which of the following is correct regarding a patient care report

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.

When to advise the receiving provider of a completed patient care report?

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:

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.

What happens after giving a prehospital care report to the nurse?

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.

What is in a patient care report?

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. The documentation included on the PCR provides vital information, which is necessary for continued care at the hospital.

What is the most important part of a patient care report?

What is the most important section of the Patient Care Report and what does it include ? The narrative section is the most important part ; it includes what you saw at the scene, what treatment you provided, how did the patients condition change.

When must a patient care report be completed?

Complete the PCR as soon as possible after a call Most states, and many EMS agencies themselves, often have time limits within which the PCR must be completed after the call ended – 24, 48 or 72 hours are common time limits.

Why should a patient care report be detailed?

Importance of Documentation The purpose of record documentation is to provide an accurate, comprehensive permanent record of each patient's condition and the treatment rendered, as well as serving as a data collection tool.

How do you write a patient report?

III. Patient case presentationDescribe the case in a narrative form.Provide patient demographics (age, sex, height, weight, race, occupation).Avoid patient identifiers (date of birth, initials).Describe the patient's complaint.List the patient's present illness.List the patient's medical history.More items...•

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.

When you document information on a patient that you treat and care for this written report is called the?

When you document information on a patient that you treat and care for. This written report is called the: Patient care report, run report. You are asked to give testimony in court about the care you gave to a patient.

Which of the following is the most important information about the patient that an emergency medical responder should give when transferring care?

Which of the following is the most important information about the patient that an emergency medical responder should give when transferring care? Chief complaint. Your patient care report may be called into a civil or criminal court due to the fact that: It is considered a legal document.

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.

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.

Which of the following is a function of a prehospital care report?

What are main purposes of the prehospital care report? It serves as a record of patient care, as a legal document, provides information for administrative functions, aids education and research, and contributes to quality improvement.

What would be considered an objective patient assessment finding?

Examples of objective assessment include observing a client's gait , physically feeling a lump on client's leg, listening to a client's heart, tapping on the body to elicit sounds, as well as collecting or reviewing laboratory and diagnostic tests such as blood tests, urine tests, X-ray etc.

What does the EMT say about the patient's wrists?

During the​ call, the patient claims to hear the voice of God and says that the voice is hurting his ears.

What does it mean to document an alcoholic?

Documenting that the patient is an alcoholic is an unverifiable opinion of the patient that is not supported by available facts and could negatively influence other medical providers. You are transporting a city councilman to the hospital after he injured his shoulder playing basketball at his gym.