Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Charting in uncharted territory: Scribing during COVID-19

Gazal Homayouni
Conditions
May 21, 2020
Share
Tweet
Share

On Friday, March 27, 2020, California went on lockdown in the face of the COVID-19 pandemic. It changed every Californian’s life, including my own. As the newly appointed chief scribe, the possibility that I would be jobless by the time Monday rolled around, was the last of my worries. What would happen to the patients who depended on our care? Or the physicians, nurses, and administrators that kept the center afloat? I waited the weekend out to see whether or not I would have to go into work on Monday. However, that call never came. “Scribes are essential” the physician I work for announced during morning rounds. “This is uncharted territory, and we are in a constant flux of change, but we are all here, and we are going to do what we can for our patients.” I am one of the few scribes who has been working throughout COVID-19, and this is my experience.

The change in our daily lives was instantaneous. I used to walk through the doors of the hospital and smile at the volunteer at the front desk, comment on the weather or recent sporting events, then open up my computer and begin a full day of seeing patients and charting. Now when I walk up to the entrance of the hospital, there are no volunteers to greet me. Instead, there is a nurse at the front who greets me. I can’t see her smile, it’s hidden behind an N95 mask, but I can tell from the wrinkles by her eyes, she’s smiling. I can also tell she is tired, and I am probably the last person she will see before her shift is done, and another nurse takes her place. “Are you coming to work?” she says. I smile, one she can see because I haven’t put on my PPE yet. “Yes,” I responded. “Any symptoms,” she starts, as she gathers the thermometer that has been recently sanitized. “No,” I say.  She puts the thermometer to my forehead and rolls it around the surrounding area before it beeps. “98.7, you’re good to go.” I sanitize my hands, shaking them to dry faster so I can don the face mask she has prepared for me. “Thank you, have a good day!” I say with a smile, but she can’t see that now.

The thought never crossed my mind to voluntarily complete my charting at home, even when I was given the option. Accurate documentation of patient-physician interactions is not something I can accomplish from the comfort of my bedroom. Not many scribes can say the same, many furloughed or fired from their positions as they became potential liabilities to the hospital. But I didn’t know I would also have a target on my back at the same time. I have been on the receiving end of many stares and people frantically moving away from me, thinking I am COVID, that my blue scrubs are the disease. These days I have been asking more questions to myself and to the health care professionals I work with: How do we dispel fear in our society? Our ED department has seen a significant decrease in admits, where are the patients who are having strokes, heart attacks, appendicitis, and other health complications going if not to the emergency department? Why are patients, who are in septic shock, being placed into COVID wards for rule out when infected wounds are the main problem?

Many of our patients are afraid to come to their weekly appointments because they believe the hospital is highly infectious, but in reality, most of the positive COVID patients are in their own homes, isolating themselves. I’m not sure how hospitals will be able to overcome this stigma and proceed as they once used to. As of May 4, elective surgeries are being allowed at 50 percent on a preliminary basis, giving us a sense of hope that we can overcome this challenge. “How are you doing today?” The nurse at the front asks me, “I’m charting in uncharted territory.” I respond. We both laugh, both hopeful we can see each other smile once again.

Gazal Homayouni is a medical scribe.

Image credit: Shutterstock.com

Prev

Calm in the face of the hideous reality of death

May 21, 2020 Kevin 0
…
Next

Remember the art of medicine during virtual visits

May 21, 2020 Kevin 1
…

Tagged as: COVID, Hospital-Based Medicine, Infectious Disease

Post navigation

< Previous Post
Calm in the face of the hideous reality of death
Next Post >
Remember the art of medicine during virtual visits

ADVERTISEMENT

Related Posts

  • How to get patients vaccinated against COVID-19 [PODCAST]

    The Podcast by KevinMD
  • COVID-19 divides and conquers

    Michele Luckenbaugh
  • State sanctioned executions in the age of COVID-19

    Kasey Johnson, DO
  • A patient’s COVID-19 reflections

    Michele Luckenbaugh
  • Starting medical school in the midst of COVID-19

    Horacio Romero Castillo
  • COVID-19 shows why we need health insurance

    Jingyi Liu, MD

More in Conditions

  • Why peer support can save lives in high-pressure medical careers

    Maire Daugharty, MD
  • Addressing menstrual health inequities in adolescents

    Callia Georgoulis
  • Healing beyond the surface: Why proper chronic wound care matters

    Alvin May, MD
  • Why specialist pain clinics and addiction treatment services require strong primary care

    Olumuyiwa Bamgbade, MD
  • What a childhood stroke taught me about the future of neurosurgery and the promise of vagus nerve stimulation

    William J. Bannon IV
  • Facing terminal cancer as a doctor and mother

    Kelly Curtin-Hallinan, DO
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • Bundled payments in Medicare: Will fixed pricing reshape surgery costs?

      AMA Committee on Economics and Quality in Medicine, Medical Student Section | Policy
    • How Project ECHO is fighting physician isolation and transforming medical education [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why clinical research is a powerful path for unmatched IMGs

      Dr. Khutaija Noor | Education
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
    • How to advance workforce development through research mentorship and evidence-based management

      Olumuyiwa Bamgbade, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • Bundled payments in Medicare: Will fixed pricing reshape surgery costs?

      AMA Committee on Economics and Quality in Medicine, Medical Student Section | Policy
    • How Project ECHO is fighting physician isolation and transforming medical education [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why clinical research is a powerful path for unmatched IMGs

      Dr. Khutaija Noor | Education
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
    • How to advance workforce development through research mentorship and evidence-based management

      Olumuyiwa Bamgbade, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...