The Complete Medical Scribe - Elsevier E-Book on VitalSource, 3rd Edition

by ABC Scribes, LTD

Elsevier eBook on VitalSource

ISBN: 9780323812528

Publication Date: 01-13-2022

Page Count: 432

Imprint: Elsevier

List Price: $68.99

Was $68.99

Now $60.71

Or $0.00 with a valid access code

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.

Related Products
- 3rd Edition
  Evolve Resources for The Complete Medical Scribe
  Resources
  
  ISBN: 9780323812559
Key Features
- Comprehensive coverage includes everything you need to know to work as a medical scribe, including medical law and ethics, safety and infection control, health record documentation, billing and reimbursement requirements, medical terminology basics, and detailed body system coverage
- Clinical scenarios represent common situations and promote real-world application of the scribe’s function
- Case studies with questions test your comprehension and let you apply your knowledge to the clinical setting
- Review questions and exercises within chapters and online provide opportunities for self-quizzing to identify areas of strength and areas of focus
- Nearly 200 colorful medical illustrations and photos depict subjects such as anatomy and physiology as well as online charting within the electronic health record (EHR).
- Detailed instructional videos online simulate medical practice, using real doctor-patient encounters that progress logically through each part of the EHR
- Notes boxes emphasize practice dos and don’ts along with on-the-job realities
Contents

1. Role of the Medical Scribe
2. Healthcare Law, Ethics, and Organization
3. Overview of the Scribe Note
4. Anatomy of a Provider Note
5. Synthesis of a Patient History
6. Additional Functions of the Medical Scribe
7. Medical Terminology and Abbreviations
8. The Physical Exam
9. Integumentary System
10. Musculoskeletal System
11. HEENT (Head, Eyes, Ears, Nose, Throat)
12. Nervous System
13. Cardiovascular System
14. Respiratory System
15. Gastrointestinal System
16. Genitourinary System
17. Hematologic, Lymphatic, and Immune Systems
18. Endocrine System
19. Chief Complaints
20. Practice Exercises
Authors

ABC Scribes, LTD
Accessibility
- Ways of Reading
  - The appearance of the text and page layout can be modified according to the capabilities of the reading system (font family and font size, spaces between paragraphs, sentences, words, and letters, as well as color of background and text)
  - This e-publication is accessible to the full extent that the file format and types of content allow, on a specific reading device, by default, without necessarily including any additions such as textual descriptions of images or enhanced navigation
  - All content can be read as read aloud speech or dynamic braille
  - Has alternative text descriptions for images
- Conformance
  - The publication contains a conformance statement that it meets the EPUB Accessibility 1.1, WCAG 2.1, Level AA standard. Please see https://bornaccessible.benetech.org/certified-publishers/ for further details of our compatibility testing.
  - The certifier's credential is https://bornaccessible.benetech.org/certified-publishers/
  - For detailed accessibility information, see Elsevier's website at https://www.elsevier.com/about/accessibility
  - For queries regarding accessibility information, contact [email protected]
  - The publication was certified on 24-03-2026
- Navigation
  - Table of contents to all chapters of the text via links
  - Index with links to referenced entries
  - Elements such as headings, tables, etc. for structured navigation
  - Page list to go to pages from the print source version
- Rich Content
  - Information-rich images are described by extended descriptions
- Hazards
  - The publication contains no hazards
- Product Content
  - Content includes any type of illustrations.
  - The primary content is text.
  - Content includes maps and/or other cartographic content.
  - Content includes a significant number of actionable (clickable) web links to external content, downloadable resources, supplementary material, etc.
  - Content includes a significant number of actionable (clickable) cross-references, hyperlinked notes and annotations, or with other actionable links between largely textual elements (e.g., quiz/test questions, 'choose your own ending', etc.).
  - Content includes photographs, whether in a plate section / insert or not.
  - Content includes figures, diagrams, charts and/or graphs, including other 'mechanical' (i.e. non-photographic) illustrations.
  - Content includes images displayed in a specific order for the purpose of graphic storytelling or giving information (e.g. graphic novels, comics and manga). May include text integrated into the image (as speech and thought bubbles, textual 'sound' effects, captions etc.).
  - Content includes text within images, including text-as-text embedded in diagrams, charts, or within images containing speech balloons, thought bubbles, captions, etc.
  - Content includes visual content that is purely decorative and is not necessary to understanding of the content.
  - At least some text - including text within other images - is 'text as an image' (i.e., a picture of text).
- Legal Considerations
  - No information is available
- Additional Accessibility Information
  - Content is enhanced with ARIA roles to optimize organization and facilitate navigation
  - Page breaks included from the original print source
  - For readers with color vision deficiency, use of color (e.g., in diagrams, graphics and charts, in prompts, or on buttons inviting a response) is not the sole means of graphical distinction or of conveying information
  - The body text is presented with a contrast ratio of at least 4.5:1 (or 3:1 for large/heading text)
  - Ultra-high contrast between text and background
  - E-publication includes basic navigation (usually less detailed than TOC-based navigation)
  - Where links, controls or buttons are included in the content, the purpose or functionality of each link, control or button is apparent from the associated text alone - or where it is unclear, separate link, control or button descriptions are provided
  - All (or substantially all) textual matter is arranged in a single logical reading order (including text that is visually presented as separate from the main text flow, e.g., in boxouts, captions, tables, footnotes, endnotes, citations, etc.). Non-textual content is also linked from within this logical reading order. (Purely decorative non-text content can be ignored).
  - Where interactive content is included in the product, controls are provided (e.g., for speed, pause and resume, reset) and labelled to make their use clear.
  - The language of the text has been specified (e.g., via the HTML or XML lang attribute) to optimise text-to-speech (and other alternative renderings), both at the whole document level and, where appropriate, for individual words, phrases or passages in a different language.