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Concise EMT Crash Course > *(Chapter 5) Communication And Documentation > Flashcards

*(Chapter 5) Communication And Documentation Flashcards

1
Q

What is empathy?

A

The ability to see things from the patient’s perspective.

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2
Q

What does E-PCR stand for?

A

Electronic Patient Care Report.

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3
Q

What is the role of the Federal Communications Commission (FCC)?

A

Regulates all radio operations in the U.S.

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4
Q

What is telemedicine?

A

Delivery of healthcare services via real-time telecommunication technologies.

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5
Q

What is therapeutic communication?

A

Techniques prioritizing the physical, mental, and emotional well-being of patients.

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6
Q

What are the primary forms of EMS communication?

A

Dispatch, emergency responders, and medical direction.

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7
Q

What are portable radios used for?

A

Handheld communication with limited range, often supported by repeaters.

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8
Q

How do mobile radios differ from portable radios?

A

They are vehicle-mounted and have a greater range.

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9
Q

What is a base station?

A

A fixed transmitter/receiver in contact with all radio system components.

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10
Q

What is the purpose of a repeater?

A

To amplify low-power transmissions and improve range.

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11
Q

What are MDCs (Mobile Data Computers)?

A

Devices that relay digital information, reducing radio traffic.

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12
Q

What are the advantages and disadvantages of cellphones in EMS?

A

Advantages: Easy, clear audio, inexpensive. Disadvantages: Unreliable during peak demand or mass casualty incidents.

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13
Q

What are key rules for radio communication?

A
  1. Confirm receipt of dispatch information. 2. Notify dispatch at all phases of the call. 3. Use correct radio/frequency and clear, concise language.
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14
Q

What is included in a report to medical direction?

A

Patient’s age, chief complaint, vitals, history, treatments, and requests for additional interventions.

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15
Q

What are the main purposes of a Patient Care Report (PCR)?

A
  1. Ensure continuity of care. 2. Serve as a legal document. 3. Support billing and quality improvement.
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16
Q

What must be included in the minimum data set?

A

Accurate times for dispatch, arrival, and transfer of care.

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17
Q

What are the steps for transferring care?

A
  1. Provide a verbal report. 2. Submit a written PCR. 3. Obtain a signature from the accepting provider.
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18
Q

What are key components of interpersonal communication?

A
  1. Encoding and decoding messages. 2. Awareness of tone and non-verbal cues. 3. Building rapport through honesty and respect.
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19
Q

What should be avoided during communication?

A
  1. False promises or biased language. 2. Advice beyond your scope. 3. Overusing medical jargon.
20
Q

What are principles of therapeutic communication?

A
  1. Show compassion, empathy, and competence. 2. Use open-ended questions. 3. Avoid judgmental statements.
21
Q

What is telemedicine used for in EMS?

A

Real-time communication between responders and physicians for medical direction.

22
Q

What is Mobile Integrated Healthcare (MIH)?

A

A collaboration between EMS and healthcare facilities for integrated care.

23
Q

What must be included in a verbal transfer of care?

A

All relevant patient information, including updates since radio reports.

24
Q

What is required for written transfer of care?

A

A patient care report (PCR) must accompany the patient.

25
Q

What signature is required during transfer of care?

A

Obtain a signature from the accepting provider verifying transfer of care.

26
Q

What does effective communication involve?

A

The sender “encodes” the message; the receiver “decodes” it.

27
Q

What factors influence communication?

A

Non-verbal cues, attitude, and tone significantly impact effectiveness.

28
Q

How can you establish rapport with a patient?

A

Introduce yourself, address the patient by name, be honest, and respect cultural differences.

29
Q

What should you avoid in communication?

A

Avoid false promises, biased language, confrontational behavior, and overusing medical jargon.

30
Q

What are challenging communication scenarios?

A

Patients with disabilities, those under the influence of drugs/alcohol, and pediatric patients.

31
Q

What is therapeutic communication?

A

A style of communication showing compassion, empathy, and commitment to the patient’s well-being.

32
Q

How can you effectively question patients?

A

Use open-ended questions for information and closed questions for specifics; avoid judgmental language.

33
Q

What is telemedicine?

A

Real-time communication with physicians for medical direction.

34
Q

What is Mobile Integrated Healthcare (MIH)?

A

Coordinated care among EMS and healthcare providers to reduce hospital visits.

35
Q

What is the purpose of the PCR?

A

Continuity of care, legal documentation, billing, and quality improvement.

36
Q

What are the key rules for documentation?

A

Document only what you did; if it’s not documented, it wasn’t done; ensure accurate timing.

37
Q

What content must a PCR include?

A

Patient demographics, assessment findings, treatments, and administrative details.

38
Q

What are the common documentation formats?

A

FACT (Factual, Accurate, Complete, Timely), SOAP (Subjective, Objective, Assessment, Plan), CHART (Chief complaint, History, Assessment, Rx, Transport).

39
Q

What should you avoid in documentation?

A

Spelling errors, unapproved abbreviations, and falsifications.

40
Q

What are errors of omission?

A

Leaving out critical details from the report.

41
Q

What are errors of commission?

A

Including incorrect or misleading information in the report.

42
Q

What must you document for patient refusals?

A

Patient capacity, treatments offered/refused, risks explained, and witness signatures.

43
Q

What steps should you take for patient refusals?

A

Call medical direction for advice and recommend the patient call EMS again if they change their mind.

44
Q

What are possible special reporting situations?

A

Death, mass casualty incidents, abuse, suspected crimes, animal bites, and disease outbreaks.

45
Q

What is abandonment in EMS?

A

Failing to give a verbal transfer of care to an equal or higher authority.

46
Q

Why is cultural competence important?

A

It helps tailor communication to diverse patient needs and ensures effective care.

Concise EMT Crash Course (6 decks)

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