Emergency Care Chp. 15

Documenting pertinent negatives means​ documenting: A. examination findings that are negative but important to note. B. anything you decided not to do. C. any time the patient said no. D. your actions when a patient refuses care.

A. examination findings that are negative but important to note.

Which of the following can lead to medical error on a patient care​ report? A. Using quotations to document the language of the patient B. Stating only facts as you found them C. Using anatomical language D. Using medical abbreviations

D. Using medical abbreviations

The FIRST information you give to the receiving hospital will​ be: A. your verbal report. B. the patient refusal form. C. your prehospital care report. D. the minimum data set.

A. your verbal report.

The narrative section or sections of a prehospital care​ report, compared to the​ fill-in or​ check-box sections,​ are: A. more structured. B. strictly subjective. C. less structured. D. strictly objective.

C. less structured.

Administrative information in the Department of​ Transportation's minimum data set includes the time when​ the: A. unit left the hospital after transferring care. B. unit was in route to the call. C. EMT radioed the patient report to the hospital. D. incident was reported.

D. incident was reported.

Which of the following is typically NOT included in the patient information section of the minimum data​ set? A. Breath sounds B. Skin color and temperature C. Chief complaint D. Respiratory rate and effort

A. Breath sounds

If a patient refusing care or transport also refuses to sign a​ refusal-of-care form, then you​ must: A. document this refusal as well. B. request medical direction to advise. C. fill out a special situation report. D. report the patient to the police.

A. document this refusal as well.

When communicating within the EMS​ system, you should keep your transmission brief and remember​ to: A. listen before transmitting. B. begin talking as soon as you press the microphone button. C. speak with your lips directly on the microphone. D. state your ID number and then the number of the unit you are calling.

A. listen before transmitting.

You are speaking to a patient and notice that the patient has folded her arms and is clasping her elbows with her hands. She is not looking at you directly. This indicates to you that MOST​ likely: A. your communication efforts may not be working. B. you need to tell this patient to sit down. C. the patient is accepting you as a medical authority. D. the patient has understood your message.

A. your communication efforts may not be working.

What type of report is usually left with the receiving facility if the EMS system is using electronic​ charting? A. A full written PCR B. A drop report C. A temporary report D. A PCR with only the patient demographics and administrative section completed

B. A drop report

Jurisdiction over all EMS radio operations in the United States is held by​ the: A. Federal Emergency Management Agency. B. Federal Communications Commission. C. Department of Transportation. D. Department of Health and Human Services.

B. Federal Communications Commission.

Which of the following is information that is not generally included in the verbal report at the receiving​ hospital? A. Additional treatment given in route B. Insurance information C. Patient name D. Most recent vital signs

B. Insurance information

What is a​ short-term benefit of​ documentation? A. It becomes part of the permanent patient record. B. It helps you remember important facts during a call. C. It can be a part of research efforts to trend data. D. It can be used for quality improvement purposes.

B. It helps you remember important facts during a call.

Which of the following is CORRECT about the prehospital care​ report? A. It serves only a legal purpose in providing proof of proper care. B. It serves administrative functions. C. It is not part of the​ patient's permanent medical record. D. It is only for the eyes of other EMS providers.

B. It serves administrative functions.

You document that a patient was administered​ oxygen, which you know did not happen. The failure to administer oxygen​ is: A. an error of commission. B. an error of omission. C. a falsification. D. a pertinent negative.

B. an error of omission.

In the emergency prehospital care communications​ system, a mobile​ transmitter/receiver: A. is a device that receives transmissions and rebroadcasts them at a higher power. B. is a​ vehicle-based radio that comes in a variety of power ranges. C. serves as a dispatch and coordination area. D. is a portable radio that is useful when you are working at a distance from your vehicle.

B. is a​ vehicle-based radio that comes in a variety of power ranges

Two types of errors might be committed on a​ call: A. medical and trauma. B. omission and commission. C. on the scene and during transport. D. mental and physical.

