Download City MD Scribe exam-with 100% verified solutions 2024-2025 and more Exams Nursing in PDF only on Docsity! City MD Scribe exam-with 100% verified solutions 2024-2025 Phase 1 1.assign 2.verify & vitals 3.Past medical History 4.Chief complaint 5.HIP (history of present illness) 6.ROS (review of systems) Rapid strep Sore throat rapid flu flu like symptoms Urine test Urine complaints, abdominal complaints (if female) Visual acuity eye complaints Past medical history (in order) Written by studybuddy 1. current medication 2.Medical conditions 3.Allergies 4.Surgical history 5. family history 6. social history HPI (in order) Onset severity nature Pertinent findings ROS (established vs. complex vs. New) Established pt. 3 systems New PT. gets 10 systems Complex case: 10 systems Phase 2 1) present the case 2)update the HPI 3)physical exam 4) procedures 5)Assessment 6) Post diagnostic orders 7)Treatment (Rx) 8) preventative medicine A patient workup is required. Person who brought in the patient likely obtaining the vital signs but nothing else Blue flag Signal that a medical scribe is in the room. Stays up until patient is discharged yellow and Green flag Used by providers to signal which provider is in what room. stays until patient is discharged White flag procedure that could take more than 10 minutes or needs a MA/X-ray tech red flag The next room that the provider has to go into All flags and door is open The room is out of order All flags and the door is closed Do not disturb Exam chair Drawer (Front) Urine cups Speculums VCM swab BZK wipes Exam chair Drawers (Back) Elastic bandages Ice packs Nebulizer masks Gowns and Chuxs Exam chair (back flap) Nebulizer machine Counter top Rapid flu Rapid strep Pulse Ox Go-TO drawer Culture swabs Tourniquet Band-aids Medical tape Lube Cuvettes Appirm and Aptima Bacitracin Lancets Alcohol pads suture drawer Gauze patch Skin staple remover Incision and drainage kit Skin stapler splash guard ChloraPrep Sutures Cautery Pen Cabinets Top: Solutions, suture tray, IV bag Middle: Vacutainer, Butterfly needle, Syringes, IV tubing Bottom: Lidocaine, IV catheter, Tegaderm Lab