which of the following statements about the patient care report are correct?

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:

What is included in patient records?

The patient disposition is also recorded, including who patient care was turned over to (usually a nurse at a receiving hospital) or a patient refusal.

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 in a patient care report?

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.

When providing patient care it is most important that you maintain effective communication with?

Emt E. When providing patient care, it is MOST important that you maintain effective communication with: your partner.

Which of the following is the most important reason why documentation is an important part of any CQI program?

the expected ability to maintain good verbal and written communication skills. Which of the choices is the MOST important reason why documentation is an important part of any CQI​ program? It allows for better interpretation of the care rendered.

Which of the following components are needed to prove negligence quizlet?

Which of the following components are needed to prove negligence: abandonment, breach of duty, damages, and causation; duty to act, breach of duty, injury/damages, and causation; breach of duty, injury/damages, abandonment, and causation; duty to act, abandonment, breach of duty, and causation.

What is effective patient care?

Effective: Providing services based on scientific knowledge and best practice. Patient-centered: Providing care that is respectful of and responsive to individual patient preferences, needs and values, ensuring that patients' values guide all clinical decisions.

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 are the things that you must need to do ensure that you followed correct documentation process?

Process Documentation Best PracticesKeep it clear and concise. Focus on being specific without getting verbose. ... Keep documents accessible. ... Make it easy to edit. ... Control document changes. ... Review your manuals at least once a year. ... Add a timeline. ... Choose a specific, well-defined process. ... Create and use templates.More items...•

What are the five rules of incident report writing?

What are the five rules of incident report writing? Write for an audience; account for everyone and everything; be clear and chronological; be timely and complete; consider the attachments.

What is the most important outcome for any CQI program?

What is the MOST important outcome for any continuous quality improvement​ (CQI) program? Improving the quality in all aspects of the EMS system.

What are the 4 basic elements of negligence?

A Guide to the 4 Elements of NegligenceA Duty of Care. A duty of care is essentially an obligation that one party has toward another party to exercise a reasonable level of care given the circumstances. ... A Breach of Duty. ... Causation. ... Damages.

What are the four conditions that must be met to prove negligence quizlet?

3d §3. The elements of negligence are (1) an act or omission, (2) a duty, (3) breach of that duty, (4) actual cause, and (5) legal or proximate cause.

What are the four elements needed in a negligence case?

In order to establish negligence, you must be able to prove four “elements”: a duty, a breach of that duty, causation and damages.

As an EMT, the standards of emergency care are often partially based on: Select one: A. Patient care cannot be discredited based on poor documentation. B. EMTs are not liable for any actions that are accurately documented. C. It is difficult to prove actions were performed if they are not included on the report. D. Incomplete reports are common and accepted in EMS.

C. It is difficult to prove actions were performed if they are not included on the report.

During your monthly internal quality improvement (QI) meeting, you review several patient care reports (PCRs) with the staff of your EMS system. You identify the patient's name, age, and sex, and then discuss the treatment that was provided by the EMTs in the field. By taking this approach to the QI process, you: Select one: A. violated the patient's privacy because you should have discussed the information only with the EMTs involved. B. acted appropriately but must have each EMT sign a waiver stating that he or she will not discuss the cases with others. C. adequately safeguarded the patient's PHI because the cases were discussed internally. D. are in violation of HIPAA because you did not remove the PHI from the PCR beforehand.

D. are in violation of HIPAA because you did not remove the PHI from the PCR beforehand.

In which of the following circumstances can the EMT legally release confidential patient information? Select one: A. The family requests a copy for insurance purposes B. The patient is competent and signs a release form C. A media representative inquires about the patient D. A police officer requests a copy to place on file

B. The patient is competent and signs a release form

In which of the following situations does a legal duty to act clearly exist? Select one: A. The EMT hears of a cardiac arrest after his or her shift ends. B. A call is received 15 minutes prior to shift change. C. A bystander encounters a victim who is not breathing. D. The EMT witnesses a vehicle crash while off duty.

B. A call is received 15 minutes prior to shift change.

Maintaining the chain of evidence at the scene of a crime should include: Select one: A. quickly moving any weapons out of the patient's sight. B. making brief notes at the scene and then completing them later. C. not cutting through holes in clothing that were caused by weapons. D. placing the patient in a private area until the police arrive.

C. not cutting through holes in clothing that were caused by weapons.

Putrefaction is defined as: Select one: A. decomposition of the body's tissues. B. blood settling to the lowest point of the body. C. separation of the torso from the rest of the body. D. profound cyanosis to the trunk and face.

A. decomposition of the body's tissues.

The EMT's scope of practice within his or her local response area is defined by the: Select one: A. medical director. B. state EMS office. C. local health district. D. EMS supervisor.

A. medical director.

To help protect patients, EMS agencies are required to have __________. Select one: A. public forums with their medical director B. online access to patient records C. a privacy officer to answer questions D. an anonymous reporting system

C. a privacy officer to answer questions

When is forcible restraint permitted? Select one: A. Only if consent to restrain is given by a family member B. When the patient poses a significant threat to self or others C. Anytime that the EMT feels threatened D. Only if law enforcement personnel have witnessed threatening behavior

B. When the patient poses a significant threat to self or others

How to respond to a home of a 59 year old man who is unconscious; has slow, shallow breathing

They further state that there is a DNR order for this patient, but they are unable to locate it. You should:#N#Select one:#N#A. begin treatment and contact medical control as needed. #N#B. honor the patient's wishes and withhold all treatment.#N#C. transport the patient without providing any treatment.#N#D. decide on further action once the DNR order is produced.

What should be included in maintaining the chain of evidence at the scene of a crime?

Maintaining the chain of evidence at the scene of a crime should include:#N#Select one:#N#A. quickly moving any weapons out of the patient's sight.#N#B. making brief notes at the scene and then completing them later.#N#C. not cutting through holes in clothing that were caused by weapons.#N#D. placing the patient in a private area until the police arrive.

What should an EMS inform the patient?

EMS should inform the patient why he/she should go and. what may happen to him/her if he/she does not. Keep in mind that online medical control can be consulted as per local protocol. If the patient still refuses, the EMS professional should thoroughly document any assessment.

What should be included in an EMS document?

Documentation should include any care or treatment plan the EMS professional wished to provide for the patient, and the statement that the EMS professional explained to the patient detailing possible consequences of failure to accept care, up to and including potential death.

What should be included in a PCR?

As well as the times of the assessments and treatments provided, the PCR should include detailed signs and symptoms and other assessment findings such as vital signs, and all the specific emergency care provided. Also documented are changes in patient condition ...