B. omission and commission.

Arrival and transport times fall under which component of the prehospital care​ report? A. Subjective field B. Treatment area C. Administrative information D. Narrative section

C. Administrative information

Which of the following is NOT one of the roles of the Federal Communications​ Commission? A. Assigning radio frequencies B. Overseeing radio communications C. Developing standardized 10 codes D. Licensing users

C. Developing standardized 10 codes

Which of the following is the term for an abbreviated form of the PCR that an EMS crew can leave at the hospital when there is not enough time to complete the PCR before​ leaving? A. SOAP notes B. Patient care record C. Drop report D. Run data

C. Drop report

What is the difference between the patient information section of the PCR and the administrative information that is included on the​ PCR? A. The patient information is the chief​ complaint, and the administrative information is the EMS arrival time. B. The patient information includes the​ patient's address​ only, and the administrative section includes the trip times. C. The patient information includes specific assessment​ findings, and the administrative information includes the trip times. D. The patient information includes the patient assessment​ information, and the administrative section is the name and address of the EMS system.

C. The patient information includes specific assessment​ findings, and the administrative information includes the trip times.

After telling the hospital the age and sex of your​ patient, what is the NEXT thing you need to​ report? A. The estimated time of arrival​ (ETA) B. The​ patient's vital signs C. The​ patient's chief complaint D. The​ patient's name

C. The​ patient's chief complaint

The EMT accurately documents that she gave a medication without appropriate medical direction. This is an example​ of: A. gross negligence. B. falsification of the PCR. C. an error of commission. D. an error of omission.

C. an error of commission.

The​ NHTSA's minimum data set for patient information gathered by the EMT​ includes: A. systolic blood pressure for patients older than one year old. B. capillary refill for patients younger than three years old. C. the​ patient's respiratory rate and effort. D. the​ patient's medical insurance information.

C. the​ patient's respiratory rate and effort.

Medical control has asked you to give the patient three nitroglycerin tablets. Which of the following responses to medical control is​ BEST? A. ​"The physician has ordered three nitroglycerine tablets. Roger​ that." B. ​"10dash4. Will​ do." C. ​"Nitroglycerin sublingual, repeat in five minutes up to​ three, correct?" D. ​"Copy that. Three​ nitros."

C. ​"Nitroglycerin sublingual, repeat in five minutes up to​ three, correct?"

When you press the button on the radio to​ talk, you should wait at LEAST how many seconds before speaking to avoid cutting off the first words of your​ transmission? A. Seven seconds B. Five seconds C. Three seconds D. One second

D. One second

Which of the following sections is used by the EMT to add more detailed information to a​ PCR? A. Administrative section B. Demographic section C. Treatment section D. Patient narrative section

D. Patient narrative section

When you are attempting to make contact with another ambulance unit using the​ radio, it is necessary to declare the name of which entity​ FIRST? A. The base station B. Your unit number C. The repeater location D. The unit you are calling

D. The unit you are calling

Your patient care report​ is: A. of use only in assessing the call itself. B. kept on file for liability reasons only. C. primarily of interest to the receiving emergency department. D. important long after the call.

D. important long after the call.

When receiving orders from medical​ direction, you should do all of the following​ EXCEPT: A. ask for clarification of an order that you did not understand or feel is inappropriate. B. avoid phrases such as​ "please," "thank​ you," and​ "you're welcome." C. repeat the order word for word. D. refuse to follow any order that you do not immediately understand.

D. refuse to follow any order that you do not immediately understand.

Which of the following is appropriate when communicating with medical direction over the phone or​ radio? A. ​"Patient likely experiencing​ non-cardiac chest​ pain." B. ​"Patient with symptoms of heart​ attack." C. ​"Patient presents with myocardial​ infarction." D. ​"Patient is complaining of chest​ pain."

D. ​"Patient is complaining of chest​ pain."

Which of the following is typically included in the patient information section of a prehospital care​ report? A. Description of​ patient's physical appearance and clothing B. ​Patient's physician's name C. ​Patient's primary and secondary contacts D. ​Patient's name,​ address, and phone number

D. ​Patient's name,​ address, and phone number