Ch 8 Key Terms

Question 1

capacity

Answer 1

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

Question 2

communication

Answer 2

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

Question 3

field care notes

Answer 3

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

Question 4

hand-off report

Answer 4

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

Question 5

history of present illness

Answer 5

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).

Question 6

incident report forms

Answer 6

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.

Question 7

mandated reporter

Answer 7

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.

Question 8

patient care report

Answer 8

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.