accuracy of your patient care report depends on all of the following

How accurate is my Patient Care report?

The accuracy of your patient care report depends on all of the following factors, EXCEPT: A) including all pertinent event times. B) the severity of the patient's condition. C) the thoroughness of the narrative section. D) documenting any extenuating circumstances.

When do you have to complete a patient care report?

B) pertinent details about the previous call may be omitted inadvertently. C) your patient care report must be completed within 36 hours after the call. 17. Prior to submitting a patient care report to the receiving hospital, it is MOST important for:

Why are all patient care reports supposed to have minimum data set?

Which of the following BEST explains why all patient care reports done in the United States are supposed to have the minimum data set​ included? It shortens the overall length of the PCR. It is required for Medicaid and Medicare to provide reimbursement.

What happens if a paramedic is unable to complete a report?

If the paramedic is unable to complete his or her patient care report before departing the emergency department, he or she should: A) leave, at a minimum, the patient's name and age, but recognize that the physician will perform his or her own exam.

What are the functions of a patient care report?

The primary purpose of the Patient Care Report (PCR) is to document all care and pertinent patient information as well as serving as a data collection tool. The documentation included on the PCR provides vital information, which is necessary for continued care at the hospital.

What is the proper way to correct an error on your patient care report?

Proper Error Correction ProcedureDraw line through entry (thin pen line). Make sure that the inaccurate information is still legible.Initial and date the entry.State the reason for the error (i.e. in the margin or above the note if room).Document the correct information.

What is the purpose of Nemsis quizlet?

The National Emergency Medical Services Information System (NEMSIS): collects relevant data from each state and uses it for research. When a competent adult patient refuses medical care, it is MOST important for the paramedic to: ensure that the patient is well informed about the situation at hand.

When providing patient care it is most important that you maintain effective communication with?

Emt E. When providing patient care, it is MOST important that you maintain effective communication with: your partner.

What is an accurate patient record?

The absolute minimum standard for accurate medical record keeping requires that records be legible (preferably not hand-written and ideally digital) and contain: Patient demographics, such as name, date of birth, and contact details.

What should be in a patient care report?

There are seven elements (at a minimum) that we have identified as essential components to documenting a well written and complete narrative.Dispatch & Response Summary. ... Scene Summary. ... HPI/Physical Exam. ... Interventions. ... Status Change. ... Safety Summary. ... Disposition.

What is a Nemsis?

The National Emergency Medical Services Information System (NEMSIS) is the national database that is used to store EMS data from the U.S. States and Territories. NEMSIS is a universal standard for how patient care information resulting from prehospital EMS activations is collected.

Which of the following would be considered objective data quizlet?

Which of the following is considered an example of objective data? Objective data is what the health professional observes; level of consciousness and orientation are observations.

What are the components of a thorough patient refusal document?

Components of a thorough patient refusal document include: willingness of EMS to return to the scene if the patient changes his or her mind. When documenting a statement made by the patient or others at the scene, you should: place the exact statement in quotation marks in the narrative.

What are five factors that health care professional should consider when determining a patient's level of understanding in order to set communication goals?

Physicians may consider five steps for effective patient-centered interviewing as shown in Table 1 10. The following four qualities are important components of caring, effective communication skills: 1) comfort, 2) acceptance, 3) responsiveness, and 4) empathy 11.

Which of the following is the most important reason for maintaining good documentation standards?

Which of the following is the MOST important reason for maintaining good documentation​ standards? Good documentation contributes to continuity of care.

What is effective patient care?

Effective: Providing services based on scientific knowledge and best practice. Patient-centered: Providing care that is respectful of and responsive to individual patient preferences, needs and values, ensuring that patients' values guide all clinical decisions.