EMT Chapter 17 PreTest

What power output do most portable radios​ have? A. 1-5 watts B. 0.5-3 watts C. 25-35 watts D. 5-10 watts

A. 1-5 watts

Another name for an abbreviated​ transfer-of-care form​ is: A. drop report. B. condensed report. C. incomplete report. D. short report.

A. drop report Since it is not always possible to complete the PCR before a crew has to​ leave, many EMS agencies using electronic data collection employ a drop report. This is an abbreviated report containing the minimum data set.

Which of the following resides at a fixed​ site, such as a dispatch​ center? A. Mobile radio B. Base station C. Cell phone D. Portable radio

B. Base station

You were on a call involving ALS. It is likely that you will have to fill out which type of form to add to the​ PCR? A. Special incident B. Supplemental C. Triage D. Patient refusal

B. Supplemental Many states use a supplemental form for Advanced Life Support​ (ALS) calls, or additional documentation for calls that were complex or involved. For a call involving​ ALS, it is likely that you will have to fill out this​ form, but not a patient refusal form unless a patient refused care or​ transport, and not a special incident report unless situations that occurred are covered by such reports. There​ isn't a triage form.

To maintain order on the​ airwaves, the​ FCC: A. decrees the use of a​ single, universal radio frequency. B. allows EMS personnel to use any convenient radio frequency. C. assigns and licenses radio frequencies. D. prohibits commercial uses of radio frequencies.

C. assigns and licenses radio frequencies

Documentation is part of​ the: A. oral report to emergency department staff. B. interpersonal communications with the patient. C. patient care process. D. general impression of a patient.

C. patient care process. Documentation is an important part of the patient care process. It is not part of the general impression of a patient or an oral report to ED staff. It is not part of interpersonal communications with the patient.

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

A. A drop report (transfer report)

When speaking to a patient who is a​ child, try​ to: A. avoid crouching down. B. get down to the​ child's level. C. speak from a position of authority above the patient. D. avoid eye contact until the child knows you better

B. get down to the​ child's level

Guidelines for communicating with your patient include which of the​ following? A. Never touch a patient in a comforting​ manner, as the patient may perceive it as encroachment. B. Refrain from explaining what you are​ doing, as it takes too much time. C. Listen carefully and allow time for the patient to answer. D. Be informal with older patients and call them by their first name.

C. Listen carefully and allow time for the patient to answer.

Which of the following is the term for a device that picks up signals from​ lower-power radio units and retransmits them at a higher​ power? A. Repeater B. Cell phone C. Base station D. Mobile radio

A. Repeater

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

C. Using medical abbreviations

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

D. important long after the call.

When correcting an error on a​ report, you should do what in addition to initialing it and writing the correct information beside​ it? A. Draw a horizontal line through it B. Circle it C. Highlight it in yellow D. Underline it twice

A. Draw a horizontal line through it

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. Drop report B. Patient care record C. Quality assurance report D. Run data

A. Drop report A drop report is an abbreviated form of a PCR. Run data provides administrative information about a call. A patient care record is the PCR. Quality assurance helps make sure EMT actions are reviewed for adherence to current medical and organizational standards.

Which of the following terms describes inaccurate information that has been documented on a PCR and may lead to revocation of EMT​ certification? A. Falsified B. Incomplete C. Confidential D. Inaccurate

A. Falsified The PCR documents the nature and extent of emergency medical care an EMT provides. It is meant to be a thorough and accurate record. Any mistake in care must be highlighted on the PCR. In such a​ situation, the EMT might be tempted to falsify the PCR. Falsification of information on a PCR should never occur. False information may lead to suspension or revocation of EMT certification or license. It also can lead to poor patient​ care, because the facts​ weren't documented.

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

A. It helps you remember important facts during a call Documentation has​ short-term benefits such as that noting vital signs and a​ patient's history will help you remember important facts about the patient during the course of the call. The other benefits given here are​ long-term benefits.

Which of the following is a routine radio transmission for an​ EMT? A. Notifying dispatch of your arrival at the hospital B. Contacting law enforcement with medical information about the patient C. Contacting the​ patient's personal physician while you are en route to the hospital D. Notifying dispatch when you are 5 minutes from the scene

A. Notifying dispatch of your arrival at the hospital

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

A. The patient information includes specific assessment​ findings, and the administrative information includes the trip times. The patient information includes specific but comprehensive patient assessment​ information, whereas the administrative information includes the times that were pertinent to the EMS call itself

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

A. an error of commission.

When communicating with an elderly​ patient: A. remember that many elderly people are​ well-oriented and physically able. B. always speak loudly and​ slowly, as elderly people are​ hearing-impaired. C. remember that elderly people are all at some stage of​ Alzheimer's disease. D. use terms of endearment such as​ "Dear" and​ "Honey" to make them feel better.

A. remember that many elderly people are​ well-oriented and physically able.

The​ NHTSA's minimum data set for patient information gathered by the EMT​ includes: A. the​ patient's respiratory rate and effort. B. capillary refill for patients younger than 3 years old. C. the​ patient's medical insurance information. D. systolic blood pressure for patients older than 1 year old.

