Flow: Overview Ans: The job of
emergency physician is ot use a patient's subjective
complaints as a guide for obtaining objective facts that
lead to an accurate diagnosis
1. Check in and Chief Complaint
2. Physician Assessment
3. Objective Orders and Results
© 2025 All rights reserved
Emergency Department - Scribe
America - Course 1 Questions and
Answers Latest 2026
Subjective vs. Objective Ans: Feeling vs. Fact
Chief Complaint Ans: The main reason for the patient's
ED visit
Medical Decision Making Ans: The physician's thought
process
Pain vs. Tenderness Ans: Patient's feeling vs. physician's
assessment
Benign Ans: normal, nothing of concern
Distress Ans: The doctor's judgement of discomfort
Febrile Ans: The state of having a fever, concerning for
infection
Acute Ans: new onset, likely concerning
Chronic Ans: Long standing, not of direct concern
Baseline Ans: An individual's normal state of being
Auscultation Ans: Listening with a stethoscope
© 2025 All rights reserved
, 2 | Page
Palpation Ans: The act of pressing on an area (by a
doctor)
inpatient Ans: admitted to the hospital overnight
outpatient Ans: seen and sent home the same day
Scribes CAN: Ans: - document the history, physical exam,
results, procedures, and physician consults
- access and document laboratory results and radiology
findings
-access and display x-rays for the physicians to review
- locate and obtain PMHx, previous charts, past results,
and recent studies
- record physician interpretations of X-rays and ECGs
Scribes CANNOT Ans: - touch patient
- 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
© 2025 All rights reserved
, 3 | Page
People in the Emergency Department: Ans: - Charge
Nurse: manages the ED patient flow.
- Mid-level provider: Nurse Practitioner (NP) or Physician
Assistant (PA) that works under the supervision of a
physician to diagnose and treat patients
- ED Nurse: Records medical histories, symptoms,
monitors the patient, starts IVs, administers medications,
and assists with procedures
- Respiratory Therapist (RT) : Administers "breathing
treatments" and assists with managing a patient's airway
- ED tech: helps the nurse and assists with procedures
- Unit Secretary: Places physicians orders, answers phone
calls, pages other specialist/doctors, and organizes the
patient's paperwork
Scribe: documents the patient's visit on behalf of the
physician
Emergency Department Flow: Overview Ans: The job of
emergency physician is ot use a patient's subjective
complaints as a guide for obtaining objective facts that
lead to an accurate diagnosis
1. Check in and Chief Complaint
2. Physician Assessment
3. Objective Orders and Results
© 2025 All rights reserved
