Chapter 5 EMS communications
When transmitting data over the radio, you should NOT disclose the patient's:
HIV status
an elderly man states that he is sad and depressed because his wife recently died of cancer which of the following statements from the paramedic demonstrates empathy
I'm sorry sir I don't know how I would feel in your situation but I am sure it would be similar
which of the following statements is an example of providing false reassurance
Im sure that you will be fine but let us take you to the hospital just to be on the safe side
Using the NATO phonetic alphabet, how should you spell Dr. "Wilson"?
WHISKY-INDIA-IIMA-SIERRA-OSCAR-NOVEMBER
Notification of EMS usually occurs when:
a bystander notifies the dispatcher via telephone
Repeating the key parts of a patient's responses to your questions demonstrates:
active listening
if a patient asks for your advise regarding a treatment decision that his or her physician made you should
advise the patient to consult with his or her physician
when attempting to interview a patient with a behavioral crisis you should
approach the patient cautiously while maintaining eye contact
Low-band frequencies:
are unpredictable because changes in ionospheric conditions may cause losses in communication.
Many ___ believe that touching the head may put their soul in jeopardy.
asians
After asking a patient a question about how he is feeling today, you sense that he is having difficulty putting his feelings into words. You should:
be patient and give the patient time to express his feelings
which of the following questions is the MOST effective when insuring about a patients chest pain
can you describe the pain to me
if a patient is reluctant to communicate because he or she felt threatened, the paramedic should
cautiously approach the patient and use open posturing
which of the following statement regarding the use of cellular telephones and landlines telephones is MOST correct
cellular and landline telephones overcome problems caused by overcrowded EMS radio frequencies
the FIRST principle of communicating by radio is
clarity
if a patient insists on monitoring your conversation with his or her adolescent son or daughter you should
communicate the situation to the emergency department physician and document it accurately
at minimum sending the 12 lead ECG of a patient with chest pain to the emergency department physician via telemetry would
decrease the time of the diagnosis to treatment
which if the following questions would be appropriate to ask a patient who has no medical training
do you have any breathing or heart problems
which of the following is NOT an example of an open ended question
does the pain radiate to your arm or jaw
the purpose of a closed-ended question is to
elicit a specific response from the patient
When the paramedic encounters a patient who has difficulty communicating, he or she should:
enlist the help of a family member or primary caregiver
During the course of your interview, your patient begins making sexual innuendos to you. You should:
ensure that another paramedic or EMT is present at all times
Maintaining eye contact with a patient enables the paramedic to:
evaluate the patients neuralgic status
interpersonal communication is MOST accurately defined as the
exchange of information between two or more persons
Statements such as, "Please say more," or, "Please feel welcome to tell me about that," are examples of:
facilitation
If the EMD suspects that your patient has a life-threatening emergency, the EMD should make you aware of the situation and then:
give pre arrival instructions to the caller
If a patient provides an inappropriate response to a paramedic's question, it should be assumed that the patient:
has impaired cerebral function
If the wife of a critically ill man asks you if her husband is going to die, the MOST appropriate response should be?
he is very sick but we are doing everything we can to help him
When a panicked person calls 9-1-1 for help:
he or she needs immediate confirmation of having reached the right number.
the term "frequency" as it applies to radio communications is MOST accurately defined as
how frequently a radio waverers in a given time
When relaying medical information to a physician in person, you should:
include information that you did not provide during your radio report
cellular telephones are more advanced than regular two way radios in that cellular telephones
incorporate GPS technology to help rescuers find the patient
touching a conscious elderly patient in a nursing home without his or her permission?
is nonverbally communicating "you are not important enough or mentally competent enough to be asked for permission"
The use of ten codes over the radio
is not recommended by the National Incident Management System (NIMS).
all of the following are external factors that can affect communications with a patient EXCEPT
lack of empathy
Before you begin to transmit over the radio, you should check the volume and then:
listen to make sure that the channel is clear of traffic
If you want reliable answers to personal questions, you should?
