CityMD Questions and Answers
what are the 8 steps of phase 3? ** Answ** 1. attend to all necessary orders
2. finish all documentation
3. link diagnosis to orders and procedures
4. address the visit code window
what are the 8 steps of phase 3? ** Answ** 1. attend to all necessary orders
2. finish all documentation
3. link diagnosis to orders and procedures
4. address the visit code window
5. address the common send window
6. summarize discharge instructions
7. check out patient
8. usher patient out of exam room and direct them toward the front to collect discharge papers
what does the black flag signify? ** Answ** a patient workup is required
what are the 2 main functions of the treatment window? ** Answ** 1. healthy lifestyles
document
2. to make prescriptions for all medications being sent to the pharmacy
what should the scribe include when presenting the patient case to the provider? ** Answ**
1. demographic information
2. chief complaint with onset
3. all positive, abnormal findings/symptoms that accompany the chief complaint
4. important relevant negative findings
5. relevant supplemental findings
what are the 4 key elements of the preventive medicine section? ** Answ** 1.
encounter/visit specific instructions
2. diagnosis specific instructions
3. provider specific instructions
4. standardized, generic information instructions
,what should be done before the provider leaves the room? ** Answ** 1. a) verify the
diagnosis
1. b) verify primary diagnosis (if multiple)
2. a) verify all prescriptions sent to pharmacy and/or given in house
2. b) show drug test alert if not shown before
3. verify all post-diagnostic orders
4. verify the E&M code
what does the blue flag signify? ** Answ** a medical scribe is in the room
what are the 6 tests of the standard STD panel? ** Answ** 1. syphilis
2. hepatitis b
3. hepatitis c
4. trichomoniasis
5. gonorrhea
6. chlamydia
what are the 2 HPIs of a MVA patient? ** Answ** 1. chief complaint
2. MVA/No fault
what does the red flag signify? ** Answ** the next room the provider should go into
for what complaints/symptoms should the scribe initiate each of the scribe-initiated procedures?
** Answ** 1. sore throat --- rapid strep
2. flu-like symptoms --- rapid flu
3. visual disturbance --- visual acuity
4. dysuria --- urinalysis, urine culture, uCG (female)
what are the 6 steps of phase 1? ** Answ** 1. verify name & date of birth
2. vitals
3. chief complaint
, 4. past history
5. HPI
6. ROS
what does the white flag signify? ** Answ** a procedure that could take more than 10
minutes or that requires an MA or X-ray tech
what are the 6 elements that make up the past history section? ** Answ** 1. current
medications
2. medical history
3. allergies
4. surgical history
5. family history
6. social history
what are the 4 scribe-initiated procedures? ** Answ** 1. rapid flu
2. rapid strep
3. visual acuity
4. urinalysis, urine culture, uCG (female)
what vital signs should be obtained by the scribe during the patient encounter? ** Answ** 1.
blood pressure
2. heart rate
3. pulse oximetry
4. temperature
5. respiratory rate
6. height
7. weight
what are the STD tests that can be obtained via a blood test? ** Answ** 1. syphilis
2. hepatitis b
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