Medical Scribe – Do’s and Dont’s

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At this years MGMA conference in San Francisco there was significant interest on the subject of the Medical Scribe.

Medical Scribe Training

A medical scribe is an unlicensed individual, or allied health professional (MT, MA, LPN, LVN, TECH, etc.) hired to enter information into the electronic health record (EHR) or chart under the direction of a physician or licensed independent practitioner.

What activities should a Medical Scribe do and what activities fall outside of their responsibilities?

Check out our recently published Industry Accepted Standards of Activity for Medical Scribes. This document highlights those activities we believe a scribe should or should not do.  Things like:

Do’s:

  • Defer to physician, nurse or other licensed provider if a patient asks a question or makes a request.
  • Ask the licensed caregiver to clarify or provide additional information, if needed.
  • Refrain from asking questions or requesting clarity while in the patient room.

Dont’s:

  • Touch or have direct contact with a patient.
  • Give medical advice.
  • Transmit a verbal order.

If you have any questions or would like to offer your feedback on the these Standards of Activity for Medical Scribes, please leave us a comment or contact us via email at [email protected].

To learn more about our  Scribe Training and Implementation Support program which is designed to help healthcare organizations “develop their own team of internally managed medical scribes” please visit us at www.ahdpg.com or feel free to contact us at [email protected] for more information.

OUT MEDICAL SCRIBE TRAINING AND IMPLEMENTATION SUPPORT PROGRAM INCLUDES: