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Interesting article on scribes... - Rose

Posted: Mar 01, 2014

From Health Care IT News - February 2014. Interview with an ER doctor about using scribes in the ER and the process of documenting/entering information.

http://www.healthcareitnews.com/blog/medical-scribes-history-present-illness-now-narrative

During my annual physical my nurse was doing the typing... - ETOHPRN

[ In Reply To ..]
I was sitting there on the table you know, naked as a jaybird except for that little johnny, answering questions and offering up information and there she is, pecking away at the keyboard, no fingers on the home row or anything.

She knows what I do for a living and I says to her, "Ya know, there are people (as I point to myself with 2 thumbs) who you can hire to do that tedious and time consuming work for you." I was thinking MT. She was not.

She says to me, "They offered to hire me a scribe, but I refused. I don't want anyone in here with the patient but me because you know what will happen? The patient's are going to clam right up. Especially in this small town where everyone knows everyone's business, and no matter what the HIPAA laws say, and no matter how much I tell them what is said here is 100% confidential, having another person in the room is going to freak a lot of patients out."

Good for her and standing her ground, I guess, but the place I go to apparently doesn't do any work with transcriptionists at all. I never looked at it that way. I know I would be all ooged out by anyone other than a medical student in the room...and even then I'm still not totally comfortable with that with my skeletons in the closet and all.
;)

I'm in a small town too (sm) - Rose

[ In Reply To ..]
And I know I would not feel comfortable having a scribe in the room if I had to talk about an STD or details about IBS. There are a lot of bored people here who having noting better to do than gossip and wouldn't even recognize "HIPAA".

I found it interesting that this ER doctor was so happy with his scribe. He felt they were essential to an ER, but not to a family physician's practice and didn't elaborate.

The nurse where I go - Does her own, right there

[ In Reply To ..]
I have 3 doctors: A family doctor and 2 specialists. NONE of them have MTs there; I asked them. The ARNP I see at the family doctor types as I'm talking to her. The other 2 just punch stuff into the computer, no MTs.

So, clinic has always been threatened--this is not new news that clinics don't use MTs.

They have them trained, don't they? :D - IMANMT2

[ In Reply To ..]
The doctors and the rest of the healthcare staff. They (clinics and conglomerates that own them and their hedge fund handlers) are not paying for MT anymore.... period. It changes the return on the invested dollar. As long as doctors will hunt and peck on the computer, it's just the way it will be. I think it odd when the people who are supposed to be observing the pt for the extremely brief encounter have their backs to the pts part, if not most, of the time. Unless the public complains nothing will change and probably not even then the way you have to wait months to get into a specialist.

But this scribe thing, it's like the pharaohs and their scribes following them around. So, we've been doing it wrong all this time?

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