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A scribe can be found in multiple settings including physician practices, hospitals, emergency departments, long-term care facilities, long-term acute care hospitals, public health clinics, and ambulatory care centers.They can be employed by a healthcare organization, physician, licensed independent practitioner, or work as a contracted service.Contact [email protected] copyright questions and/or permission requests. With the push to develop and deploy electronic health records (EHRs) and the need for more detailed documentation, there is a growing concern in the medical community regarding the time expended to capture information-electronic or otherwise.Office endometrial suction catheters are easy to use, and several have been reported to have diagnostic accuracy that is equal or superior to the dilatation and curettage (D&C) procedure.Suction is generated by withdrawing an internal piston from within the catheter, and the tissue sample is obtained by twirling the catheter while moving it up and down within the uterine cavity.Scribes are not permitted to make independent decisions or translations while capturing or entering information into the health record or EHR beyond what is directed by the provider.

EHR security rights (role-based access) for a scribe and clinical assistant are different.This practice brief will explore some of the benefits and challenges of scribes within the physician practice setting.In addition, this practice brief will provide recommended practices for the use of scribes.Nonsterile gloves Lubricating jelly Absorbent pad to place beneath the patient on the examination table Formalin container (for endometrial sample) with the patient's name and the date recorded on the label20 percent benzocaine (Hurricaine) spray with the extended application nozzle Place the following items on a sterile drape covering the Mayo stand with the following items placed on top: Sterile gloves Sterile vaginal speculum Uterine sound Sterile metal basin containing sterile cotton balls soaked in povidone-iodine solution Endometrial suction catheter Cervical tenaculum Ring forceps (for wiping the cervix with the cotton balls)Sterile 4 × 4 gauze (to wipe off gloves or equipment)Sterile scissors (if the physician chooses to cut off the catheter tip to deliver the endometrial sample into the formalin container)Keep sterile cervical dilators available, but do not open the sterile packaging unless the dilators are needed.Once the physician is sterile-gloved and has placed the speculum, the nurse can spray the benzocaine spray onto the cervix for 5 seconds, avoiding contamination of the sterile speculum with the extended spray nozzle.

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