Emergency Room Medical Scribe Analysis

I, Dr. Eric McDonald, MD am truly enthused about recommending Dhoha Alhashim for admission into medical school. It gives me immense pleasure, indeed, to suggest one of our emergency department's marvelous medical scribes, Ms. Alhashim, into your incoming class. I have known Dhoha Alhashim for the past six months in her capacity as a medical scribe. As a medical scribe, Ms. Alhashim had the opportunity to work side by side with some of the department's successful providers; her duties included documenting medical history, physical exam, procedures performed by providers, and transcribed lab and radiology test results on patients' charts. I, personally, had the opportunity to work with this intelligent young lady and observed the transformation of this incredible medical scribe over the past six months. Ms. Alhashim has been exposed to patients with a variety of symptoms and witnessed difficult patient encounters and critical cases, observing the proper ways to manage such situations. Ms. Alhashim has also become acquainted with our department's medical equipments. We have certainly been very pleased with the work performed by Dhoha Alhashim. Her intelligence, enthusiasm and curiosity for learning have enabled her to

Medical record technician salary depends on several factors: the size of the city, the location, type employing institution, training and their experience. Entry level tech with a associate degree earn $20,000 - $30,000 a year. A tech with a bachelor degree earn $30,000 - $50,000 a year. if a medical record technician has five years or more experience earn $75,000 a year, (Encyclopedia, 2017).

Case management in the emergency department, constantly works to find the right data in a patient’s record to ensure that they have the correct insurance coverage and can be admitted or discharged at the appropriate time and place. Even when the smallest amount of essential information is not documented, this otherwise straight forward process turns into a scavenger hunt for who has seen the patient, interventions that were done and for what reasons, and at what time all of these things took place. ED case manager Veronica Kountz (personal communication, March 20, 2015) states that the inadequacy of documentation can lead to insurance companies not covering patient costs, which the hospital then has to absorb. Before a patient can be admitted or discharged, the right

“Doctor, the trauma patient is ready and prepped for surgery”. “CODE BLUE, CODE BLUE”. “OK Ms. Forsett, these are some papers you will have to sign”. “Trauma team activation, Trauma 1 activation”. These are the most common sayings that you would hear in a hospital emergency room. If you an outsider looking in, this seems like an unorganized workplace, but to the doctor's it’s just organized chaos. Everything seems to be alright and seems adventurous, but the truth be told, doctors only spend 29 percent seeing patients and 49 percent on just paperwork and electronic health keeping records. With this much time being spent on paperwork, is the modern day doctor just a record keeper or are they there to be a second lifesaver to someone’s “God”,

Understanding of medical knowledge and procedures is the foundation for a medical career but a successful career can’t stop there. One must know when to apply the knowledge and effectively communicate it to patients and colleagues alike. I recently had a sinus and middle ear infection following a flight from Portland to Burbank. The PA at the urgent care was terse and only shared the finding of her physical exam when prompted. After a course of azithromycin and prednisone I recovered but in the future I will choose a different provider.

A call came at 10 saying that there was no need for an additional doctor yet because of how slow the emergency room was that day. We were eventually told to come in at 12:00 though, but the fact that the amount of time you're made to work directly correlates to how busy the E.R. is was a weird concept to me. The way the emergency room is laid out is with a central station of desks with a wall separating the two haves. Surrounding the desks are the patients room. As a doctor, you simply wait until a patient is set up in a room by nurses and then claim the patient in the system. Each patient has a description of their pain complaint in the computer along with a ranked emergency level. After claiming the patient, the doctor go to see them in there room. When a Doctor visits a patients room, they do exactly what one thinks they would do— they ask questions. It was interesting to note how differently my father and Dr. James went about these interviews. Dr. James was more of a talking, “why don't you tell me what the issue is” kind of doctor. She let the patients talk but gently guided the conversations. She was very nice and would explain exactly what she meant in basic, social terms. On the other hand, my father was computer-like efficient in his investigation. He would always ask the same set of specific questions in each case no matter what the problem was. He would always be the one in charge and almost a bit callus in his method. That’s not to say

