Chapter 4- Communications and Documentation

Which of the following represents the MOST appropriate order to present patient information over the radio when communicating with the hospital?

Select one:

A. Chief complaint, history of present illness, age and sex, exam findings, care provided, estimated time of arrival

B. Age and sex, chief complaint, care provided, history of present illness, exam findings, estimated time of arrival

C. Chief complaint, age and sex, exam findings, history of present illness, care provided, estimated time of arrival

D. Age and sex, chief complaint, history of present illness, exam findings, care provided, estimated time of arrival

D. Age and sex, chief complaint, history of present illness, exam findings, care provided, estimated time of arrival

Radios that operate at 800 MHz allow for trunking, which is the:

Select one:

A. ability of multiple agencies to share frequencies.

B. ability to use multiple radios when transmitting.

C. operation of a dedicated line for emergency use.

D. only method of communication approved by the FCC.

A. ability of multiple agencies to share frequencies.

A 66-year-old female's daughter called EMS because her mother was having chest pain. When you arrive, the patient states that she does not need EMS and will not go to the hospital on her own. The patient is conscious, alert, and oriented and will not sign a refusal form. You should:

Select one:

A. Sign the refusal form yourself and document any care given.

B. Have your partner sign the form verifying the patient's refusal.

C. Have the daughter sign the form verifying her mother's refusal.

D. Advise the patient that the law requires her to sign the refusal form.

C. Have the daughter sign the form verifying her mother's refusal.

You must be careful when speaking to the family members about a patient because:

Select one:

A. the family may sue you for slander.

B. it is a violation of the patient's rights.

C. they are not a reliable source of information.

D. the patient may misinterpret what you said.

D. the patient may misinterpret what you said.

You are assessing a middle-aged man who complains of nausea and a headache. Before you physically move closer to him, it is important to remember that:

Select one:

A. he will take this as a sign of your compassion.

B. a greater sense of trust must be established first.

C. eye contact will likely make him uncomfortable.

D. most people's intimate space is between 18" and 4'.

B. a greater sense of trust must be established first.

How does an enhanced 9-1-1 system function?

Select one:

A. It is a universal number that can be accessed from any phone.

B. It provides the caller with initial emergency care for the patient.

C. It displays the caller's information on the dispatcher's computer.

D. It prevents the dispatcher and the caller from being disconnected.

C. It displays the caller's information on the dispatcher's computer.

When documenting your assessment of a patient with a headache, you should include pertinent negatives, which are:

Select one:

A. signs that are not consistent with the condition.

B. symptoms the patient had with previous episodes.

C. findings associated with other disease processes.

D. expected signs or symptoms that are not present.

D. expected signs or symptoms that are not present.

You are dispatched to a residence for a 5-year-old child with fever. During your assessment, the child becomes irritable and starts crying. You should:

Select one:

A. ask the parent or caregiver to leave the room.

B. encourage a parent or caregiver to hold the child.

C. carefully restrain the child and continue your assessment.

D. limit your assessment to a visual inspection of the child.

B. encourage a parent or caregiver to hold the child.

You are giving your oral report to the attending physician in the emergency department. Which of the following information about the patient is usually NOT given at this point?

Select one:

A. Initial vital sign values

B. The patient's name and age

C. The patient's physical address

D. Any important medical history

C. The patient's physical address

Which of the following is the MOST significant consequence of inappropriate documentation?

Select one:

A. Subsequent patient care that is inappropriate

B. Revocation of your EMS certification or license

C. Punitive action by your supervisor or medical director

D. Litigation due to negligence or slanderous comments

A. Subsequent patient care that is inappropriate

When you talk with a patient, you should try to position yourself:

Select one:

A. at the patient's feet.

B. at the patient's head.

C. standing above the patient.

D. at a level lower than the patient's.

D. at a level lower than the patient's.

During your assessment of a patient, you ask, "Can you tell me more about your problem? I am listening." Which communication tool is this an example of?

Select one:

A. Reflection.

B. Confrontation.

C. Clarification.

D. Facilitation.

D. Facilitation.

Pertinent information that is transmitted over the radio to the receiving hospital includes all of the following, EXCEPT the:

Select one:

A. age and sex of the patient.

B. patient's primary complaint.

C. name and address of the patient.

D. patient's response to treatment.

C. name and address of the patient.

A 79-year-old female is complaining of shortness of breath. When you ask her when this episode began, she does not answer you. You should:

Select one:

A. speak clearly and repeat the question.

B. immediately ask a family member.

C. move closer and speak loudly in her ear.

D. ask a different question about her problem.

A. speak clearly and repeat the question.

Which of the following information is generally NOT reported to the dispatcher during a call?

Select one:

A. Your arrival at the hospital

B. Your departure for the hospital

C. The patient's clinical condition

D. Acknowledgement of the situation

C. The patient's clinical condition

When assessing an anxious 55-year-old male with chest pain, you should:

Select one:

A. avoid eye contact to minimize anxiety.

B. use medical terms to ensure he understands.

C. avoid unpleasant answers to his questions.

D. ask him how he prefers to be addressed.

D. ask him how he prefers to be addressed.

Which of the following functions would an emergency medical dispatcher (EMD) perform?

Select one:

A. Translating for a non-English speaking caller

B. Instructing a caller how to perform CPR

C. Providing medical direction to the EMT-I

D. Encouraging a caller to proceed to the hospital

B. Instructing a caller how to perform CPR

Ethnocentrism is defined as:

Select one:

A. consciously forcing your cultural values onto another person because you believe your values are better.

B. embracing the cultural values and beliefs of another person, even if they go against what you were taught.

C. intentionally providing substandard medical care to a person whose cultural values are different from yours.

D. considering your own cultural values as more important when interacting with people of a different culture.

D. considering your own cultural values as more important when interacting with people of a different culture.

While en route back to your station after delivering a patient to the hospital, you realize that you made an error on the front page of the patient care report. You should:

Select one:

A. completely mark through the error and write the correct information beside it.

B. place an "X" across the error and write an addendum to include the correction.

C. mark through the error with a black marker to ensure it is completely covered.

D. draw a straight line through it with different colored ink and date and initial it.

D. draw a straight line through it with different colored ink and date and initial it.

You are requesting an order to perform an invasive intervention on a critically ill patient from medical control when the radio system suddenly fails. You should:

Select one:

A. follow standing orders.

B. continue BLS and transport.

C. reattempt to contact medical control.

D. perform the invasive intervention.

C. reattempt to contact medical control.