17 hours ago "Then follow these steps to transfer the patient to the receiving hospital: 1. Report your arrival to the triage nurse or other arrival personnel. 2. Physically transfer the patient from the stretcher to the bed directed for your patient. 3. Present a complete verbal report at the bedside to the nurse or physician who is taking over the patient ... >> Go To The Portal
C. The EMT was supposed to circle the incorrect word, write the correct word beside it, and then initial the change. D. The EMT forgot to initial the mistake after striking out the wrong word and writing in the correct one. The EMT forgot to initial the mistake after striking out the wrong word and writing in the correct one.
Instead, they cause more deadly accidents, decrease care EMT in patient compartment can provide, decrease cushion of safety, cuts down on driver's reaction time, and increases the time and distance needed to stop the ambulance 1.
The emergency department needs to know quickly and accurately the patient's condition. D. You want to make sure the doctor approves your medical order request. The emergency department needs to know quickly and accurately the patient's condition.
The medical personnel state that the patient had a psychotic episode and slashed his wrists. During the call, the patient claims to hear the voice of God and says that the voice is hurting his ears. The patient refuses to be transported to the emergency department, becomes combative, and bites one of the EMTs.
a valuable source for research on trends in emergency care. your chance to convey important information about your patient directly to hospital staff.
It minimizes the chance that you will forget to contact medical control. The portion of the patient care report in which the EMT writes his description of the patient's presentation, assessment findings, treatment, and transport information is called the: A.
draw a single horizontal line through the error, write correctly beside it, and initial it.erasing or writing over the error could be interpreted as attempts to cover up a mistake or falsify a report.most electronic PCR formats provide a method to amend the report if an error is discovered.
You have an urgent transmission you need to make to the dispatch center. Which of the following is the appropriate way to communicate this? Listen to the frequency first to avoid stepping on another transmission.
Parts of the EMS radio report to the hospitalUnit's identification and level of service (ALS or BLS)Patient's age and gender.Estimated time of arrival (ETA)Chief complaint and history of present illness.Pertinent scene assessment findings and mechanism of injury (i.e. fall, or motor vehicle accident)More items...•
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.
A comment field in the amended report may suffice. In general, a narrative entry in the medical record statement indicating that an error has been made, and is being corrected, is the best procedure.
Which of the following is the most appropriate action in order to make a correction when an error has been made in the chart? Draw a single line through the error.
How should an entry in a patient's electronic medical record be corrects? input a note of which section is in error and enter correct data with details of why the correction is necessary and authenticate with electronic signature, date, and time.
Which of the following methods should the EMT use first to attempt to access a patient in a vehicle while awaiting arrival of a rescue crew? Try all of the vehicle's doors to see if they will open.
While completing a radio transmission, you should periodically: obtain confirmation that your message was received and understood.
The EMS Authority is charged with providing leadership in developing and implementing EMS systems throughout California and setting standards for the training and scope of practice of various levels of EMS personnel.
You should document everything including all patient care, all of your attempts to persuade the patient to go by ambulance, and who witnessed the patient refusal. You should document your patient care and then simply document that the patient was informed of the risks prior to his refusal.
Stand near the head of the bed and shout to make sure the patient can hear you.
Do not tell the child that a procedure will hurt beforehand because the child will become terrified.
You do not want to bore the nurse receiving your report.
Changes in the patient's condition can be communicated.
A prehospital care report reads: "GSW to LLQ." Based on this, you should recognize that the patient sustained a (n):
Immediately after giving a prehospital care report to the nurse in the emergency department, dispatch informs you that there are no more ambulances available and you must immediately leave the hospital to cover another portion of the county. Since your service uses a computerized documentation system and there is no time to complete your report, your best course of action should be to:
A patient with asthma is using his inhaler TID and prn. You would recognize that:
When asked, an alert and oriented 44-year-old male tells you that he called 911 because "my chest is hurting." The man is also sweating and feels as if he is going to vomit. He 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, respirations are 18 breaths per minute, and blood pressure is 156/92 mmHg. On room air, he has an oxygen saturation level of 95 percent. Based on this information, how would you document his chief complaint on the patient care report?
An intoxicated patient will not leave the oxygen mask on. What would be the most appropriate way to document this behavior on the prehospital care report?
C. Spell the patient's last name to avoid confusion.
A. The patient's culture is irrelevant to the EMT.
Good Samaritan laws. An EMT-B's obligation in certain situations to provide care to a patient is referred to as a: Duty to act. If a jury finds that an EMT-B had a duty to a patient, that he failed to carry out that duty properly, and that his action caused harm to the patient, the EMT-B would be guilty of: Negligence.
A. An EMT--Paramedic givers a verbal report to any emergency nurse.
The principle that information about a patients history, condition, or treatment must not be shared with unauthorized parties is called: Confidentiality. If you discover that a critically injured patient is an organ donor, as an EMT-B you should: Notify the nurse/physician at the hospital.
Rapid and thready. The first pulse taken by an EMT-B on patients one year and older is the: Radial pulse. If an EMT-B has trouble finding the radial pulse on a conscious patient, he should first: Try the wrist on the other arm. A rapid pulse, or any pulse over 100 beats per minute, is called: Tachycardia.
It is important that the EMT-B follow the same path in and out of a crime scene in order to: Prevent disturbing the crime scene. The agency that has issued strict guidelines detailing precautions against exposure to bloodborne pathogens is the: OSHA.
During the rapid trauma assessment of a patient with multiple injuries, you expose the chest and find an open wound with blood bubbling from it. What should you do next?
BLS transports are accompanied by an emergency medical technician-basic (EMT-B). The National Highway Administration’s Guide for Interfacility Transfer defines BLS transport patients as “stable with no chance of deterioration.”. Only routine vital signs monitoring is required in transit.
Understanding the various levels of transport providers and the reports needed to ensure safe patient care between facilities will help nurses and transport teams communicate clearly.
ALS transports are accompanied by either a paramedic or an advanced EMT (A-EMT). Patients transported with paramedics are considered either “stable with a high risk of deterioration” or “stable with a medium risk of deterioration”; those transported with an A-EMT usually are considered “stable with low risk of deterioration.” Paramedics can generally transport a wider range of medications and perform more definitive treatments. For example, an A-EMT can initiate advanced airways that don’t enter the trachea, initiate and administer nonmedicated crystalloid infusions, administer I.V. dextrose, and perform tracheobronchial suctioning of previously intubated patients. Paramedics, on the other hand, can provide those interventions and also initiate and maintain endotracheal tubes, perform emergent cricothyrotomies, perform gastric decompression, and maintain I.V. medication infusions as approved by their state, regional EMS council, and medical director. Nurses should be familiar with local EMS scopes of practice because some states (such as Pennsylvania) severely limit paramedics’ medications and treatment modalities, while other states (such as Texas) are more liberal.
The handoff report to paramedics should include a full nursing report but can omit items such as last bowel movement and ambulatory status, unless they’re relevant to the transport. The handoff report for A-EMTs can omit most abnormal laboratory values, except those that are critically abnormal or pertinent to the patient’s condition. Although the paramedic or A-EMT has limited ability to correct those abnormal laboratory values while en route, special note should be made so that if the patient’s condition changes during transport, the team’s medical director can make decisions based on those values.
Nursing reports are the same as for critical care transport teams, with the addition of information specific to the specialty. Handoff reports. Patient transport between healthcare organizations carries a significant amount of risk—risk to the patient and liability risk to the referring facility and transport agency.
At least two copies of the report should be provided—one for the receiving facility and one for transport team use. The reports should be hard copies unless the transport team and the receiving facility have access to the same documentation platforms as the referring facility. In the event that the patient’s condition changes en route, the team will need its own copy so it can provide informed care and document interventions. Because the team may not be able to contact a provider to determine interventions, the report can help guide care.
In many states, the medical director is a specially credentialled physician trained in directing pre- and inter-hospital care of patients, which is provided at four primary levels: basic life support (BLS), advanced life support (ALS), critical care, and specialty care.