Students go through four years of medical schools and countless years of residency just to learn and practice medicine and its connection with humanities. Once they are done with rigorous training, they believe that they, themselves, know everything and that every patient will leave the hospital or clinic cured, treated, and happy. However, that is not the case. No matter how one does on their med school boards, physicians are prone to mistakes. Physicians have encountered at least one mistake during their career. Different people have different perspectives concerning errors in the medicine field. Atul Gawande’s “Complications: A Surgeon’s Note on an Imperfect Science” and Dr. Goldman’s TED Talk emphasize errors in a hospital or clinical setting.

The current workflow my unit employs to educate patients regarding their chronic condition is inadequate. Because of busy patient assignments, I usually have very little opportunity to ensure that patients thoroughly comprehend their care needs. Essentially, we use what is referred to as teach back. This entails the nurse teaching the patient about proper management of his or her health condition. Once the educational session is complete, nurses ask patients to explain to them what they have learned. Perhaps this method of teaching might be effective if I had time to perform the actual teaching; however, I have very little opportunity to do so and there are no signs that this dilemma will change anytime soon. Instead of spending adequate time with patients and providing a thorough educational experience, I am inundated with unskilled tasks. Therefore, my patients leave the hospital with very little understanding of their treatment regimen. Moreover, many of these patients are readmitted to my unit within 30 days. Consequently, hospitals are penalized by third-party payers when this occurs (See Appendices A).

I have found satisfaction in serving others in different jobs; however, none demanded the amount of knowledge that medicine requires. I truly enjoy learning how the physicians form clinical assessments as I transcribe clinic notes; as the orthopedic surgeons perform the different special tests to determine if pain is due to osteoarthritis in the hip or from degenerative disc disease, their ability to filter through vast amounts of knowledge, the patient’s chief complaint to generate a diagnosis invigorates me.

To further my experience, I began working with patients and assisting the doctor in surgeries. During my time assisting I acquired the skills necessary to provide for patients. The quick paced schedule and hectic situations taught me to work fast and efficiently while also caring for the patient. Eight years of working with patients and learning different aspects of the medical field have provided me with the experience needed to interact with patients on a regular

My interest in the medical field dates back to my childhood, where I was intrigued by the combination of knowledge and passion. I spent many days in the hospital with my mother, often wandering the hallways while the nurses visited her. My mother was diagnosed with multiple sclerosis, along with the discovery of polyps on her colon, which we would later find had a high chance of becoming cancerous. There was a vast number of medical personnel I would encounter over the next several years. I paid close attention to each one—their appearance, the questions they asked, and the equipment they used.

The medical school teaches students to become "The Great Explainers" that makes their job untouchable. The great explainers are doctors and nurses who explain to their patients in a simple way to they can understand them. In the medical field, it's important to explain complex concepts with simplicity. The medical constantly revolves around communication. One must be able to explain things to the patients and their colleagues. Friedman said in his book, "if you can explain the complexity well, you can see the opportunities better. For instance, you can see what parts to synthesize" (289). What Friedman means by this is, when you explain something well it demonstrates the skill you have. "And the good person, who might be just one chapter ahead

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According to Media Health Leaders, medical mistakes are the third leading cause of death in the United States. This statistic shows there is an intense problem in not only our country, but around the world, and there needs to be a change. These changes should include requiring all doctors to complete a checklist of requirements before any surgery, calling for every hospital to use brainwave monitors during surgery, and encouraging communication between doctors and both their colleagues and patients.

Every one of us has relied on a medical professional at least a few times in our lives. When we get seriously ill, or suffer a serious injury, we put our health in the hands of doctors, nurses, and pharmacists, fully expecting to be treated with a certain degree of professionalism and safety. Unfortunately, sometimes the expected care is not given, or not given to the extent which the ailment requires. In these situations, we can feel blindsided, confused, even taken advantage of.