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Expand your career opportunities with this concise, all-in-one guide to a dynamic and growing healthcare career! The Complete Medical Scribe:: A Guide to Accurate Documentation, 3rd Edition provides the information you need to document patient health records accurately, thoroughly, and efficiently. Coverage includes activities such as creating a note, recording a patient history and review of systems, documenting diagnostic tests and therapeutic procedures, and noting follow-ups for labs or imaging. A strong foundational knowledge of anatomy and body systems is emphasized. Written by two medical doctors in conjunction with the experts at ABC Scribes, this comprehensive resource will prepare you to become an essential member of the healthcare team in a variety of settings.
Data sheet
Overview of the Scribe Note
Anatomy of a Provider Note
Synthesis of a Patient History
Additional Functions of the Medical Scribe
Medical Terminology and Abbreviations
The Physical Exam
Integumentary System
Musculoskeletal System
HEENT (Head, Eyes, Ears, Nose, Throat)
Nervous System
Cardiovascular System
Respiratory System
Gastrointestinal System
Genitourinary System
Hematologic, Lymphatic, and Immune Systems
Endocrine System
Chief Complaints
Practice Exercises
Reference: 30670
Author: Joseph J. Warner
With Systems Organization and Case Correlations