The course is self-directed, and some students choose to work through the material for more hours in fewer sittings, whereas others do a module or two after work over a longer span of days. Utilize what you have learned in previous courses in this program to practice a "real life" scribing exercise to include medical terminology and pharmacology.A: This is by far the most frequently asked question, but the most difficult to answer. Navigate the EHR Go platform and successfully enter the visit information into the EHR system provided. Summarize the patient's disposition, plan and discharge instructions as ordered from the provider.ĭemonstrate active listening skills to document the patient visit. Identify and document the final diagnosis from the provider. Understand vital signs and physical exam findings and how they contribute to medical decision making. Know the common medical imaging and what they are used for in regard to medical decision making. Know the common laboratory tests and what they are used to test for in regard to medical decision making. Understand what information will be added to the assessment and plan.Įxecute the standard order of documentation by using the acronym SOAP Have a baseline understanding of different physical exam findings. Illustrate knowledge of common prefixes and suffixes used in medical terminology.ĭistinguish the difference between subjective and objective findings.Ĭonduct through documentation of the chief complaint, history of present illness, review of systems, current medication regimen, allergies, medical history and family history. Know the difference between outpatient facilities/clinics and the emergency department workflow.Īpply medical terminology when documenting and communicating among healthcare professionals. Understand the different clinical settings. Relate to different clinical environments as a member of a multidisciplinary team. Review do-nots and tips to succeed as a medical scribe. Understand the necessary skills of a medical scribe. Underline the medical scribe's scope of care and ability to maintain integrity and patient privacy.ĭescribe the primary roles and responsibilities as a medical scribe. Understand the importance of HIPAA as a medical scribe. Understand the history of the Medical Scribe industry. Identify the key factors involved in considering drug therapies for older adults. Investigate recent actions taken by the government and by manufacturers for specific drugs. Identify the sources, mechanism of action, and indications for specific drug therapies.Īnalyze the side effects, precautions, contraindications, and interactions for specific medications.Īssess the factors that influence the absorption and effectiveness of drugs.Īnalyze the physiological effects of prolonged drug use and discuss the responsibilities of a health care practitioner in addressing and treating drug abuse. Identify commonly used medications and their characteristics. Identify the major drug classification systems and differentiate among the various types of drug names with examples.Įvaluate the standard and online pharmacological references in use today.Ĭlassify the sources of drugs, examine their pharmacokinetic processes, and analyze the variables that affect drug actions and effects.Īnalyze various drug forms, routes of delivery, and the supplies and techniques necessary for safe and appropriate administration. Identify major drug standards, legislation, legal responsibilities of the health care practitioner when dispensing medications. Identify medication side effects, precautions, contraindications, and interactions. drug laws and explain their importance in patient care and health services documentation.ĭifferentiate among drug classifications, routes of entry, mechanisms of action, and therapeutic treatments related to specific body systems and disease conditions.
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