26 hours ago · When reviewing a prehospital care report, you note that a patient received nitroglycerin sublingually. As an EMT, you should recognize that the medication was a: A) mist inhaled into the lungs. B) tablet placed under the tongue. C) medication injected into a muscle. D) tablet chewed or swallowed whole. Question 2 >> Go To The Portal
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.
Re: Prehospital Care Reports (PCRs) Page 1 of 5 Documentation is an essential part of all prehospital medical care. It must include, but not be limited to the documentation of the event or incident, the medical condition, treatment provided and the patient’s medical history.
POLICY STATEMENT Supersedes/Updates: 85-01, 96-01, 02-05 No. 12 - 02 Date: 1/23/2012 Re: Prehospital Care Reports (PCRs) Page 1 of 5 Documentation is an essential part of all prehospital medical care.
It must include, but not be limited to the documentation of the event or incident, the medical condition, treatment provided and the patient’s medical history. 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.
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.
the patient uses an inhaler at least three times a day.
the patient has taken penicillin four times a day, orally, for 5 days. A patient states that he has had a headache located in his forehead for three days. The EMT should recognize and document this piece of information as a (n): subjective finding. After oxygen therapy, the patient's.
The patient's lungs sounds are clear and equal.
Last week, on a computer generated report, you accidentally documented that a patient suffered from hypertension when, in fact, he did not. Unfortunately, the report has been locked by the computer and cannot be changed; however, it can be printed. Your first action would be to:
A prehospital care report reads: "GSW to LLQ." Based on this, you should recognize that the patient sustained a (n):
A patient with asthma is using his inhaler TID and prn. You would recognize that:
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:
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?
The PCR/ePCR may also serve as a document called upon in legal proceedings relating to a person or an incident. No EMS agency is obligated to provide a copy of the PCR/ePCR simply at the request of a law enforcement or other agency. If a copy of the PCR/ePCR is being requested as part of an official investigation the requestor must produce either a subpoena, from a court having competent jurisdiction, or a signed release from the patient. PCR/ePCR must be made available for inspection to properly identified employees of the NYS Department of Health.
PCRs shall be submitted at least monthly, or more often if so indicated by the program agency.
Maintaining confidentiality is an essential part of all health care, including prehospital care. The confidentiality of personal health information (PHI) is covered by numerous state and federal statutes, Polices, Rules and Regulations, including the Health Insurance Portability & Accountability Act of 1996 (HIPAA) and 10 NYCRR.
EMS services are required to leave a paper copy or transfer the electronic PCR information to the hospital prior to the EMS service leaving the hospital. This document must minimally include, patient demographics, presenting problem, assessment findings, vital signs, and treatment rendered.