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

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.

Who should review a patient care report before submitting?

Prior to submitting a patient care report to the receiving hospital, it is MOST important for: A) your partner to review the report to ensure accuracy. B) the EMS medical director to review the report briefly. C) the paramedic who authored the report to review it carefully. D) the quality assurance team to review the report for accuracy.

What should the patient care report include?

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.

How long do I have to complete a patient care report?

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: A) your partner to review the report to ensure accuracy.

What elements are typically included in the 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 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 the purpose of the narrative section of the patient care report?

Detailed explanation of medical necessity: Your narrative should be detailed and provide a clear explanation for why the patient needed to be transported by ambulance. Include what the medical reasons were that prevented the patient from being transported by any other means.

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 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.

What are 5 effective health information communication methods?

Here are five ways to ensure effective communication between healthcare professionals.Assess Your Current Method of Communication. ... Streamline Communication Channels. ... Encourage Mobile Collaboration for Effective Communication Between Healthcare Professionals. ... Give Healthcare Employees a Voice.More items...•

What 5 key communication skills are critical in the healthcare field?

Good communication in healthcare is crucial, especially when dealing with patients or their family members.#1: Listen. Listening is the most important part of communication. ... #2: Take Responsibility. ... #3: Be Honest. ... #4: When in Doubt, Say it: ... #5: Be Objective.

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.

Why is it important for a health care provider to maintain accurate patient records?

Complete and accurate medical recordkeeping can help ensure that your patients get the right care at the right time. At the end of the day, that's what really matters. Good documentation is important to protect you the provider. Good documentation can help you avoid liability and keep out of fraud and abuse trouble.

What is a component of the narrative section of a patient care report?

The narrative section of the PCR needs to include the following information: Time of events. Assessment findings. emergency medical care provided. changes in the patient after treatment.

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 a C billing system?

C) is a nationwide billing system that any EMS provider can use.

Do insurance companies pay if unapproved abbreviations are used?

D) insurance companies do not pay if unapproved abbreviations are used .

What is the purpose of sharing information with EMS providers about patient outcome?

share information with the EMS providers about patient outcome for purposes of quality assurance and education.

Should a caller's name be complete?

should be complete to the point where anyone who reads it understands exactly what transpired on the call.

Can patient information be shared?

patient information shall not be shared with entities or persons not involved in the care of the patient.

What is the purpose of sharing information with the EMS providers about patient outcomes?

share information with the EMS providers about patient outcomes for purposes of quality assurance and education

Who can revise a report?

only the person who wrote the original report can revise or correct it

Should a caller's name be complete?

should be complete to the point where anyone who reads it understands exactly what transpired on the call

Can patient information be shared?

patient information shall not be shared with entities or persons not involved in the care of the patient.