An Emergency Room Scribe works in the emergency department and oversees the patient’s documentation task, and acts as the physician’s assistant. Work activities carried out on a day-to-day basis is listed on the Emergency Room Scribe Resume – preparing and assembling medical record documentation/charts for physicians; entering the patient room with the physician during patient visit to capture and transcribe medical record documentation using electronic medical record applications; ensuring medical record compliance through self-documentation attestation, and complying with hospital and medical facility policies.
The most sought-after skills for the post include the following – experience in hospital scribing, compliance with HIPAA confidentiality standards, deep understanding of medical terminology and anatomy; experience with medical record software and hardware; and accurate and fast typing skills. A high school diploma or GED is necessary. Experience in hospital scribing may be advantageous.
Objective : Inpatient and outpatient care practice within community hospitals, private practices, long term care facilities, and university health clinics. Exposure to Spanish speaking and low income patient populations. Proficient in the use of multiple electronic medical record systems including Allegiance MD, Amazing Charts, Aprima, EMA Dermatology, and WEBeDoctor.
Skills : Identifies And Gathers Appropriate Resources, Proficient In Microsoft Office, Extremely Fast Typist.
Description :
Provided charting services to doctors and physician assistants at a level II trauma center.
Transcribed patient histories, physical examinations, and procedures at bedside using MedHost EMR.
Itemized diagnostic tests and images awaiting review.
Input results of EKG's and X-rays as dictated by provider.
Documented patient status upon initiation and completion of a treatment.
Acted as a liaison between attending provider and patient.
Ensured communication between provider and emergency department staff by managing phone lines.
Experience
2-5 Years
Level
Executive
Education
Masters of Science
Emergency Room Scribe Resume
Objective : Like to apply my excellent communication and interaction skills in a business environment where I can expand my skills in areas such as sales, office management, administrative support, and other related skills in support of business growth and success. I communicate with people very effectively and am a quick learner, team player, and self-starter.
Skills : Microsoft Excel, Microsoft Word, Patient History.
Description :
Worked as part of a team supporting the Emergency Room doctors.
Transcribed radiology reports and promptly gave them to the physician.
Proactively called laboratory, radiology, etc.
Entered past medical and surgical history into the computer.
Assisted the physicians with patient tests and other miscellaneous duties, as needed.
Charted reason for visit and patient history.
Charted and filed patient insurance information.
Experience
2-5 Years
Level
Junior
Education
Diploma
Emergency Room Scribe Resume
Summary : Emergency Room Scribe with 8 years of experience in Drafting medical record documentation for supported doctor(s). Creating initial patient history, documenting/gathering initial vital statistics and treatment orders, scribes referral letter and discharge/dismissal letter for doctor review, Monitoring e-mails and voicemails for doctors, Assisting with and ensures completion of outpatient procedures as required by doctors (bandage changes, post-operative radiographs, diagnostic samples, medication administration, etc.).
Skills : Knowledge Of Medical Terminology, Proficient In MS Office.
Description :
Worked in the emergency department at Carroll Hospital Center.
Consisted of overseeing the documentation of each patient's visit to the emergency department, and acting as the physician's personal assistant.
Alerted on call physicians when needed Kept patients comfortable during their stay.
Transported patients to different locations Skills Used As a scribe I was required to constantly communicate with both doctors and patients to ensure a fluent turnover rate of patients.
Attended examinations with physicians and created electronic medical records in the emergency departments of Tallahassee and Quincy campuses.
Aided the emergency department, specifically the Physician I was assigned to each day, in performing vital tasks for the optimal performance emergency patient care.
Worked as part of a team supporting the Emergency Room doctors.
Experience
7-10 Years
Level
Management
Education
Bachelor's In Biology
Emergency Room Scribe Resume
Objective : To obtain a position in a patient care facility professionally utilizing my education, leadership, and organizational skills, as part of an interdisciplinary team who cares for patients with integrity, accountability, and respect, Acting as point of contact for referral partner transfers/inquiries if doctor is unavailable, Providing departmental client communication for cases (i.e. concerns, care plan discussions, Q&A in absence of doctor, etc.).
Skills : Microsoft Word, Excel, Typing, McKesson, MedHost, Medical Terminology, Trainer.
Description :
Worked in conjunction with one Emergency Room physician per shift as their personal scribe.
Managed data input into patients' charts in real time using Electronic Medical Recording software.
Increased the number of patients seen per hour by a physician, patient contact time, and ability to manage emergency room department flow.
Accurately documented the History of Present Illness, Review of Systems, Physical Examination, Consultations, and Progress Notes.
Tracked patient's laboratory values, and imaging studies in real time, and prior medical records as needed.
Documented physical examination findings and procedures as performed by the physician.
Documented the results of laboratory and radiology studies as dictated by the physician.
Experience
2-5 Years
Level
Executive
Education
BA In Biology
Emergency Room Scribe Resume
Headline : Emergency Room Scribe with 6 years of experience in May escorting outpatient clients to and from exam rooms and prepare/maintain exam rooms, acting as a mentor or trainer for team members, coordinating and delegating prescription refills to team members, Delegating team responsibilities as appropriate to team members (rounding cases, planning and managing diagnostic scheduling and information, etc.).
Skills : Medical Terminology Electronic Charting, EMR Bilingual.
