which of the following statements about the patient care report is 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.

What information should be included in an oral report?

Once you arrive at the hospital with your​ patient, it is important to give the ED staff an oral report. This report should​ include: A. personal information about the patient that is not pertinent to medical care. B. treatment that was given to the patient en route and the​ patient's response to that treatment.

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 should be included in a patient refusal report?

You should document everything including all patient​ care, all of your attempts to persuade the patient to go by​ ambulance, and who witnessed the patient refusal. Which of the following best describes a mobile​ radio?

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 performing his or her duties EMT is generally expected to?

When performing his or her duties, the EMT is generally expected to: exercise reasonable care and act prudently. In which of the following situations does a legal duty to act clearly exist? A call is received 15 minutes prior to shift change.

Where would you most likely find information regarding a patients wishes?

Where would you MOST likely find information regarding a patient's wishes to be an organ donor? During your monthly internal quality improvement (QI) meeting, you review several patient care reports (PCRs) with the staff of your EMS system.

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.

What is the best way to care for a patient once he tells you he does not want to go to the hospital?

What is the best way to care for your patient once he tells you he does not want to go to the hospital? Encourage him to call 9-1-1 again if his condition worsens.

What is the manner in which the EMT must act when treating patients?

The manner in which the EMT must act or behave when caring for a patient is called the: standard of care.

What does an untidy patient care report indicate?

In the eyes of the courts, an incomplete or untidy patient care form indicates: inadequate patient care was administered. Shortly after you load your patient, a 50-year-old man with abdominal pain, into the ambulance, he tells you that he changed his mind and does not want to go to the hospital.

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.

When providing a patient report via radio You should protect the patient's privacy by?

When providing a patient report via radio, you should protect the patient's privacy by: not disclosing his or her name. You are providing care to a 61-year-old female complaining of chest pain that is cardiac in origin.

When can you get a patient care order from a physician?

When obtaining patient care orders from a physician via a two-way radio, it is important to remember that: the physician's instructions are based on the information you provide. the use of 10 codes is an effective method of communication. all orders should be carried out immediately and without question.

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

What are the standards of emergency care?

As an EMT, the standards of emergency care are often partially based on:#N#Select one:#N#A. the wishes of the general public.# N#B. a consensus among paramedic supervisors.#N#C. locally accepted protocols.#N#D. the priorities of the medical director.

Who requests a copy of insurance?

D. The family requests a copy for insurance purposes

What does an EMT hear after a shift ends?

B. The EMT hears of a cardiac arrest after his or her shift ends.

Who requests a copy of insurance?

A. The family requests a copy for insurance purposes

What does an EMT hear after shift ends?

A. The EMT hears of a cardiac arrest after his or her shift ends.

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.

Can patient care be discredited based on poor documentation?

A. Patient care cannot be discredited based on poor documentation.

What chapter is Emergency Care in the Streets?

Emergency Care in the Streets Chapter 6: Documenta…

What should a paramedic do before leaving the emergency department?

If the paramedic is unable to complete his or her patient care report before departing the emergency department, he or she should: A) leave, at a minimum, the patient's name and age, but recognize that the physician will perform his or her own exam.

What is a C billing system?

C) is a nationwide billing system that any EMS provider can use.

Why do you spell the patient's last name?

C. Spell the​ patient's last name to avoid confusion.

Is the patient's culture irrelevant to the EMT?

A. The​ patient's culture is irrelevant to the EMT.