COVID-19 Update: Read our messages to employees and clients

COVID-19 UPDATE
September 13, 2019
Doctor Saves Hand, Scribe Saves Finger
By Jason Cho

We regularly profile current and former team members (AKA our HealthChannels Alumni) on ScribeCorner.com. Visit ScribeCorner now for the latest stories, and sign up for our quarterly Alumni newsletter if you want these employee profiles, company updates and more delivered to your inbox!

The morning moved slowly, we saw a few patients in the ED. Hours went by without any commotion. Then we heard the call, I began to chart with the code for no pulse, and soon the ED doors opened. A young man in cardiac arrest. The energy shifted quickly as we all took to our positions.

The patient in his twenties suffered from a chronic genetic heart condition, hypertrophic cardio myopathy. I was charting as fast as I could for 50 minutes straight. Then the moment came, the cardiologist announced time of death. I left the room to complete the documentation, the lowered morale in the ED was palpable. The deceased’s mother had lost a son before, to the same genetic heart condition.

I settled myself to work on the chart of the cardiac arrest patient. My thoughts were spinning, but I stayed calm as staff attended to the family of the young man who had just passed.

That’s when we received the call. When we have a serious trauma we usually receive a call beforehand. A construction worker in his mid-thirties had a workplace accident. He had severed four fingers from his hand.

I saw the patient as he entered the trauma bay, near him his coworker held a bucket of ice, his face was pale with shock. His colleague’s fingers were in the ice bucket he carried. By this time the attending trauma physician had switched gears and was focused.

I began to chart as the portable X-ray machine most often used for motor vehicle accident victims was brought in to examine the patient’s hand and fingers. The remaining fingers were removed from the bucket and saline solution prepared to clean the affected area.

The doctor asked a series of questions and the patient said he couldn’t feel his fingers, and that he thinks he lost four. He was able to talk, adrenaline has that effect sometimes. “Treat me first” he said, “and then call my wife.” He had gone through this trauma but didn’t want his wife to worry, it was a touching moment.

In the trauma bay we aren’t allowed to bring in our computers because every inch of space really counts. I sat in the back right corner with my notebook and pencil, jotting down everything the doctor said out loud. Then I noticed a discrepancy. The patient had four fingers missing but only three appeared on the X-ray. I checked the patient repeatedly to make sure I wasn’t mistaken, and looked over my notes. I alerted the X-ray technician beside me. He examined the bucket that was now filled with melted ice, dirt and a ripped glove. He put his hand in the water and found the fourth finger had sunken to the bottom of the bucket.

We made sure the doctor was informed and as I went back to my station to code the encounter, the patient was transported to a trauma center for immediate surgery to reattach the lost appendages. I was glad the patient’s co-worker had thought fast, put the fingers on ice, and that the fourth finger had not been dumped in the biohazard bag with the rest of the icy water.

A day in the ED has its ups and downs. Now I’ve learned first-hand that no matter what happens, it’s important to recalibrate and look at the big picture, without losing sight of the details.


*Jason Cho received the Great Catch Award from Lankenau Medical Center for delivering a superior patient experience

Nurse Care Team Assistants
While nurses comprise the largest healthcare workforce, many suffer in silence from burnout and decreased job satisfaction. Our Nurse CTAs combat burnout with strategic support. From documenting patient encounters to monitoring vital signs, CTAs ensure nurses work top-of-license. CTAs close critical gaps in the care continuum and provide nurses with the added bandwidth to focus on critical care.

LEARN MORE AT CARETHROUGH.COM
TeleScribe Services
Providers with limited space or in need of increased privacy on behalf of their patients have valuable documentation support through our real-time video TeleScribe program. Healthcare sites in rural settings also benefit from our unrivaled offsite resource for optimized efficiency and tackling administrative burdens.

LEARN MORE AT SCRIBEAMERICA.COM
Care Team Assistants
Our team of experts have developed innovative strategies from the industry insights gained from nearly two decades of healtchare leadership to improve care team performance. A tailored, next-generation CTA Program extends your ability to support patients throughout their care journey.

LEARN MORE AT SCRIBEAMERICA.COM
Care Navigators
As healthcare business models evolve, so should care teams. Patients who are paired with Care Navigators report feeling less anxiety, and an increased ability to self-manage their conditions between visits. And providers report increased job satisfaction from improved efficiency, and knowing their patients have access to care teams, and strategic support.

LEARN MORE AT CARETHROUGH.COM
Revenue Cycle Management
Transition Revenue Cycle Management into the modern age with a suite of software tools that will transform your billing and coding processes. Transact at lightning speed, with increased transparency and decreased siloes. The QueueLogix software application seamlessly integrates with existing EMRs to ensure the clinical activities and back-office operations are well aligned, monitored and successful.

LEARN MORE AT QUEUELOGIX.COM
Referral Management
Minimize the number of patients referred out of network and provide a hassle-free experience for patients. With our referral management solutions, CTAs can check provider availability, insurance requirements and book an appointment for your patient at the point of care. Increase follow-up appointment compliance and preserve network integrity.

LEARN MORE AT QUEUELOGIX.COM
Scribe Services
There’s a reason why we’re the nation’s most frequently used scribe company: we offer professionally trained in-person and virtual medical scribes to meet the specific needs of our clients. We offer a variety of scribe programs, as well as technology and personnel solutions that address revenue cycle management, the transition to value-based care, and more through our HealthChannels family of companies.

LEARN MORE AT SCRIBEAMERICA.COM
Artificial Intelligence
Our advanced AI solutions tackle complex documentation challenges to reduce the administrative burden preventing doctors from delivering precision care. We'll guide you through the best practices for incorporating AI into your workflow. Gain visibility into your data with enhanced analytics driven by AI and CTAs.

LEARN MORE AT SOUNDLINES.COM