What is a Scribe?
What is a Scribe?
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A medical scribe functions similar to a personal assistant, shadowing providers during exams to obtain the patient's history. Scribes then document the encounter in the chart, as well as any physical exam findings, inserting lab and imaging results, procedure notes and so much more. Our medical providers rely on scribes to take on some of their responsibilities to allow them to focus on taking care of patients and the quality of their care.
Patient Encounters
Patient Encounters
What does a normal patient encounter look like for a scribe? What exactly does a scribe do?
When a patient walks in, a scribe listens and take notes as the triage nurse and medical provider ask the patient about their medical history, the reason for their visit, other pertinent information, as well as any findings as the provider performs their physical exam.
A scribe then documents the story behind the patient's visit along with their medical/surgical history. Scribes accompany the medical provider as they perform their physical exam, and write down any physical exam findings the provider may dictate. Furthermore, the provider's dictate their differential diagnosis to the scribes, which would then be added into the chart. Scribes are also tasked with relaying any abnormal lab or radiology results to the medical provider as well as inputting labs results and radiology interpretations into the chart.
Scribes gather all the necessary materials and tools for providers to use during their procedures. As the medical provider performs the procedure, scribes will observe and take notes to be able to fill out and insert procedure notes into the chart.
Our scribes not only assist our medical providers, but create a positive work environment for all staff by helping out nurses, EMTs, etc. This may include bringing patients food, transporting patients, answering patient questions, restocking supplies and more.
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