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D) advise the receiving provider that he or she will return to the emergency department with the completed patient care report within 24 hours. 35. Additions or notations added to a completed patient care report by someone other than the original author:
The patient care report: A) provides for a continuum of patient care upon arrival at the hospital. B) is a legal document and should provide a brief description of the patient. C) should include the paramedic's subjective findings or personal thoughts.
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.
A) Chief complaint, level of consciousness, vital signs, assessment, and patient's age and gender B) Level of consciousness, field impression, vital signs, assessment, and patient's name and address C) Scene size-up, detailed assessment, blood glucose reading, vital signs, and patient's age
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.
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.
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.
Emt E. When providing patient care, it is MOST important that you maintain effective communication with: your partner.
In order to establish negligence, you must be able to prove four “elements”: a duty, a breach of that duty, causation and damages.
Refuses to sign refusal However, you will need to insert in the refusal form that the person refused to sign and what you did to secure the person's signature on the form. Whether or not the refusal form is signed by the patient or the patient's representative, it also should be signed by you and dated.
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 aspect of the HIPAA is MOST pertinent to the paramedic? If your EMS system receives a subpoena for a patient's protected health information, it would be MOST appropriate to: notify legal counsel before releasing any information.
MED channels. Vehicle-mounted device that operates at a lower frequency than a base station. mobile radio. A process in which electronic signals are converted into coded, audible signals.
Skillful communication enables healthcare providers to establish rapport with their patients, solicit crucial health information, and work effectively with all members of a care team and the public.
Effective communication can: Enhance the patient experience; Reduce complaints; Increase nurses' self-confidence, professional standing, career prospects and job satisfaction and reduce stress.
Which of the following is the MOST important reason for maintaining good documentation standards? Good documentation contributes to continuity of care.