when a patient care report is found to be incomplete or inaccurate, the paramedic should

by Dr. Fae Blick III 4 min read

(Solved) When a patient care report is found to be incomplete or ...

7 hours ago When a patient care report is found to be incomplete or inaccurate, the paramedic should: Nix4Pres. wrote... Go to Answer ... >> Go To The Portal


When a patient care report is found to be incomplete or inaccurate, the paramedic should: add a dated and signed written amendment to the original report The unilateral termination of the paramedic-patient relationship by the paramedic without assurance that an equal or greater level of care will continue is known as: abandonment

Full Answer

What happens if a paramedic is unable to complete a report?

If the paramedic is unable to complete his or her patient care report before departing the emergency department, he or she should: A) leave, at a minimum, the patient's name and age, but recognize that the physician will perform his or her own exam.

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 a paramedic do if a patient refuses treatment?

If a patient with decision-making capacity adamantly refuses treatment for an injury or condition that clearly requires immediate medical attention, the paramedic should: A) request law enforcement assistance at once. B) contact online medical control for guidance. C) make other arrangements for patient transport.

What should a paramedic do to ensure accuracy in recording times?

In order to ensure that all recorded times associated with an incident are accurate, the paramedic should: A) frequently glance at his or her watch. B) radio the dispatcher after an event occurs. C) document the time that each event occurs. D) get a copy of the dispatch log after the call.

What is the oversight of all patient care aspects in EMS?

Oversight of the patient care aspects of an EMS system by the Medical Director. Medical techniques or practices that are supported by scientific evidence confirming their safety and efficacy. The long-term survival of patients. List of steps, such as assessments and interventions, to be taken in different situations.

Why do patient refusals warrant more thorough documentation than typical EMS calls?

Most patient refusals require more thorough documentation than the typical EMS run​ because: of the potential for abandonment charges. Of the following​ list, which is part of the​ "objective narrative" section of the prehospital care report​ (PCR)?

What do paramedics do when they arrived on scene?

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.

What is the degree of skill and judgment that would be expected of a similarly trained reasonable paramedic acting under similar circumstances is referred to as?

The degree of​ care, skill, and judgment that would be expected of any similarly​ trained, reasonable paramedic acting under similar circumstances is called​ the: standard of care.

How do you document patient refusal in EMS?

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.

How do you document a patient refusal?

DOCUMENTING INFORMED REFUSALdescribe the intervention offered;identify the reasons the intervention was offered;identify the potential benefits and risks of the intervention;note that the patient has been told of the risks — including possible jeopardy to life or health — in not accepting the intervention;More items...

What are the duties and responsibilities of paramedics?

DutiesRespond to 911 calls for emergency medical assistance, such as cardiopulmonary resuscitation (CPR) or bandaging a wound.Assess a patient's condition and determine a course of treatment.Provide first-aid treatment or life support care to sick or injured patients.Transport patients safely in an ambulance.More items...•

What is the first thing that a paramedics do in case of an emergency?

To take appropriate actions in any emergency, follow the three basic emergency action steps — Check-Call-Care. Check the scene and the victim. Call the local emergency number to activate the EMS system. Ask a conscious victim's permission to provide care.

What are the 5 steps to scene safety and assessment?

Five Steps to Scene SafetyBe prepared. Half of scene safety takes place before you go on shift. ... Look, listen and feel is not just for breathing. What do you see and hear? ... Set yourself up for success. ... Be present. ... Assess your patient threat potential.

What are the possible legal consequences of negligence and malpractice?

Damages may include medical expenses, physical pain and suffering, emotional distress, lost wages, decreases in earning potential, punitive damages, as well as compensation for partial or complete impairment, disfigurement, and death.

What is medical negligence in law?

The term “medical negligence” is an omnibus one, which has come in vogue to refer to wrongful actions or omissions of professionals in the field of medicine, in pursuit of their profession, while dealing with patients. It is not a term defined or referred to anywhere in any of the enacted Indian laws.

How do you defend medical negligence?

Whenever there is an allegation of misconduct against a doctor, the following defenses may be adopted.Duty of care/standard of care. ... Difference in opinion. ... Error of judgment. ... Fraudulent concealment. ... Guarantee and warranty. ... Vicarious liability. ... Informed consent. ... Financial support and sponsorship.More items...•

Facts Surrounding The Dispatch Undocumented

Insufficient Narrative of The Patient’S Condition at The Time of Transport

  • Far too frequently we see PCR narratives that do little more than state where the patient was picked up from, where they were delivered to and some statement that indicates that the crew left the patient no worse off than they found them — such as, "patient transported without incident." This is especially true in the case of non-emergency transports. For every transport, whether emergency or non-emergency, the PCR narrative must state …
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Vague Explanation of Specific Interventions and Procedures Performed

  • Too many times we find nothing more than "per protocol" to explain why a cardiac monitorwas applied, an IV was initiated or some other procedure was performed. Just like the ambulance service must be medically necessary to be reimbursed by Medicare and other payers, the treatments provided must also be medically necessary. Interventions and procedures should be performed in response to specific patient assessment findings, not sim…
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No Explanation For Ems-Specific Care and Treatment

  • This is important with regard to two areas. First, is clearly explaining the transport itself and the service or care the patient required during the transport that could not be provided other than by trained medical professionals in an ambulance. Second, in the case of a patient being transported from one facility to another, what specific services does the patient require that are not available at the facility of origin? Simply stating, "Transported patient for hig…
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Inadequate Description of Patient Complaints Or Findings

  • The most common example of an inadequately described or quantified complaint or finding is with regard to a patient's pain. EMTs and paramedics should always describe a finding or complaint of pain by documenting completely the Onset, Provocation, Quality, Radiation, Severity and Time (OPQRST), as well as the patient's pain rating on a scale of zer...
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