ScribeAmerica: Outpatient Pre-Clinical
Training questions and answers
Mid-level Provider (LNP, NP, or PA) - ANSWER>>Works under physician
supervision to diagnose and treat patients.
Nurse or Medical Assistant - ANSWER>>Records medical histories and symptoms,
monitors the patient, completes meaningful use requirements, administers
medication, and assists with procedures.
Receptionist - ANSWER>>ANSWERs phones, schedules appointments, ANSWERs
patient questions, provides patient with summary of visit and written instructions
from provider at check-out, and organizes patients' paperwork.
Scribe - ANSWER>>Documents the patient's visit on behalf of the physician.
Are physician assistants and nurse practitioners considered medical providers? -
ANSWER>>Yes
T/F: The scribe can listen to a patient's heart and lungs as long as it is for learning
purpose and under supervision of a physician? - ANSWER>>False
What will the scribe document for the outpatient visit?
- Important notes for past medical histories
- History & Physical
- Laboratory and radiology results
- Physician interpretation of XRs and EKGs
- Assessment
- Plan
- All of the above - ANSWER>>All of the above
, Who is the first person to speak with a patient after he/she is placed in a room? -
ANSWER>>The Nurse/MA
What are the meaningful use requirements the Nurse/MA will obtain? -
ANSWER>>Chief Complaint, Vital Signs : HR, RR, T, BP, O2Sat.
Height, Weight, and BMI. Smoking Status
What does H&P abbreviate and who performs this evaluation? -
ANSWER>>History & Physical Exam, The physician will perform this evaluation.
Is a differential diagnosis necessary for health maintenance visits? - ANSWER>>No
What information will be included in the patient's plan?
Give three examples - ANSWER>>Follow-up with specialist if necessary
Instructions for lifestyle and preventative care
Follow-up for next routine appointment
What is the name of your clinic's documentation system? - ANSWER>>NexGen
Is it written or computer based? - ANSWER>>Computer based
What do you write if the patient says, "high blood pressure?" -
ANSWER>>Hypertension
What do you write if the patient says, "Diabetes, takes pills - ANSWER>>Non-
insulin Dependent Diabetes Mellitus
What do you write if the patient says, "Heart attack?" - ANSWER>>Myocardial
Infarction
What do you write if the patient says,"reflux?" - ANSWER>>Gastroesophageal
Reflux Disease
Training questions and answers
Mid-level Provider (LNP, NP, or PA) - ANSWER>>Works under physician
supervision to diagnose and treat patients.
Nurse or Medical Assistant - ANSWER>>Records medical histories and symptoms,
monitors the patient, completes meaningful use requirements, administers
medication, and assists with procedures.
Receptionist - ANSWER>>ANSWERs phones, schedules appointments, ANSWERs
patient questions, provides patient with summary of visit and written instructions
from provider at check-out, and organizes patients' paperwork.
Scribe - ANSWER>>Documents the patient's visit on behalf of the physician.
Are physician assistants and nurse practitioners considered medical providers? -
ANSWER>>Yes
T/F: The scribe can listen to a patient's heart and lungs as long as it is for learning
purpose and under supervision of a physician? - ANSWER>>False
What will the scribe document for the outpatient visit?
- Important notes for past medical histories
- History & Physical
- Laboratory and radiology results
- Physician interpretation of XRs and EKGs
- Assessment
- Plan
- All of the above - ANSWER>>All of the above
, Who is the first person to speak with a patient after he/she is placed in a room? -
ANSWER>>The Nurse/MA
What are the meaningful use requirements the Nurse/MA will obtain? -
ANSWER>>Chief Complaint, Vital Signs : HR, RR, T, BP, O2Sat.
Height, Weight, and BMI. Smoking Status
What does H&P abbreviate and who performs this evaluation? -
ANSWER>>History & Physical Exam, The physician will perform this evaluation.
Is a differential diagnosis necessary for health maintenance visits? - ANSWER>>No
What information will be included in the patient's plan?
Give three examples - ANSWER>>Follow-up with specialist if necessary
Instructions for lifestyle and preventative care
Follow-up for next routine appointment
What is the name of your clinic's documentation system? - ANSWER>>NexGen
Is it written or computer based? - ANSWER>>Computer based
What do you write if the patient says, "high blood pressure?" -
ANSWER>>Hypertension
What do you write if the patient says, "Diabetes, takes pills - ANSWER>>Non-
insulin Dependent Diabetes Mellitus
What do you write if the patient says, "Heart attack?" - ANSWER>>Myocardial
Infarction
What do you write if the patient says,"reflux?" - ANSWER>>Gastroesophageal
Reflux Disease
