20 hours ago In your transfer of patient care and patient hand-off report to the EMTs or paramedics name some information should you include: The patient's age and sex, what you discovered in the primary and secondary assessment including the status of the patient's airway and breathing, any interventions you provided to the patient, vital signs... >> Go To The Portal
let the patient control the environment. During the ride to the ED, the EMT tells the patient, who fell and may have broken her wrist, that they will take an X-ray to determine the extent of the injury. This is a form of therapeutic communication known as: summary.
Now, the report is printed to the floor, the ER nurse calls the floor nurse to answer any questions. If the floor nurse happens to be busy taking care of one of her other patients and can't answer the call right away, the patient is sent to the floor, accompanied by a tech.
When transferring care of a patient to another EMS provider, your brief verbal report should always include: A.the patient's last oral intake. B.the patient's weight. C.the patient's initial presentation. D.the patient's Glasgow Coma Score
C. Instruct the EMT driving to contact medical direction again. D.Check for mottling. correct:C You are questioning an elderly patient who is unable to speak. In order for him to write responses to your questions, you must assist him by supporting his arm.
When arriving at a patient's residence, all of the following signs would indicate that the patient is visually impaired, except: a small dog penned up in the backyard.
When functioning at a crime scene, the EMR should: avoid moving furniture unless it interferes with patient care. The scope of care under which the EMR functions is specified by the: EMS system medical director.
Which of the following concepts is the first and MOST important when providing patient care? To comply with the standard of care, the EMR must: Treat the patient to the best of his or her ability and provide care that a reasonable, prudent person with similar training would provide under similar circumstances.
In most states, personal information regarding can't be released to someone not directly involved in a patient's care unless: The patient signs a release and understands the nature of the release. Following a call involving a high-profile individual, a police officer asks you for a copy of your patient care report.
CardsTerm Which of the following MOST accurately describes an emergency medical reponder (EMR)?Definition The first medically trained person to arrive to the scene.Term When EMTs or paramedics arrive at the scene of an emergency, the EMR should:Definition assist the EMTs in continuing the care that he or she initiated26 more rows•Dec 4, 2013
When Paramedics arrive on the scene of an accident, they assess a patient's condition and respond accordingly. If a patient is critically ill or injured, Paramedics must use their equipment and training to monitor and manage the patient's care.
Which of the following would be the EMR's most important initial responsibility when arriving at the scene of a multiple-patient incident? Assessing the environment to dectect possible threats to his or her safety.
It means providing care that is free from harm, minimizes redundancy and waste, allows timely access to needed services, follows best practices, and incorporates patients' preferences and treatment priorities.
The assessment of each injury is divided into two categories: primary and secondary. The primary assessment deals with injuries that are life threatening, or injuries involving the ABCs—airway, breathing, and circulation. The secondary assessment involves all non-life- threatening injuries.
A hospital's first obligation to all patients is caring for their medical needs. When a patient is also involved in a criminal investigation, either as a suspect, witness or victim, that obligation remains the priority.
The Privacy Act of 1974 (5 U.S.C. § 552a) protects personal information held by the federal government by preventing unauthorized disclosures of such information. Individuals also have the right to review such information, request corrections, and be informed of any disclosures.
The three HIPAA rulesThe Privacy Rule.Thee Security Rule.The Breach Notification Rule.
During the ride to the ED, the EMT tells the patient, who fell and may have broken her wrist, that they will take an X-ray to determine the extent of the injury . This is a form of therapeutic communication known as:
Do nothing since the EMT is only ever allowed to give it once.
Speak clearly, slowly, and distinctly, using language the patient understands.
Keeping your eye level above that of the patient if the patient seems hostile or aggressive.
Refraining from explaining what you are doing, as it takes too much time.
Never touching a patient in a comforting manner, as the patient will perceive it as encroachment.
the person being spoken to understands exactly what he or she is told.
Proper documentation is an unreliable method for determining whether you functioned appropriately.
In most systems, EMRs are not required to contact medical control for the basic skills they are permitted to perform.
The ICU refuses almost every single time and it turns into a game. "Oh! nurse is in a patient's room" or "let her call you back in two minutes" and 30 minutes later... For the record, if the standard of care requires that the hand off is nurse to nurse, you can meet me in your patient's room in ten minutes.
If, on the average medsurg floor, the nurse is covering 5-10 other pts, and has 2-3 DCs or admits in a shift, this can be quite dangerous.
It is his/her responsibilitiy to assign the patient, and the receiving nurse's responsibility, once aware that report has been filed, to read it and make sure the room is ready.
We then give the floor 20 minutes (unless they can take the patient sooner, or unless there's some special problem---e.g., an unstable patient, or they have to call in another nurse----requiring extra time.) During those 20 minutes, the receiving nurse can call down with questions or concerns. (They seldom have to do this, because we try to give them a thorough report through the computer----it saves us all time in the end!)
At the bottom of the report sheet, we're to "call so and so with any questions."
Not to sidetrack the thread, but the floor nurses sometimes have more info than the ED RN, via the EMR. We can access labs, imaging results, meds pulled from PYXIS, and sometimes if they are in ED long enough, we can read the admission H&P, as well as old records.
The receiving nurse is notified by the house supervisor or team leader when report is in the system, and the team leader ensures the receiving nurse is able to listen to report when it's in.
The EMS handoff is a crucial opportunity to obtain accurate information about a patient's presenting signs and symptoms, environment, changes in status, and response to interventions. But physicians may not be present at the handoff of a critically ill patient. Such a missed opportunity can lead to potential incorrect diagnoses or inefficient care in the workup of the undifferentiated patient.
One of the more difficult aspects of health information transfer and review is the fractured system of health data exchange. Electronic medical records between prehospital and hospital systems are rarely integrated, and systems that allow patient follow-up and integrated chart review are exceedingly rare. While data is being compiled at a national level with some groundwork in place via the National EMS Information System (NEMSIS), useful implementation is infrequent and often with limited practical scope. 5
Despite unusual origins, EMS has become an absolutely essential part of patient care in the prehospital setting. 1 As true first responders, their assessment and interventions have the potential to significantly alter patient outcomes, long before they arrive in an emergency department. However, variations in education, training, protocols, health information exchange, and established guidelines for a formal transfer of care often leave a lot to be desired at the time of handoff to hospital providers.