OEC 6th Edition Chapter 8 - Communications and Documentation单词卡 | Quizlet

Identify the two types of medical communications that are most important to inform other medical providers of a patient's condition and progress.

A) Verbal and nonverbal communication

B) Oral and transmitted communication

C) Verbal communication and sign language

D) Oral communication and written documentation

D) Oral communication and written documentation

The OEC technician can verbally report to others in a timely method about an incident using the acronym "SAILER." The acronym is best represented by which one of the following?

A) The gender and age of the patient, the chief complaint of the patient, your location, the equipment you need, and the other resources you need

B) The patient's name, gender, and complaints, your location, a toboggan, and airway

C) The patient's gender and complaints, your location, oxygen, and blankets

D) The patroller, the patient's gender and complaints, location of the patrol room and other patrollers

A) The gender and age of the patient, the chief complaint of the patient, your location, the equipment you need, and the other resources you need

When a patient arrives at the first-aid station, a status of the patient is given. The name of the brief oral report is called what?

A) Pass-off report

B) Handoff report

C) Tag-out report

D) Trade-off report

B) Handoff report

Which of the following documents may be used as a medical-legal record for patient care?

A) Field notes of the patroller, patient care report (PCR), incident report forms

B) Supply report, annual budget, insurance carrier

C) NSP awards, fund raising awards, snow report

D) Patrol schedule, automobile insurance certificate, list of surrounding resorts

A) Field notes of the patroller, patient care report (PCR), incident report forms

An incident report form is provided by the area's insurance carrier. What is the purpose of the incident report form?

A) To collect data concerning only the patient and the circumstances surrounding an incident

B) To communicate only medical information to other parties

C) To collect data regarding your opinion of the incident

D) To collect data surrounding the patient and incident, gather patient care data, and to communicate medical information to other parties

D) To collect data surrounding the patient and incident, gather patient care data, and to communicate medical information to other parties

The patient care report (PCR) is best organized and completed by using which of the following methods?

A) SOAP and LATHER

B) LIES and CHEATED

C) SOAP and CHEATED

D) CHEATED and DISTRACTED

C) SOAP and CHEATED

Please select the most effective components that the OEC technician uses in medical documentation and that best represent the primary parts of the assessment and management process.

A) Chief complaint, history, examination, assessment, treatment, evaluation, and disposition

B) Chief counsel, highest injury, achievement, trail skied, evolution, and deposition

C) Chances taken, history, written exam, attributes, toboggan used, evacuation, and disposition

D) Patient name, history, exam of incident, asking for advice, temperament, involvement, and distractors

A) Chief complaint, history, examination, assessment, treatment, evaluation, and disposition

When a patient refuses care, under what part of the CHEATED acronym does that fall?

A) H

B) T

C) E

D) D

D) D

What part of CHEATED includes the physical exam of the patient?

A) C

B) H

C) E

D) A

C) E

On which form would you be most likely to use the SOAP or CHEATED acronyms?

A) Patient care report

B) Annual report

C) Handoff reports

D) NSP application

A) Patient care report

The PCR (patient care report) is a legal medical document completed by the OEC technician. Therefore, good written documentation is important. In the list below, choose the answer that represents the components of a good written case report.

A) Biased with your opinion

B) Using only slang spoken on the street and by the skier

C) Appropriate medical terminology

D) Errors are not a problem.

C) Appropriate medical terminology

Rather than rewriting the whole report when an error is made, which of the following is the best method for correcting written errors on the report?

A) Erase the error, write the correct information, then initial, date, and time the change.

B) Scratch the error out completely, write the correct information, then initial, date, and time the change.

C) Use white out to cover the mistake, correct the information, then initial, date, and time the change.

D) Draw a single line through the error, write the correct information, then initial, date, and time the change.

D) Draw a single line through the error, write the correct information, then initial, date, and time the change.

What is the best possible way to add or amend information to a report that has already been submitted?

A) Submit the additional information as an addendum to the report then sign, date, and time the addendum.

B) Ask for the report back so you can add to the report, then initial the changes.

C) Once the report is submitted, you can no longer add information and should only add the information to your notes.

D) Write the additional information on a copy of the form you kept for your records and resubmit the form with your initials and date.

A) Submit the additional information as an addendum to the report then sign, date, and time the addendum.