Ch 4 Flashcards
After assessing a 44-year-old female patient involved in a minor vehicle crash, you find that they sustained very minor injuries that do not warrant EMS transport. What should you do first?
A) Ask the patient to repeat back recent events to ensure decision-making capacity
B) Advise the dispatch center of the decision and document the event
C) Tell the patient that they shouldn’t have called 9-1-1 for a minor crash
D) Convince the patient to drive themselves to the hospital for further evaluation
B) Advise the dispatch center of the decision and document the event
After revising a patient care report, you notice that the paramedic recorded the wrong dosage of fentanyl given to a patient. What should you do?
A) Make the revision with red ink
B) Cross out the error and note the date and time the revision was made
C) Inform your manager that the paramedic made a mistake on the report
D) Ask the paramedic who recorded the wrong dosage to correct the error
D) Ask the paramedic who recorded the wrong dosage to correct the error
During a multiple-casualty incident, documentation often occurs initially:
A) on a brief PCR.
B) on multiple paper forms.
C) in electronic PCR systems.
D) on triage tags.
D) on triage tags.
During your assessment of a patient with chest pain, you observe difficulty breathing, absence of diminished breath sounds, tachycardia, and weakness in the lower extremities. Which of the following findings would be classified as a pertinent negative finding?
A) Absence of diminished breath sounds
B) Difficulty breathing
C) Tachycardia
D) Weakness in the lower extremities
A) Absence of diminished breath sounds
If a person refusing care has an obvious injury or medical condition that requires immediate medical attention, what should you do?
A) Treat the patient under implied consent
B) Ask the patient’s family for consent
C) Involve online medical control for further guidance
D) Have the patient sign the refusal form
C) Involve online medical control for further guidance
If you must transport a patient against their wishes, it is imperative that you:
A) convince the patient that they need to be transported.
B) obtain a physician’s signature.
C) restrain the patient to ensure the safety of your team.
D) thoroughly document your reasoning for doing so.
D) thoroughly document your reasoning for doing so.
If your barrier devices fail or do not offer enough protection after being exposed to body fluids or other potentially toxic or infectious agents, you should complete a(n):
A) police report.
B) patient care report.
C) OSHA record.
D) occupational exposure report.
D) occupational exposure report.
On the way to the scene of an emergency, dispatch informs you that your emergency call has been canceled. What should you do?
A) No other further action is necessary since dispatch canceled the call
B) Document the canceling authority and the time of cancellation
C) Continue to the address to confirm that there is no emergency
D) Confirm with dispatch that they are confident in their decision to cancel the call
B) Document the canceling authority and the time of cancellation
The budget of a typical EMS system is primarily dependent on:
A) ambulance fuel.
B) number of calls.
C) dispatch costs.
D) reimbursement
D) reimbursement
What is one of the main reasons for accurately documenting patient care?
A) To help with a promotion
B) To demonstrate continuity of care
C) To reduce reimbursement amounts
D) To minimize time spent on the scene
B) To demonstrate continuity of care
What needs to be documented when revising a patient care report?
A) The physician who received the patient
B) List of all care providers who were at the scene
C) The partner of the EMT making the revision
D) The reason for the revision
D) The reason for the revision
When assessing a patient with an active tuberculosis infection, the patient coughs in your face before you are able to put on your face mask. What is your priority?
A) Contact your EMS supervisor
B) Seek appropriate medical care
C) Thoroughly document the event
D) Leave the scene
A) Contact your EMS supervisor
When choosing details to include in a patient care report, a paramedic should:
A) provide accurate, complete details.
B) use best judgment to pick useful details.
C) provide best guesses.
D) leave the patient care report for the medical supervisor to edit.
A) provide accurate, complete details.
When using the CHEATED charting method, which element would include the patient’s response to the care provided?
A) History
B) Chief complaint
C) Assessment
D) Evaluation
D) Evaluation
When using the SOAP format to organize a patient report, which information would you include in the objective data section?
A) Chest tightness
B) Minor headache
C) Elevated blood glucose
D) Abdominal pain
C) Elevated blood glucose
