Chapter 4 - Communications and Documentation Flashcards
Radio communications are regulated by
The Federal Communications Center (FCC)
SAMPLE
Signs and Symptoms Allergies Medications Pertinent Past history Last oral intake Events leading to injury or illness
Base station
Powerful stationary two-way radio, usually attached to one or more fixed antennae
Mobile Data Terminal (MDT)
A computer terminal mounted in a vehicle that sends and receives data through a radio communication system
Mobile radio
Two-way radio permanently mounted in a vehicle
Portable radio
A hand-held, battery operated, two-way radio
Telemetry
A process in which electronic signals are transmitted and received by radio or telephone. Commonly used for sending ECG tracings and patient data
Repeater
A radio system that retransmits a radio signal on a different frequency.
Brady-
Slow
Tachy-
Fast
Therm-
In relation to quantities of heat
Hyper-
Above, excessive, beyond
Hypo-
Below, underneath, deficient
Naso-
Denoting the nose
Oro-
Denoting the mouth
Arterio-
Relationship to an artery
Cardio-
Heart
Hem-, hema-, hemo-
Blood
Neuro-
Denoting nerve, nervous system, or nervous tissue
Vaso-
Vessel, as in blood vessel
What should your hand-off report include?
Age and sex of patient Describe history of incident Patient's chief complaint Patient's level of awareness How you found the patient Vitals: airway, breathing, circulation, severe bleeding. Results of physical examination Conditions, following SAMPLE Interventions provided and response
What should your documentation include?
Age and sex of patient The history of the incident The condition of the patient when found The patient's description of the injury/illness The patient's chief complaint The patient's level of responsiveness Initial and subsequent vitals: airway, breathing, and circulation (including severe bleeding) Results of examination Pertinent conditions using SAMPLE Treatment given Any change in condition post-treatment Agency/personnel that took over Time you were dispatched, arrived, other EMS arrival, departed Reportable conditions Infectious disease Anything useful Other helpful facts