Emergency Medicine Tutorial

All of dotScribe's history templates are standardized and include common findings to increase your speed and accuracy. A "pertinent negatives" review of systems is also included in each history to help you avoid missing key symptoms. Try type-searching with any of the methods above. Specialty inclusion is optional.

History

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Progress Notes (more coming soon)

BEGINNER
problem.pn.specialty

reassess.pn

deescalation.pn

ADVANCED
,pnproblemspecialty
,pnreassess

,pndeescalation

dotScribe MASTER
reassessp

deesca

dotScribe's emergency medicine progress notes are a growing library that facilitates rapid updates on patient conditions and treatment responses. Try type-searching with any of the methods above. Specialty inclusion is optional.

Progress Note

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Nursing Progress Notes (additions based on demand)

BEGINNER
problem.npn.specialty

npo.npn

iv.npn

extubation.npn

ADVANCED
,npnproblemspecialty
,npnnpo

,npniv

,npnextubation

dotScribe MASTER
nponp

ivnp

extubnpn

dotScribe's nursing progress notes streamline documentation by offering structured templates for common nursing tasks. Try type-searching with any of the methods above. Specialty inclusion is optional. More content is forthcoming.

Nursing progress note

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Review of Systems Templates

BEGINNER
problem.ros
headache.ros

nausea.ros

negative.ros

ADVANCED
,rosproblem
,rosheadache

,rosnausea

,rosallnegative

dotScribe MASTER

headaros

rosnau

rosalneg

dotScribe has systems-based templates as well as problem-specific negative review of systems. Problem-specific templates contain negatives and red-flag symptoms that should not be missed. Try type-searching with any of the methods above.

Review of Systems Templates

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Physical Exam Templates

BEGINNER
problem.exam

coordination.exam

cranialnerve.exam

back.exam

meningitis.exam

ADVANCED
,examproblem

,examcoordination

,examcranialnerve

,examback

,exammeningitis

dotScribe MASTER

examcoord

cranialnerexam

backexa

exammenin

dotScribe has a robust library of disease-specific exam findings as well as normal exam findings by system. Try type-searching with any of the methods above.

Physical Exam Templates

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Complete SOAP Notes (additions based on demand)

BEGINNER
problem.soap.specialty

lowback.soap

knee.soap

joint.soap

ADVANCED
,soapproblemspecialty

,soaplowback

,soapknee

,soapjoint

dotScribe MASTER

soapback

soapknee

joisoap

dotScribe's growing library includes a variety of ways to document, including complete SOAP notes. Try type-searching with any of the methods above. Specialty inclusion is optional. dotScribe's SOAP note library is currently limited due to lack of demand and EHR incompatibility.

Complete Soap Note

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Medical Decision Making Templates (more coming soon)

BEGINNER
problem.mdm.specialty
admit.mdm

sepsis.mdm

foley.mdm

ADVANCED
,mdmproblemspecialty

,mdmadmit

,mdmsepsis

,mdmfoley

dotScribe MASTER

mdmadmit

sepsismdm

foleymd

dotScribe's MDM library includes problem-specific discussions with the patient, treatment plans, and further recommendations as necessary. Try type-searching with any of the methods above. Specialty inclusion is optional.

Medical Decision Making

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Procedure Notes

BEGINNER
procedurename.proc
abscess.proc
cerumen.proc

cardioversion.proc

laceration.proc

ADVANCED
,procprocedurename

,procabscess
,proccerum
,proccardioversion

,proclaceration

dotScribe MASTER

absproc
cerumproc
cardioproc

lacerproc

dotScribe's procedure templates are designed to save you as much time as possible. Procedure templates (,proc) are different than (,procz) templates. PROCZ templates are rapid links to external instructional resources on how to perform specific procedures. Visit our Rapid Links tutorial for more information on the ,procz library. Try type-searching with any of the methods above.

Procedure Notes

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Discharge Instructions & Summary to Patient (more coming soon)

BEGINNER
problem.discharge.specialty

ama.discharge

drunk.discharge

laceration.discharge

asthma.discharge

ADVANCED
,dcproblemspecialty

,dcama

,dcdrunk

,dclaceration

,dcasthma

dotScribe MASTER

amadis

dcdrunk

lacdisch

asthmadis

dotScribe's emergency medicine discharge summaries are problem-specific and cover a wide range of ailments. Confidently send your patients home with trusted medical information. Try type-searching with any of the methods above. Specialty inclusion is optional.

Discharge Summary and instructions to patient

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Common Statements & Phrases

BEGINNER
problem.common

billing.common
counsel.common
alcohol.common

ADVANCED
,xproblem

,xbilling
,xcounsel
,xalcohol

dotScribe MASTER

x.bil
x.couns
x.alc

These templates were created for all the odds and ends types of phrases that don't quite fit anywhere else. Think of the "X" as the missing variable in your notes. Try type-searching with any of the methods above.

One-Line Summaries

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