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Physician scribes- Can this be a nurse? Anyone using them?



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Sep 10, 2009 11:02 AM

Physician scribes- Can this be a nurse? Anyone using them?


Hello. We currently use CPOE on our inpatient side in the hospital I am employed at. We have moved towards using it in the ED also, but several of the physicians are claiming it is slowing them down too much for an ED setting. They are now requesting to have a "scribe" for them in the ED, which they say is to be a nurse that will put in all their orders for them.
Just wondering if anyone else out there is using this method. If so, do you put them all in as verbal orders and let the physician sign them later? If not, how do the orders get put in electronically?

Any insight would be very much appreciated.

thank you.


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No. 1
from Mijourney
Old Sep 10, 2009, 07:33 PM

Default Re: Physician scribes- Can this be a nurse? Anyone using them?
I would ask the health information management department about physician scribes. Usually there is someone in that department that keeps up with hospital, state, and Medicare or commercial insurance guidelines. If scribing is allowed by an RN, the physician has to sign off on the note to make it valid. Even if scribing is done by an APRN or PA for the physician, the physician has to sign off to my knowledge.
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from mydesygn
Old Sep 18, 2009, 11:34 PM

Default Re: Physician scribes- Can this be a nurse? Anyone using them?
We are using physician scribes in our pediatric ER, however our ER is not on CPOE , they are fully on paper. They use Medical students for scribes. The medical students essentially walk with the ER physician as they are seeing patients. The scribes are writing orders and patient documentation. Some ER physicians use the scribes - some prefer to continue writing their own orders / documentation.

We are beginning to pilot CPOE in the ER - oddly enough there have not been any discussion of having the scribes enter orders - YET.
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