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 is the difference between a medical report and trauma report?

C) Medical reports describe a chief complaint while trauma reports do not. D) Medical reports emphasize history; trauma reports emphasize injuries and exam findings. Public Safety and Homeland Security Bureau.

What is included 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.

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.

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.

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...•

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.

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.

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.

How do you correct a nursing documentation error?

Make the correction in a way that preserves the original entry. Draw a single line through the erroneous entry and write the time, date, and your name. Identify the reason for the correction. Include the rationale in your notation; for example, “mistaken entry, wrong medication name written.”

Which format should be used when writing the narrative section of a patient care report?

SOAP NOTE: Traditionally, the SOAP method is used for narrative documentation and includes all pertinent information. SOAP is an acronym for a patient care report that includes: Subjective: details relative to the patient's experience of the illness or injury like onset time, history, complaint, etc.

Which of the following is the most appropriate action in order to make a correction when an error has been made in the CHART?

Which of the following is the most appropriate action in order to make a correction when an error has been made in the chart? Draw a single line through the error.