Description :
Documented the correct time of patient care related activities, including physician-to-physician communication, family communication, and re-examination of the patient.
Listened and take notes while accompanying the provider to the patient room or receiving verbal dictation.
Documented accurate, thorough and timely physician notes in the electronic medical record that reflect the full complexity of care provided.
Ensured physician notes meet clinical documentation requirements for risk management, billing, etc.
Informed the provider of any incomplete documentation and seek out the information to complete the note
Monitored the status of the patient’s course, troubleshoot delays, and keep the customer informed of pending items i.e., waiting for x-ray to be done, all lab results back, etc.
Assisted the provider in navigating the EMR.
Experience
5-7 Years
Level
Executive
Education
Diploma
Emergency Room Scribe Resume
Summary : Emergency Room Scribe is Directly supporting specific doctor(s)for a given shift; may supporting different doctors within a department at different times, Ensuring follow through of departmental workflow for the supported doctors, Collaborating on scheduling of consults, transfers, and diagnostics.
Skills : Spanish, Patient Care, Medical Terminology, EMT-Basic, CPR/First Aid.
Description :
Identified and anticipated provider need and responded in an effective manner.
Attended Human Resources orientation.
Successfully completed a training program including instruction in a classroom-based setting with chief scribes and Emergency Department training alongside experienced scribes.
Called patients into rooms for examinations: Do weights, blood pressures, temperatures include pulse, respiration when needed.
Reviewed patient’s chart.
Recorded and obtained patient’s symptoms, make observations, listen, answer questions and reassure
Experience
7-10 Years
Level
Management
Education
BBA In Marketing
Emergency Room Scribe Resume
Objective : To obtain an entry-level position in the healthcare industry where I can gain experience and basic skills necessary for a future career as a certified physician's assistant, Performing various clerical duties as needed in assigned work areas, Adhering to all Northwest Community Hospital standards, policies, and procedures.
Kept supplies, equipment and instruments in place and ready for use
Experience
2-5 Years
Level
Executive
Education
BA In Biology
Emergency Room Scribe Resume
Headline : Emergency Room Scribe is May performing clinical support functions such as prepare and room patient for exam, obtain vital signs and document/update pertinent health information, assist the physician/clinician with non-sterile procedures, schedule appointments and referrals to other facilities or services, and perform other data entry into the Epic system.
Skills : System Assistant, Clinical Support, Patient Care.
Description :
Cleaned, sterilized or sanitized all instruments. Make up packs for doing excisions, suturing of lacerations and treating burns.
Kept all supplies always in stock, keep instruments and equipment up-to-date and in working order and repaired or replaced as necessary.
Ordered all topical, oral or injectable medications for stock supplies and keep them updated.
Kept emergency meds updated. Replace as used.
Remained at the clinic, available to assist the physicians until all patients are cared for.
Obtained UA’s when ordered - do dip urine PRN.
Provided care in a non-judgmental, non-discriminatory manner that is sensitive to patients and family’s diversity, preserving their autonomy, dignity and rights.
Experience
5-7 Years
Level
Executive
Education
GED
Emergency Room Scribe Resume
Objective : As an Emergency Room Scribe position is Preparing orders including follow-up testing, lab orders, medication orders, consults and/or referrals and the associated diagnosis to be connected with those orders, Completing medical records for each patient visit ensuring accurate and timely documentation, updating patient history and other pertinent health information in the patient record, Preparing and sending all documentation for review and approval.
Skills : System Management, Documentational Skills, Instructional Skills.
Description :
Prepared and assembled medical record documentation/charts for physician prior to patient visit.
Anticipated physician needs for patient visits by obtaining internal and external previous medical records and test results.
Ensured that all elements of documentation are complete and accurate.
Rounded with the physician/clinician during patient visits to capture and transcribe medical record documentation in real time using electronic medical record applications.
Documented the physician/clinician's communication with the patient using appropriate medical terms and phrasing.
Assisted in data entry from devices or other sources.
Documented the correct follow-up instructions and level of service designation based on the physician/clinician's direction.
Experience
2-5 Years
Level
Executive
Education
MS
Emergency Room Scribe Resume
Objective : To obtain an Emergency Room Scribe is Transcribing dictation for a variety of medical reports such as patient histories, physical examinations, emergency room visits, operations, chart reviews, consultation, and/or discharge summaries, Performing a variety of clerical and office tasks, such as handling incoming and outgoing mail, completing and submitting insurance claims, typing, filing, and operating office machines.
Skills : Typing, Filling, Room Scribe.
Description :
Transcribed dictated reports and translate medical jargon and abbreviations into their expanded forms.
Identified mistakes in reports, and check with doctors to obtain the correct information.
Performed data entry and data retrieval services, providing data for inclusion in medical records and for transmission to physicians.
Produced medical reports, correspondence, records, patient-care information, statistics, medical research, and administrative material.
Returned dictated reports in printed or electronic form for physicians' review, signature, and corrections, and for inclusion in patients' medical records.
Reviewed and edited transcribed reports or dictated material for spelling, grammar, clarity, consistency, and proper medical terminology.
Taken dictation using either shorthand or a stenotype machine, or using headsets and transcribing machines; then convert dictated materials or rough notes to written form.
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