What is an example of a clinical procedure a scribe might document?

Documenting a surgical procedure performed during the patient encounter is a key responsibility of a medical scribe. This task involves accurately capturing details about the procedure, such as the type of surgery, duration, the surgeon’s notes, and any immediate postoperative care. This documentation is critical for maintaining comprehensive medical records, which ensure continuity of care and serve as essential references for future medical encounters, billing, and legal purposes.

In contrast, other options represent tasks that, while important in the overall patient care process, do not fall under the definition of a clinical procedure. For instance, recording a patient's weight and height is more about tracking demographics and vitals rather than procedural documentation. An appointment reminder sent to the patient is part of patient communication and logistics, and a follow-up questionnaire is associated with patient feedback and satisfaction rather than clinical interventions. These activities, while relevant, do not involve direct clinical procedures conducted by healthcare providers, which is why the documentation of a surgical procedure is the most fitting choice.