manage the scene so you can ask the questions quietly and privately
a backup communication system is especially critical when dealing with
mass-casualty incidents
which of the following statements regarding 12 lead ECG telemetry is correct
most newer systems use facsimile technology to allow transmission of 12 lead ECGs
When functioning at a noisy scene, communication will be MOST effective if you?
move the patient to the ambulance as soon as you can
In order for the paramedic to talk and transmit an ECG simultaneously on one frequency, a ___ system is required.
multiplex
the combination of two or more signals which allows the paramedic to talk and transmit an ECG simultaneously on one frequency is called a
multiplex system
when transmitting you radio report to the hospital you should
not be sitting right next to the patient
Radio transmission distances from a mobile transceiver are reduced:
over mountainous areas
under the instructions of a good EMD a layperson should be able to
perform chest compressions
If a patient mentions something in passing or avoids answering a specific question, you should:
politely redirect his or her attention to that question
If a patient avoids answering a specific question, you should?
redirect him or her to the question to elicit a response
a patient states "I can't catch my breath" and the paramedic responds "you say you can't catch your breath, ma'am?" this is an example of
reflection
a _________ receives a weak signal and retransmits it at a higher power on another frequency
repeater
a(n)________ receives a week signal and retransmits it at a higher power on another frequency
repeater
If a patient provides a confusing or disorganized response to your question, you should:
rephrase the patients comments with simpler terms and ask if he or she agrees with your synopsis
If the paramedic is unable to defuse a hostile patient's anger, the paramedic should:
request law enforcement assistance if needed
all of the following factors may cause distortion of an ECG signal EXCEPT
severe tachycardia
when communicating medical information via radio you should be
simple, brief, and direct
which of the following actions demonstrates that the paramedic has his or her emotions under control
speaking close to the patients ear in a calm voice in an extremely noisy situation
Biotelemetry is MOST accurately defined as:
the capability of measuring vital signs and ECG tracings and transmitting them to a distant terminal
which of the following patient data is NOT typically communicated during your radio report to the hospital
the patents ethnicity
it is important to remember that if a patient is not personally sensitive to modesty because of Impaired mental status
the patients family likely will be
which of the following details is of LEAST importance for the EMD to obtain from the caller
the patients last known oral intake
What hand gesture is interpreted by many Arabic and some Latin American cultures as the equivalent of an extended middle finger?
the thumbs up sign
when communicating with older patients it is MOST important to remember that
their illness may be more complex because they have more than one disease process and may be taking several medications concurrently
Conveying calm, unmistakable, genuine concern for someone you've never met before is the most essential challenge as a/an?
therapeutic communicator
which of the following statement regarding ten codes is correct
they should be avoided during a mass-casualty situation
When touching a patient as a form of reassurance, the paramedic should?
touch the patient on a neutral part of his or her body
Islamic and Hindu cultures avoid
touching with the left hand.
a base station decoder within the emergency department
translates a telemetry signal into an oscilloscope tracing
when communicating with a patient whose culture background differs from the paramedics it is MOST important for the paramedic to
treat the patient with the utmost respect at all times
the ability of multiple agencies or systems to share the sane radio frequency is called
trunking
Eye-to-eye contact with a patient reinforces:
trust and honesty
When transmitting information via radio, you should:
use a normal conversation tone of voice
which of the following questions would MOST likely reveal a hidden medical condition when communicating with a patient who has severe headache
what happened the last time you felt this way
Stereotyping an elderly, very young, or hostile patient during your attempt to communicate with him or her:
works against effective communications
which of the following words would be the MOST difficult to hear over the radio
yes
it would be MOST appropriate to ask a patient a close ended question when
you are trying to obtain medical information
when a patent repeatedly apologizes to you because he or she is incontinent you should say
you don't have to apologize that's what we're here for
if a patient is unable to tell you who he or she is where he or she is and what day of the week it is
you should suspect decreased blood flow to the brain
When a patient thanks you, your MOST appropriate response should be:
you're welcome
when providing patient care it is MOST important that you maintain effective communication with
your partner