The Complete Medical Scribe

A Guide to Accurate Documentation

3rd Edition

Kim Kwiatek, Katerina Flamm, ABC Scribes LTD
Elsevier
272 pages
ISBN: 9780323812658
January 2022

This guide 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. 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.