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

Which of the following is true of communicating with patients from a culture different than​ yours? A. Patients from other cultures generally cannot understand therapeutic communication. B. Cultural differences can make effective communication more challenging. C. The​ patient's culture is irrelevant to the EMT. D. Cultural differences have no impact on communication

B. Cultural differences can make effective communication more challenging.

Which of the following best describes the manner in which an EMT should correct a known error on a written patient care​ report? A. Scribble out the word and write the correct one beside it. B. Draw a single horizontal line through the error and write the correction beside it. C. Erase the error and write the correction over the erasure. D. Circle the word and write the correct one beside it.

B. Draw a single horizontal line through the error and write the correction beside it. Even the most careful EMT will occasionally make errors in filling out the PCR. When such an error is discovered while a paper report is being​ written, draw a single horizontal line through the​ error, initial​ it, and write the correct information beside it.

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

B. Insurance information

Which of the following best explains why all patient care reports done in the United States are supposed to have the minimum data set​ included? A. It allows the tracking of information to ensure the elderly population is managed correctly. B. It allows better research and standardization of EMS care. C. It shortens the overall length of the PCR. D. It is required for Medicaid and Medicare to provide reimbursement.

B. It allows better research and standardization of EMS care.

Which of the following is true of use of a​ patient's name over the​ radio? A. Spell the​ patient's last name to avoid confusion. B. It may violate confidentiality rules. C. Most hospitals require you to provide the​ patient's name. D. Refer to all patients as​ "Jane Doe" or​ "John Doe."

B. It may violate confidentiality rules.

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

B. It serves administrative functions

Which type of radio is typically used in a​ vehicle? A. Base B. Mobile C. Portable D. Repeater

B. Mobile

What does​ "PTT" mean on a portable or mobile​ radio? A. ​Pre-transmit toggle B. Press to talk C. Press to terminate D. Patient telemetry transmit

B. Press to talk

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. Your unit number B. The unit you are calling C. The repeater location D. The base station

B. The unit you are calling

The prehospital care report​ is: A. proofread by an attorney for the hospital. B. completely confidential information. C. publicly available information. D. delivered to the​ patient's family.

B. completely confidential information. The PCR itself and all the information it contains are strictly confidential. The information must not be discussed with or distributed to unauthorized persons.​ Typically, only those needing to know the information in the report to treat the patient​ properly, such as staff at the receiving​ hospital, are authorized to have access to it.

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

B. examination findings that are negative but important to note. Pertinent negatives are examination findings that are negative​ (things that are not​ true) but are important to note. For​ example, if a patient has chest​ pain, you will ask that patient if he has difficulty breathing. If the patient says he does not have difficulty in​ breathing, that statement is an important piece of negative information. On your prehospital care​ report, you would​ note, "The patient denies difficulty​ breathing."

A triage tag is affixed to the patient and​ records: A. the​ patient's transport priority on a scale of​ 1-10, with 1 being the highest priority. B. the​ patient's chief complaint and​ injuries, vital​ signs, and treatments given. C. a narrative history of the patient that paints a picture of the​ patient's condition. D. the​ patient's name,​ address, and date of birth.

B. the​ patient's chief complaint and​ injuries, vital​ signs, and treatments given. A triage tag is affixed to the patient and records the​ patient's chief complaint and​ injuries, vital​ signs, and treatments given. This can keep critical information with the patient as the patient moves through the system. At a point later in the​ emergency, the tag will be used to complete a traditional prehospital care report.

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. the patient has understood your message. B. your communication efforts may not be working. C. you need to tell this patient to sit down. D. the patient is accepting you as a medical authority.

B. your communication efforts may not be working.

When the EMT calls to receive an order from medical direction to assist the patient with the​ patient's bronchodilator​ treatment, it is important​ to: A. tell the physician what the​ EMT's diagnosis is. B. ​"echo" or immediately repeat the order back for verification. C. be sure to say​ "please" and​ "thank you" for the order. D. use as many codes as​ possible, because people may be listening.

B. ​"echo" or immediately repeat the order back for verification.

To whom information about a patient may be distributed is dictated​ by: A. the​ patient's family. B. ​HIPAA, state, and local regulations. C. an attorney for the receiving hospital. D. medical direction.

B. ​HIPAA, state, and local regulations HIPAA, state, and local regulations will dictate to whom information about a patient may be distributed

Which of the following statements regarding patient refusal is most​ accurate? A. You must note that a secondary assessment was not​ possible, given the​ patient's refusal. B. You must note simply that you left the scene at the​ patient's request. C. You must document all actions you took to persuade the patient to go to the hospital. D. You must provide convincing evidence that the patient was mentally incompetent to justify leaving the scene

C. You must document all actions you took to persuade the patient to go to the hospital.

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

C. omission and commission.

A​ refusal-of-care form: A. must be witnessed by an attorney when signed. B. must include the NHTSA minimum data set. C. should be read and signed by the patient. D. takes the place of a prehospital care report

C. should be read and signed by the patient. Most EMS agencies have a​ refusal-of-care form to use in the event that you have done your best to persuade the patient to accept care or transport and the patient still refuses. This form may be either part of the prehospital care report or a separate document. You should make sure the patient reads and signs this form. Next question

Your activities as an EMT may take you to some unusual​ situations, such as exposure to infectious​ disease, that will require documentation on a form other than a prehospital care report. Such forms are usually specific to a local agency rather than mandated statewide. They are​ called: A. supplemental forms. B. drop reports. C. special incident reports. D. refusal information sheets.

