Medical Scribe

Medical Scribe

Position Details

Position Summary

The primary role of the Medical Scribe is to relieve the practitioner of clerical and secretarial duties; thus allowing the practitioner to focus more directly on clinical care. The scribe is an unlicensed individual and exclusively non-clinical. They do not examine patients and do not engage in any type of patient care. A scribe’s role is limited to documentation and efficiency management for the practitioner. Must be able to travel to our satellite offices (except Yuma).

Position Duties

• Assists the practitioner in navigating the Electronic Health Record (EHR) and may locate information for review as requested by the practitioner (i.e., previous notes, reports, test results, and laboratory results). Also, may research information requested by the practitioner.
  
• Accompanies the practitioner upon patient interview and examination and they do not interject their own observations or impressions.
  
• Documents the practitioner dictated patient history, including history of present illness; review of systems; past medical and surgical history; family and social histories; and medications and allergies.
  
• Documents physical examination findings and procedures as performed by the practitioner.
  
• Documents the results of laboratory and radiographic studies as dictated by the practitioner.
  
• Documents the correct time of patient care related activities, including practitioner to practitioner communication, family communication and re-examination of the patient.
  
• Ensures the practitioner reviews all documentation completed by the Scribe when the patient encounter has concluded. This includes making any necessary amendments and signing the chart. The practitioner is ultimately responsible for documentation of the patient’s encounter.
  
• Make “chart rounds” with the practitioner to review patient status, delays, and any other care-related issues.
  
• Ensures authentication takes place before the Practitioner and scribe leave the patient care area and that all orders for patient care are communicated by the practitioner.
  
• Performs miscellaneous job related duties as requested.
  

Phoenix Children's Mission, Vision, & Values

To advance hope, healing and the best healthcare for children and their families

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable