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The EMT should ask open-ended questions and try not to lead the patient by giving them words to describe the pain. The EMT can ask questions like: “What does your pain feel like?” “Can you tell me how the pain feels?”
Last oral intake becomes especially important for patients with diabetes and gastrointestinal (GI) complaints. In fact, for GI patients the EMT should include questions about the patients output, including bowel movements and urine. Some common questions the EMT can ask during the L portion of the SAMPLE history are:
During the National Registry of EMT (NREMT) Patient Assessment Medical Exam the candidate will complete the OPQRST pain assessment, including clarifying questions related to the chief complaint and the OPQRST pain assessment in order to get full points. For information on the NREMT physical exam go here.
The L portion of the SAMPLE history can give the EMT a clear picture of the patient’s lifestyle for the last 24 – 48 hours.
The SAMPLE history allows EMTs to gather information related to the chief complaint in a quick efficient matter which is not only beneficial to the EMT, but also to the hospital staff once the patient is dropped off. The SAMPLE history is used during the patient assessment to identify what happened that caused the patient to call for help.
The NREMT medical assessment exam will require candidates to perform the SAMPLE history portion of the patient assessment themselves. When taking a SAMPLE history after completing the OPQRST assessment, the EMT should already have determined the signs and symptoms relating to the history of present illness. In fact, the NREMT medical assessment ...
OPQRST. When the patient has pain as the chief complaint, EMTs can use OPQRST as a memory tool for continuing the patient assessment. The OPQRST pain assessment is usually done after the primary assessment and before the SAMPLE history is completed. During the National Registry of EMT (NREMT) Patient Assessment Medical Exam ...
The SAMPLE history can be used by the EMT during any patient assessment. It will usually begin after the ABC’s and Primary Survey is complete. So, if the primary survey indicates any life threats, those need to be treated before performing the SAMPLE history.
The OPQRST pain assessment should be a conversation between the EMT and the patient. You want to ask the patient a lot of questions without it feeling like an interrogation. It’s important to give the patient time to respond to your questions and to actually listen to the patient’s response.
We often hear of care reports based on by medical teams or by medical authorities. Yet, we are not sure how this differs from the kind of report that is given to us by the same people. So this is the time to make it as clear as possible.
Where do you even begin when you write a patient care report? A lot of EMS or EMTs do know how to write one since they are trained to do so.
A patient care report is a document made mostly by the EMS or EMTs. This documented report is done after getting the call. This consists of the information necessary for the assessment and evaluation of a patient’s care.
What should be avoided in a patient care report is making up the information that is not true to the patient. This is why you have to be very careful and very meticulous when writing these kinds of reports. Every detail counts.
The person or the people who will be reading the report are mostly medical authorities. When you are going to be passing this kind of report, make sure that you have all the information correctly. One wrong information can cause a lot of issues and problems.