Scribe

A scribe is a documentation assistant, recording in “real time” the facts and events that occur between a patient and a physician or other provider during a patient encounter. The scribe accompanies the provider to the treatment area and records in the electronic or paper medical record the results of the history and physical as they are verbalized by the examining provider and the patient. The scribe’s role is to facilitate patient flow through the Emergency Department and ensure an accurate and complete medical record for each patient. The duties of a Scribe are to document the physician dictated patient history, physical examination, family, social, and past medical history as well as document procedures, lab results, dictated radiographic impressions made by the provider and any other information pertaining to the patient’s encounter in the Emergency Department. Essential functions performed:

1. Scribes accompany the provider upon patient interview and examination.
2. Scribes document the provider dictated patient history, including history of present illness, review of systems, past medical and surgical history, family and social histories, medications and allergies.
3. Scribes document physical examination findings and procedures as performed by the provider.
4. Scribes document the results of laboratory and radiographic studies as dictated by the provider.
5. Scribes document the correct time of patient care related activities, including provider to provider communication, family communication and re-examination of the patient.
6. When the provider concludes the patient’s encounter, the provider will review all documentation completed by the scribe, make any necessary amendments, and sign the chart. The provider is ultimately responsible for documentation of the patient’s encounter.
7. All orders for patient care must be communicated by the provider and not the scribe.

The ED Scribe performs all clerical and information technology functions for ED physicians or mid-level providers, including primary responsibility for the operation of electronic health records and electronic dictation systems. The scribe will be under direct oversight of the emergency department physician or advance practice provider (NP/PA). The Emergency Department provider will review and approve actions to be taken at key junctures during patient care. During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question. Mayo Clinic will only see the final recording. The completed interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps. This vacancy is not eligible for sponsorship. We will not sponsor or transfer visas for this position. Also, Mayo Clinic DOES NOT participate in the F-1 STEM OPT extension program. #J-18808-Ljbffr Mayo Career Site US