C. special incident reports. Refusal information sheets document patient refusals of care or​ transport, drop reports are abbreviated versions of the PCR that EMTs can drop at the​ hospital, and supplemental forms augment the PCR to document calls involving Advanced Life Support or that were otherwise complex or involved.

The oral report​ is: A. a valuable source for research on trends in emergency care. B. a guide for continuing education and quality improvement. C. your chance to convey important information about your patient directly to hospital staff. D. a part of the​ patient's permanent hospital record.

C. your chance to convey important information about your patient directly to hospital staff.

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

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

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. 3 B. 7 C. 5 D. 1

D. 1

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

D. Federal Communications Commission.

Which of the following statements about receiving orders over the radio is​ true? A. If an order appears to be​ inappropriate, call another hospital to confirm. B. If an order appears to be​ inappropriate, write down every word so that you may defend yourself​ later, if necessary. C. If an order appears to be​ inappropriate, contact your dispatcher to report. D. If an order appears to be​ inappropriate, repeat the order to the physician and ask pertinent questions about the order.

D. If an order appears to be​ inappropriate, repeat the order to the physician and ask pertinent questions about the order.

Which of the following should be avoided in completing the vital signs division of the​ PCR? A. Documenting the time the​ patient's vital signs were taken B. Taking and recording at least two complete sets of vital signs C. Documenting the position the patient was in when vitals were taken D. If you take only one set of vital​ signs, estimating a second set

D. If you take only one set of vital​ signs, estimating a second set

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

D. Patient narrative section The portion of the PCR that allows the EMT to provide more detailed information is the patient narrative section. This section allows for more information about the patient and the​ patient's problem than is allowed for in check​ boxes, drop-down​ menus, or limited data fields. This critical information sets the tone for the entire course of​ assessment, treatment, and documentation that will follow. Next question

​Typically, you should do which of the following when interviewing your​ patient? A. Change positions frequently. B. Stand above the patient. C. Position yourself at a distance of several feet from the patient. D. Position yourself at or below the​ patient's eye level

D. Position yourself at or below the​ patient's eye level

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

D. The​ patient's chief complaint

When interviewing a​ patient, which of the following is​ recommended? A. Direct the patient to keep statements brief. B. Assign the patient a friendly nickname. C. Start important statements with​ "Now listen". D. Use the​ patient's proper name

D. Use the​ patient's proper name

To avoid falsifications in your prehospital care​ report, follow this​ rule: A. Write a disclaimer at the top of the report that inaccuracies are simple errors. B. Only write down​ objective, measurable data concerning the patient. C. Avoid writing anything about the patient that could be construed as subjective. D. Write everything important that did happen and nothing that​ didn't.

D. Write everything important that did happen and nothing that​ didn't. You will avoid falsifications if you follow this​ rule: Write everything important that did happen and nothing that​ didn't. You should try to avoid any inaccuracies and should not write disclaimers regarding inaccuracies. You need to include both pertinent subjective and objective information in your report.

For calls for assistance during scene​ size-up, carry: A. a repeater. B. a cell phone. C. a mobile radio. D. a portable radio.

D. a portable radio.

When communicating with medical​ direction, you​ must: A. match your emotion to the severity of the​ patient's condition. B. give as much detail as possible. C. speak as quickly as possible. D. be clear and concise.

D. be clear and concise.

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

D. document this refusal as well. It is rare that a patient will refuse to sign the form. If he​ does, be sure to document this as well and note the names of witnesses to the refusal. If​ possible, when a patient refuses to sign the​ form, get the witnesses to sign a statement confirming that the patient has refused care or transport. You would not report this patient to police. You should consult medical direction whenever a patient refuses care or​ transport, but this particular situation requires​ documentation, not medical advice. A special situation report would not cover this situation.

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

D. incident was reported. The information to be included in the administrative information section includes the time the incident was​ reported, the time the unit was​ notified, the time of arrival of the​ patient, the time the unit left the​ scene, the time the unit arrived at its destination​ (e.g., the​ hospital), and the time of transfer of care.

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

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

Once you arrive at the hospital with your​ patient, it is important to give the ED staff an oral report. This report should​ include: A. the​ patient's billing and insurance information. B. personal information about the patient that is not pertinent to medical care. C. only new information. It is not necessary to repeat your broadcasted report. D. treatment that was given to the patient en route and the​ patient's response to that treatment.

D. treatment that was given to the patient en route and the​ patient's response to that treatment.

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

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