Chapter 17: Communication and Documentation Flashcards
What are three things you should include in you verbal report?
Introduce patient by their first name.
- Chief complaint
- History that was not given previously
- Additional treatment given en route
- Additional vital signs taken en route
Which of the following is not part of a medical radio report?
A) Estimated time of arrival
B) Unit identification
C) Address at which the patient was located
D) Patient’s response to medical care provided
C
How many parts does a standard medical radio report have as described in your textbook?
12
When giving a radio report to the hospital, which of the following would be the first patient-specific information provided?
The patient is complaining of chest pain.
The patient has taken nitroglycerin.
The patient is having a heart attack.
The patient is a 55-year-old male.
Which of the following best describes a mobile radio?
A two-way radio that is mounted in a vehicle
You are treating a patient with a possible fractured ankle. The patient appears to be in a lot of pain and is uneasy. As you are getting ready to splint the patient’s leg, he asks you if it is going to hurt. Which of the following is the best response?
“I will do my best, but it may hurt while we put the splint on.”
You are attempting to place a nonrebreather mask on a patient who is experiencing difficulty breathing. The patient is anxious and does not want the mask on his face. Which of the following is the best course of action?
Explain the importance of oxygen, and ask the patient to at least try to leave the mask on, but assure him that if he can’t tolerate it, you can try another method.
You are responding to a nursing home for an 85-year-old patient complaining of difficulty breathing. How would you initiate contact with this patient?
Place yourself at eye level, identify yourself, and ask the patient for her name.
Your elderly male patient tells you his name is Joe Smith. Which of the following is the best way to address him?
Mr. Smith
What is included in run data?
- Time of incident report
- Time unit notified
- Time of arrival at patient
- Time unit left scene
- Time of arrival at destination
- Time of transfer of care
An objective statement made in a prehospital patient care report meets what criteria?
- Verifiable
- Measurable
- Observable
It does not include biased information
You are on the scene of an unresponsive adult female patient. You find an empty pill bottle lying next to her bed. You look up the medication in your field guide and discover the medication is a powerful sedative. The prescription on the bottle is for the patient’s husband, who is not present to answer questions about the medication. What should you do?
Document the empty pill bottle. It may provide important clues to the patient’s condition
Which of the following is part of the minimum data set developed by the National Highway Traffic Safety Administration (NHTSA) for purposes of data collection in conducting research?
Time of arrival at the patient’s location
Which of the following is not an appropriate use of prehospital care report (PCR) information?
For referral to Alcoholics Anonymous or similar social services
You have responded to a call at a government office building. One of the office workers became very upset during a fire drill and experienced an episode of difficulty breathing. As your partner is speaking with the patient, who is not sure she wants to be transported, an individual wearing civilian clothes approaches you and states she is a security guard in the building. She asks you for the “yellow copy” of your prehospital care report. Which of the following should you do?
State that you are unable to comply with the request due to patient confidentiality.
