Clinical Assistant Scribe - Emergency Medicine - Union Hospital Terre Haute

Terre Haute, IN - Seeking Clinical Assistant - Scribe

Gain Experience Working Side-By-Side With Frontline Physicians

As part of our Medical Scribe program, you play a vital role in supporting physicians and health care providers while gaining first-hand knowledge and practical experience in the field.

At Vituity we know the impact you can have.

Join the Vituity Team.

At Vituity, our core values matter.

We embody a Culture of Caring by approaching every human interaction with compassion and heart.

With a Servant Leadership philosophy, we focus on what we can accomplish when we put our patients and colleagues first.

An Ownership Mentality means we all have mutual accountability to drive positive change for Vituity as a whole.

Finally, our focus on Innovation enables all of us to re-imagine healthcare and bring about lasting change.

Ultimately, we are unified around the common purpose of transforming healthcare to improve lives, and we believe everyone has a role to play in that.

Help us shape the future of healthcare.

Vituity Locations: Vituity has opportunities at 450 practices across the country, serving 8 million patients a year.

As part of the Vituity Scribe Program, there are multiple opportunities to fit your needs, including gaining experience in units such as the Emergency Department, Intensivist Care, Telemetry and Medical-Surgical.

The Opportunity


* Accompany the provider into the patient exam room and transcribe the history, physical exam, laboratory, and radiological results as dictated by the provider.

This may include selecting the appropriate template from the computer system (EDIS).

In certain departments they can assist with documenting H&Ps, Progress Notes, and Discharge Summaries.


* Facilitate the acquisition of diagnostic test results from ancillary departments.

Compile results for the provider's review and action.

Record test results on the medical record as directed by the provider.


* Record, in real time, the actions (physical exam and procedures) and words of the provider.

Obtain the provider's signature on every chart.


* Record the discussions that occur between the provider and medical consultants or patients' family members.


* Continually check the status of pending studies to decrease patient wait time and increase the efficiency of the Department.

Notify provider when studies are back.


* Record discharge and after-care instructions on the medical record as directed by the provider.

Ensure complete and legible documentation of the patient encounter and notify provider if more information is needed for documentation.

This may include reviewing triage and nursing documentation for completeness.


* Review the primary diagnoses and work with the provider to ensure that all documentation is accurate and is clinically supported in the charting.


* Work with the provider to ensure that all quality measures are completed.


* May pend orders under the discretion of the provider if...