Chapter 6 Quiz

The most effective way to maintain your own knowledge of standard medical terminology is to

- Review the anatomy and physiology chapter of the textbook

Which of the following is a significant benefit of electronic documentation?

- The ability of the data to be shared between healthcare facilities

Prior to submitting a patient care report to the receiving hospital, it is most important for

- The paramedic who authored the report to review it carefully

Which of the following incident times is not commonly documented on the patient care report?

- Time of primary assessment

Components of a thrill patient refusal document include

- Willingness of EMS to respond to the scene if you're patient changes his mind

If you make an error when completing a written patient care report, you should

- use different colored ink when drawing a single line through the error

If your response to a call for a traumatic injury is canceled, you should document

-The agency or person who canceled the response

The prefix "trans" in "transcutaneous cardiac pacing" indicates that you are pacing _______ the skin.

-across

Which of the following incident times is NOT commonly documented on the patient care report?

Time of primary assessment

The National Emergency Medical Services Information System (NEMSIS)

collects relevant data from each state and uses it for research

If a patient with decision making capacity adamantly refuses treatment for an injury or condition that clearly requires immediate medical attention, the paramedic should

contact online medical control for guidance

If a patient with decision-making capacity adamantly refuses treatment for an injury or condition that clearly requires immediate medical attention, the paramedic should

contact online medical control for guidance.

When documenting A statement made by the patient or others at the scene, you should

- Please exact statement in quotation marks in the narrative

Which of the following statements is LEAST descriptive when documenting the events of a cardiac arrest call on your patient care report?

"Followed ACLS protocols."

Which of the following statements includes a pertinent negative?

"The patient complains of a nausea but denies vomiting"

Which of the following statements is least descriptive one documenting the events of a cardiac arrest call on your patient care report?

- "Followed ACLS protocols".

Which of the following statements contains objective and subjective information?

- "The patient appeared confused and stated that he had a headache".

If you receive another call before completing the patient care report accurately for the previous call

- A pertinent detail about the previous call maybe omitted inadvertently

The most significant problem associated with making up your own medical abbreviations and documenting them on the patient care report is

- An error in patient care

Data collected from the state EMS office for the purpose of research would likely not include

- Average cost per call

Which of the following documentation styles would likely be most difficult and time-consuming to apply and EMS?

- Body systems approach

Blepharospasm is defined as spasm of the

- Eyelids

Which of the following suffixes is used when describing disintegration or destruction?

- Lysis

For purposes everything medical care, a patient's mental status may be considered impaired if he or she

- Makes nonsensical statements

Which of the following data would a state EMS office be the least likely to require an EMS agency to report?

- Patient gender

Which of the following is a subjective finding

A complaint of chest pressure

Which of the following prefixes means "Pertaining to a gland?"

Aden(o)-

The MOST significant problem associated with making up your own medical abbreviations and documenting them on the patient care report is

An error in patient care

Data collected from the state EMS office for the purpose of research would likely NOT include

Average cost per call

Addition or notations added to completed patient care report by someone other than the original author

May raise question about the confidentiality practices of the EMS agency

Which of the following documentation styles would likely be MOST difficult and time-consuming to apply in EMS?

Body systems approach

Which of the following constitutes minimum data that must be included on every patient care report?

Chief complaint, level of consciousness, vital signs, assessment, and patients age and gender

Most EMS agencies require a double signature system anytime a

Controlled substance is checked, used, discarded, or replaced

Most EMS agencies require a double signature system any time a

Controlled substance is checked, used, discarded, or replaced.

Which of the following data would a state EMS office be the LEAST likely to require an EMS agency to report?

Patient gender

When a competent adult patient refuses care, it is MOST important for the paramedic to

Ensure that the patient is well informed about the situation at hand

When a competent adult patient refuses medical care, it is MOST important for the paramedic to

Ensure that the patient is well informed about the situation at hand.

Which of the following describes a female patient who takes acetaminophen and has an enlarged liver?

Female sign+;APAP;hepatomegaly

If the paramedic is unable to complete his or her patient care report before departing the emergency department, he or she should

Leave an abbreviated form with the pertinent data with the receiving provider and complete the patient care report as soon as possible.

For purpose of refusing medical care, a patient's mental status may be considered impaired if he or she

Makes nonsensical statements

HIPPA mandates that

Patient information shall not be shared with entities or persons not involved in the care of the patient

Which of the following laws or entities requires that a statement of medical necessity be clearly documented on a patient care report?

Medicare

Which of the following statements regarding revisions or corrections to a patient care report is correct?

Only the person who wrote the original report can revise or correct it.

The MOST effective way to maintain your own knowledge of standard medical terminology is to

Review the anatomy and physiology chapter of a textbook.

According to HIPAA, it is acceptable and permissible for hospitals to

Share information with the EMS providers about patient outcome for purposes of quality assurance and education

Prior to submitting a patient care report to the receiving hospital, it is MOST important for

The paramedic who authored the report to review it carefully

All of the following are subjective findings EXCEPT

Visible blood in the ear canal

Components of a thorough patient refusal document include

Willingness of EMS to return to the scene if the patient changes his or her mind.

The prefix trans- in "transcutaneous cardiac pacing" indicates that you are pacing ___ to the skin

across

When documenting a statement made by the patient or others at the scene, you should

place the exact statement in quotation marks in the narrative

Additions or notations added to a completed patient care report by someone other than the original author

may raise questions about the confidentiality practices of the EMS agency

HIPAA mandates that

patient information shall not be shared with entities or persons not involved in the care of the patient

The patient care report

provides for a continuum of patient care upon arrival at the hospital.

In order to ensure that all recorded times associated with an incident are accurate, the paramedic should

radio the dispatcher after an event occurs.

An accurate and legible patient care report

should be complete to the point where anyone who reads it understands exactly what transpired on the call

The accuracy of your patient care report depends on all of the following factors, EXCEPT

the severity of the patient's condition