Emergency Room Scribe
• Documented medical history of over 2000 patients between Urgent Care facilities in the Houston area as well as at HCA Conroe (Level 2 Trauma Center).• Documentation of patient’s history include chief complaints, history of present illness, past medical/surgical history, procedures, consultations, and physical exams.• Used Meditech Electronic Health Records system to record patient’s medical data, care plans and diagnosis.• Organized treatment protocols in a fast-paced emergency room environment.• Monitored patient medical charts and recognized data discrepancies.• Reported medical data discrepancies to physicians and nurses.• Assisted physicians in accessing all relevant test results and medical history documents