TAUC Scribe Final Already Graded A+

TAUC Scribe Final Already Graded A+ How many different schedules are there that a patient can be put on? ️4 What is the only scenario in which a patient would have two charts at the same time? ️A work comp patient would like to also be seen for a non-work comp concern during their work comp visit. What must every patient have regardless of what schedule they are on? ️"patient ready to discharge" bubble & must be discharged in the plan What are the types of visits that go on the provider schedule? ️Patients with: -Any chief complaint -physicals billed to insurance -lab work that does not have an outside physician order -Lab work for schools requesting immunity -Any follow-up on a complaint -All work comp visits -suture removals not placed at TAUC -Abscess packing changes not drained at TAUC -All radiology studies or EKGs ordered by non-TAUC provider What is required for all visits on the provider schedule? ️vitals and a full chart What is required for all physicals? ️Vitals and full chart What goes on the physical schedule? ️-Self pay physicals -School/sports/pre-employment physical -Suture removals placed at TAUC (unless work comp) -Abscess packing changes initially packed at TAUC What goes on the Med/lab schedule? ️-Any vaccination -PPD/TB placement or interpretation -Lab work WITH and outside order -Injection WITH outside order -All drug screens What is required on Med/lab schedules? ️CC, short HPI, procedures, diagnosis What goes on X-ray schedule? ️-Transfers from other locations What do x-ray schedule charts need? ️CC, HPI by radiology tech, vitals, procedures, diagnosis, plan What do you do when a patient qualifies for two schedules? ️The patient is placed on the higher level schedule. If Metlyte is ordered do you also need to order a BMP? ️No What do you order if a provider says they want a CMP? ️I-stat and LFT What does the uric acid panel include? ️Everything in the LFT panel and some tests within the BMP. What age range must a UPT be ordered for medications like toradol and radiology procedures? ️14 59 What must be entered before launching lab interface? ️Diagnosis What should be considered before launching lab interface? ️Patients insurance What must you do for any AIM COVID-19 work comp or Quest lab work comp or self pay pt? ️Override billing before launching lab interface -"override billing" then choose "client" What is the one exception for overriding billing in lab interface? ️Self pay pt requesting AIM COVID 19 swab/antibody testing What is under the main tab? ️Initial vitals, visual acuity, Patient ready to discharge, EKG w/ interpretation, ER/hospital transfer, Vitals and IV management. What are the 5 things that must be included in documentation of EKG interpretation? ️Rate, Rhythm, axis, intervals, ST-T findings What must all EKG's have after the provider has read them? ️Patient sticker, scanned by front desk, given back to provider for reference. What must be included in the procedure note for all hospital transfers? ️Where pt is going How they are getting there Who the provider spoke to What are common orders under the Misc/other tab? ️Proparacaine eye drops Fluorescein eye strips Eye irrigation Ear wax removal (unilateral) Steri-strips What are the three orders that must be selected when ordering eye irrigation? ️-Single eye or bilateral -IV tubing -Lactated ringers 1L The irrigation is documented via free text procedure note What does the ortho tab contain? ️All splints, fracture codes, and ice packs What are the fx code exceptions? ️Spine, ribs, skull, acromion What should you double check when ordering meds? ️Drug, dose, and route, and patients chart What must you double check before ordering a tetanus? ️Patients insurance Medicare supports Td (TDVAX) and all other insurances support )Boostrix or adacel) Where are XR and their readings found? ️Opal web What labs must be ordered for all CT's? ️I-stat for creatinine level and UPT for females 14-59 What are the 5 trauma CT's? ️-Head w/o IV contrast -Facial/sinuses complete w/o IV contrast -C-spine w/o IV contrast -Chest (thorax w/ IV contrast -CT abdomen pelvis w/ IV contrast What are the five medical CT's? ️-Head w/o IV contrast