Ch 8 Key Terms Flashcards

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1
Q

capacity

A

indicates the patient has normal decision-making abilities and whose judgment is not impaired.

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2
Q

communication

A

a process by which a message is transmitted from one person to another.

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3
Q

field care notes

A

notes written by OEC Technicians at the scene of a patient rescue; include a time line, vital signs, witnesses’ names, and other pertinent information.

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4
Q

hand-off report

A

an oral report given at the transfer of a patient from one provider to another.

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5
Q

history of present illness

A

a description of the circumstances surrounding the events of an incident; includes all subjective descriptions presented by the patient (or a bystander, if the patient cannot tell you).

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6
Q

incident report forms

A

forms provided by the National Ski Area Association, a ski resort, or an insurance carrier and used by OEC Technicians to document an incident; the forms include the circumstances leading to injury.

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7
Q

mandated reporter

A

an individual (such as a social worker, physician, teacher, police, EMT, or counselor) who is required to report to the appropriate authorities certain types of injuries or the suspicion of specific crimes.

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8
Q

patient care report

A

a report that documents a patient’s complaints and past medical history, plus a chronological account of the examination and treatment of the patient; is a legal document.

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