10 hours ago Patient care report (PCR) Prehospital care report, is the legal document used to record all aspects of the care your patient recieved, from initial dispatch to arrival at the hospital ... The report serves the following six functions : 1. Continuity of care 2. Legal documentation 3. Education 4. Administration information 5. Essential research ... >> Go To The Portal
A patient care report includes some events that occurred after arriving at the hospital including verbal report to hospital staff, hand-off of the patient's personal items and: Name of the nurse that received the verbal report
a. Patient identification b. Clinical history c. Financial information d. Test results b. Clinical history Clinical data document the patient's medical condition, diagnosis, and procedures performed as well as healthcare treatment provided.
neat handwriting is required. they confuse the patient. they can have several meanings. observations from family or bystanders. the patient's condition upon transfer of care. at least four sets of vital signs. a complete secondary assessment. the patient's condition upon transfer of care.
Patient care report (PCR) Prehospital care report, is the legal document used to record all aspects of the care your patient recieved, from initial dispatch to arrival at the hospital The report serves the following six functions :
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.
WHEN YOU PERFORM a physical assessment, you'll use four techniques: inspection, palpation, percussion, and auscultation.
Which of the following is NOT an appropriate way of dealing with a patient who does not speak the same language as you do? Avoid communicating with the patient so there is no misunderstanding of your intentions.
Why is it important to not give the name or Social Security number of your patient over the ambulance radio when contacting medical control? It is illegal. You have received an order from medical direction that you feel would be detrimental to your patient.
emergency call; determining scene safety, taking BSI precautions, noting the mechanism of injury or patient's nature of illness, determining the number of patients, and deciding what, if any additional resources are needed including Advanced Life Support.
A Guide to Types of Assessment: Diagnostic, Formative, Interim, and Summative.
Patients are responsible for keeping appointments. Patients are responsible for treating others with respect. Patients are responsible for following facility rules regarding smoking, noise, and use of electrical equipment. Patients are responsible for what happens if they refuse the planned treatment.
Some physicians may simply be uncomfortable with the potential for information distortion that can occur through an interpreter. Another common approach to communicating with patients who do not speak English is to use ad hoc interpreters such as family members, friends, or hospital employees.
Showing respect for your patients' cultural, spiritual, and psychosocial values demonstrates cultural competency. 1 Cultural competency enables healthcare workers to understand their patient's expectations about the care, treatment, and services they receive.
Which of the following concepts is the first and MOST important when providing patient care? To comply with the standard of care, the EMR must: Treat the patient to the best of his or her ability and provide care that a reasonable, prudent person with similar training would provide under similar circumstances.
The "five rights" for drug administration are right patient, right time, right medication, right dose, and right route. Therefore "right dose" would be the correct answer.
Parts of the EMS radio report to the hospitalUnit's identification and level of service (ALS or BLS)Patient's age and gender.Estimated time of arrival (ETA)Chief complaint and history of present illness.Pertinent scene assessment findings and mechanism of injury (i.e. fall, or motor vehicle accident)More items...•