Chaptwr 4 Flashcards

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1
Q

Communication

A

The transmission of information from one person to another—whether it is written, verbal, or nonverbal.

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2
Q

Documentation

A

The written or electronically recorded portion of your patient care interaction that becomes part of the patients permanent medical record.

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3
Q

Therapeutic communication

A

Uses various communication techniques and strategies, both verbal and nonverbal, to encourage patients to express how they are feeling and to achieve a positive relationship with the patient.

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4
Q

Shannon-Weaver communication model

A

Mathematical theory of communication

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5
Q

Therapeutic communication

A

Uses versions communication techniques and strategies, both verbal and nonverbal, to encourage patients to express how they are feeling and to achieve a positive relationship with the patient.

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6
Q

Ethnocentrism

A

When a person considers his or her own cultural values as more important when interacting with people of a different culture.

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7
Q

Cultural imposition

A

When one person imposes his or her beliefs, values, and practices on another because he or she believe his or her ideals are superior.

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8
Q

Noise

A

Anything that dampens or obscures the true meaning of the messages.

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9
Q

Rapport

A

A trusting relationship that you build with your patient.

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10
Q

Mission-critical communications

A

Any communications where disruption will result in the failure of the task at hand.

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11
Q

Mental model

A

The picture an individual has in his or her head of “what’s going on” in a given situation.

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12
Q

Handover

A

The transfer of pertinent patient information and the responsibility for the patient’s care.

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13
Q

SBAR

A

Situation
Background
Assessment
Recap/Rx

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14
Q

SBAT

A

Situation
Background
Assessment
Treatment

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15
Q

Patient Care Report (PCR)

A

The legal document used to record all aspects of the care your patient received, from initial dispatch to arrival at the hospital.

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16
Q

6 functions of the PCR

A
  1. Transfer of information and continuity of care
  2. Compliance and legal documentation
  3. Administrative information
  4. Reimbursement
  5. Education
  6. Data collection for quality improvement and research
17
Q

CHART

A
Cheif complaint or Cheif concern
History
Assessments
Rx/Treatments
Transport
18
Q

SOAP

A

Subjective
Objective
Assessment
Plan

19
Q

Medical necessity

A

Transportation that takes place when it would have been unsafe or impossible to transport the patient by any other means.

20
Q

Health Information Exchange (HIE)

A

A system that allows EMS providers to access relevant health data (eg, past medical problems, medications, allergies, end-of-life decisions), avoid unnecessary duplication of effort in data entry, and view patient outcomes related to hospital care.

21
Q

SAFR framework

A

Search
Alert
File
Reconcile