Chapter 4 Flashcards
You and your partner are dispatched to a residence for an “ill person.” When you arrive, you find that the patient, a 44-year-old man, does not speak English. There are no relatives or bystanders present who can act as an interpreter. You should:
use short, simple questions and point to specific parts of your body to try to determine the source of the patient’s complaint.
Communicating with hearing-impaired patients can be facilitated by doing all of the following, EXCETP
elevating the tone of your voice and exaggerating word pronunciation.
You could be sued for ___________ if your radio report to the hospital describes the patient in a manner that injures his or her reputation.
Slander
When communicating information over the radio, you should:
use the words “affirmative” and “negative” instead of “yes” or “no.”
Ethnocentrism is defined as:
considering your own cultural values as more important when interacting with people of a different culture.
While at the scene of a motor vehicle crash, you determine that there are two critically injured patients and that another ambulance is needed. You attempt to contact the dispatcher with your portable radio but are unsuccessful. You should:
use the mobile radio in the ambulance to contact dispatch.
Which of the following statements regarding standing orders is MOST correct?
Standing orders should be followed when physician contact is not possible.
Which of the following statements is NOT appropriate to document in the narrative section of a PCR?
“General impression revealed that the patient was intoxicated.”
General guidelines for effective radio communications include all of the following, EXCEPT:
using 10 codes to ensure radio traffic confidentiality.
A 4-year-old boy had an apparent seizure. He is conscious and calm and is sitting on his mother’s lap. His father is sitting in a nearby chair. The child’s mother suddenly begins crying uncontrollably, which causes the child to start crying. You should:
consider asking the father to hold the child so you can assess him while your partner tries to calm the mother.
Medical control gives you an order that seems inappropriate for the patient’s condition. After confirming that you heard the physician correctly, you should
advise the physician that the order is unclear and ask for clarification.
A 60-year-old man complains of chest pain. He is conscious and alert and denies shortness of breath. Which of the following questions would be the MOST appropriate to ask him?
“Do you have any heart problems or take any medications?”
Typical components of an oral patient report include all of the following, EXCEPT:
the set of baseline vital signs taken at the scene.
Despite numerous, sincere efforts to convince a 40-year-old man to consent to EMS treatment and transport, he refuses. After explaining the potential consequences of his refusal and determining that he has decision-making capacity, you ask him to sign an EMS refusal form, but he refuses to do that as well. You should:
ask a family member, law enforcement officer, or bystander to sign the form verifying that the patient refused to sign.
When obtaining patient care orders from a physician via a two-way radio, it is MOST important to remember that:
his or her instructions are based on the information you provide.
You and your partner are attempting to resuscitate a middle-aged female in cardiac arrest. Because of the remote location you are in, you are unable to contact medical control. What should you do?
Follow locally established protocols or standing orders.
Information included in a radio report to the receiving hospital should include all of the following, EXCEPT
a preliminary diagnosis of the patient’s problem.
The official transfer of patient care does not occur until the EMT:
gives an oral report to the emergency room physician or nurse.
What type of communications equipment functions as a radio receiver and searches across several frequencies?
scanner
Which of the following is NOT a function of the Federal Communications Commission (FCC)?
maintaining communications equipment on the ambulance
When communicating with a visually impaired patient, you should:
determine the degree of the patient’s impairment.
Calming and reassuring an anxious patient can be facilitated by:
maintaining eye contact with the patient whenever possible.
Immediately after being dispatched to a residence for an elderly patient with diabetic complications, you should:
confirm with dispatch that you received the call information.
When relaying patient information via radio, communications should be
brief and easily understood
Any radio hardware containing a transmitter and receiver that is located in a fixed location is called a:
base station
A ___________ receives messages and signals on one frequency and then automatically retransmits them on a second frequency.
repeater
During the alert and dispatch phase of EMS communications, the dispatcher’s responsibilities include all of the following, EXCEPT:
discouraging the caller from providing care until the EMS unit arrives.
After receiving online orders from medical control to perform a patient care intervention, you should:
repeat the order to med control word for word
All information recorded on the PCR must be:
considered confidential
When you begin an oral report, you should state the patient’s age, sex, and:
chief complaint
As you are wheeling your patient through the emergency department doors, you receive another call for a major motor vehicle crash. You should
respond only after giving a verbal patient report to a nurse or physician
You respond to a call and find a 30-year old man with a gunshot wound to the shoulder. He is conscious and responsive, but a little hostile and agitated. As you begin to treat him, you need to:
ask open-ended questions.
ask closed-ended questions.
speak to him slowly and loudly.
establish and maintain physical contact.
ask open-ended questions
You should inform online medical control when patients refuse care.
TrueFalse
True
Falsifying information on the PCR may result in suspension and/or revocation of your certification or license.
TrueFalse
True
When completing a PCR, you should include your opinions about the mechanism of injury and which injuries are most severe.
TrueFalse
False
Evaluation and continuous quality improvement are factors in writing a PCR.
TrueFalse
True
UHF radios operate at frequencies between
300 MHz and 3,000 MHz
What should you do if a patient refuses treatment or transport?
Contact medical control.
Ask law enforcement to take the patient into custody.
Immediately stop patient care and leave.
Find another person to continue medical care.
Contact medical control
