You have transported a confused 46-year-old male who overdosed on an unknown drug to a busy emergency department. After giving an oral report to the ED nurse, your partner informs you that he wants to hurry back to the station so that he can watch the end of the football game; therefore, he is going to complete the patient care report (PCR) at a later time. How should you respond? Show a. "Make sure that you give the nurse the telephone number to the station so she can call if there are any questions about the patient or our care." b. "If you do not complete and leave the PCR, the ED staff may not otherwise have access to information contained in the PCR." c. "You really need to complete it before we leave. The hospital will not be able to get the patient's insurance information without the PCR." d. "If you do not leave the PCR, the emergency department staff will not know how to treat the patient."
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Chapter 4 Quiz - EMT Studies Terms in this set (15)Which one of the following statements about PRCs is accurate? b. "Aside from providing a record of the care given, the PRC also may be used for education and research." Which one of the following items is included in the U.S. Department of Transportation minimum data set? c. Vital signs and skin color. After the patient who is short of breath signs a refusal of service, which one of the following statements would be appropratie prior to leaving the residence? c. "If you change your mind and want to be transported to the hospital, call 911." Which one of the following describes an advantage of computerized documentation? d. Large amounts of data can be stored and retrieved much easier than with the written PCR. Which one of the following describes the most objective finding made while assessing a patient? a. Blood pressure of 114/68 mmHg Two days after a call, you realize that you forgot to document that you checked a patient's blood glucose prior to him refusing transport and signing the refusal form. At that time, you did contact medical direction and priovide this information to the doctor, prior to him authorizing the patient to refuse. Which one of the following is now your best course of action? C. Add an addendum to the report with the correct information, current date, and the EMT's initials. You have been called to the house of a patient with altered mental status. You encounter a 41-year-old male who exhibits slurred speech, an unsteady gait, and has an odor of alcohol on his breath. His wife states that he is an alcoholic and needs help to get better. When documenting this, which one of the following would be best? d. Per wife - patient with alcoholic history. Which one of the following patients who refuse treatment must be transported to the hospital. d. 29-year-old female who attempted to cut her wrists earlier but now states it was an accident and she is not suicidal. Which one of the following would be the best reason for a policy that requires all crew members to synchronize their watches with dispatch at the beginning of each shift? a. Promotes accurate system-wide time record keeping throughout the shift. A patient states that he has had a headache located in his forehead for three days. The EMT should recognize and document this piece of information as a(n): d. subjective finding. You have placed a 67-year-old femalepatient on high-flow oxygen via nonrebreather face mask. Under which section of the prehospital care report (PCR) would you document this information? a. Treatment. A nauseated patient with abdominal pain and a fever states that he has not vomited. Which one of the following describes how that fact should be documented. a. As a pertinent negative. When asked, an alert and oriented 44-year-old male tells you that he callled 911 because "my chest is hurting". The man is also diaphoretic and nauseated. The patient has a history of high blood pressure and states that this pain "feels just like my heart attack two years ago." His pulse is 88 beats per minute, and blood pressure is 156/92 mmHg. Onroom air, he has a SpO2 of 95%. Based on this information, how would you document his chief complaint on the patient care report?
a. "My chest is hurting." When writing a prehospital care report, you accidentally document that a laceration was on the left side of a patient's face when it was actually on the right side of the face. How would you correct this mistake? b. Draw a single line through the term "left" and write the word "right" next to it. Your partner states that he is the "worlds worst speller" and has great difficulty using medical terms. Which one of the following is your best response? b. "Use plain English if you are unsure of how to apply or spell a medical term." Sets with similar termsChapter 4 - Documentation32 terms palmtrees3 EMT Quiz Chapter 445 terms quizlette336971 EMT Basic Exam 1: CH 1-5100 terms jacque_spence Sets found in the same folderChapter 2 - EMT Quiz20 terms ilvbaj Chapter 5 Quiz - EMT Studies15 terms ilvbaj Chapter 6 Quiz - EMT studies15 terms ilvbaj Chapter 7 Quiz - EMT Studies35 terms ilvbaj Other sets by this creatorSpanish 3.05 vocabulary words49 terms ilvbaj Paramedic - informational12 terms ilvbaj Ceremonial speech12 terms ilvbaj Chapter 1 Vocabulary Terms90 terms ilvbaj Other Quizlet setsExam #3 Chapter 41 Diuretics29 terms stuberheathern MKTG 350 Chapter 9 Quiz45 terms hdelatte6 western civ part 230 terms oliviamasterson888 Eco quizzes55 terms Lucy_Miller354 Related questionsQUESTION Which pulse characteristic can be assessed by comparing the strength of the upper extremity pulses with the strength of the lower extremity pulses? 4 answers QUESTION
where does the spinal accessory nerve lie? 6 answers QUESTION An older adult patient who lives alone and is somewhat forgetful has an overactive bladder and reports occasional constipation. Which treatment will the nurse anticipate for this patient? 3 answers QUESTION Which may be recommended for a patient in whom fecal impaction is suspected? 15 answers Which of the following is true when positioning a patient for transport?Which of the following is TRUE when positioning a patient for transport? An unresponsive patient without head, neck, or spinal injury should be placed in the left lateral recumbent position.
When interviewing a patient with a medical emergency the EMT is using the technique of summary when she says?hospitals can better prepare for the arrival of a patient. When interviewing a patient with a medical emergency, the EMT is using the technique of summary when she says: "So the nausea and vomiting started two days ago."
What would be considered an objective patient assessment finding?Examples of objective assessment include observing a client's gait , physically feeling a lump on client's leg, listening to a client's heart, tapping on the body to elicit sounds, as well as collecting or reviewing laboratory and diagnostic tests such as blood tests, urine tests, X-ray etc.
What is an advantage of computerized documentation?The computerized documentation system provided a more legible, complete patient record without increasing the time needed to document care. The CDS was more accessible and it improved shift to shift reporting.
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