Podcast
Questions and Answers
What are the primary reasons that a prearrival radio report is given to the receiving hospital?
What are the primary reasons that a prearrival radio report is given to the receiving hospital?
To update the hospital on the patient's condition and prepare the emergency department for the patient's arrival.
Why is it important to document in a narrative format rather than just completing check boxes on a prehospital care report?
Why is it important to document in a narrative format rather than just completing check boxes on a prehospital care report?
Narrative documentation provides a detailed account of the patient's condition, treatment, and responses, allowing for a more comprehensive and accurate record of the patient's care.
What are some therapeutic communication techniques that you can use when interacting with a patient?
What are some therapeutic communication techniques that you can use when interacting with a patient?
Therapeutic communication techniques include active listening, verbal and nonverbal communication, empathy, reassurance, and validating the patient's feelings and concerns.
What can you do to minimize the potential for miscommunication?
What can you do to minimize the potential for miscommunication?
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What questions do you anticipate emergency department personnel to ask?
What questions do you anticipate emergency department personnel to ask?
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With the patient's history of diabetes, what else might play a role in your care? How does this disease affect the patient's perception of pain?
With the patient's history of diabetes, what else might play a role in your care? How does this disease affect the patient's perception of pain?
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How should you answer her?
How should you answer her?
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Is it ever justifiable to misinform a patient to reduce the patient's anxiety temporarily?
Is it ever justifiable to misinform a patient to reduce the patient's anxiety temporarily?
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Study Notes
Case Study: Communications and Documentation
- An 86-year-old woman fell into her bathtub at 3 AM.
- She remained in the bathtub until 10 AM.
- She is sitting in the bathtub, back on the faucet, without water.
- Patient is pale and cold to the touch.
- Patient reports severe hip and back pain (8/10 and 10/10, respectively, on a 1-10 scale).
- The patient's blood pressure is 112/84, pulse is 72, and respirations are 14.
- Crepitus was noted in the pelvic girdle.
- Patient is conscious and alert.
- Patient has a history of diabetes.
- The paramedics immobilized the patient with a c-collar.
- ETA to the hospital is 10 minutes.
Pre-Arrival Radio Report
- The pre-arrival report should include important information to assist the receiving hospital with patient care.
- This needs to include, but is not limited to: patient's condition, presenting complaints, vital signs, pertinent past medical history.
Importance of Narrative Documentation
- Narrative reports are more detailed than check boxes and better describe the situation.
- They provide context about patient presentation, which can be crucial for the receiving hospital personnel.
Therapeutic Communication Techniques
- Addressing patient's pain and fear during the call may improve patient outcomes.
- Employing empathetic communication minimizes the potential for miscommunication.
- Offering reassurance and validating the patient's feelings is critical.
- Direct eye contact and adjusting the tone of voice and sentence structure may assist understanding.
Report to the Hospital
- The report should include:
- The name of the ambulance service (Columbus Fire)
- The destination hospital (Columbus Community Hospital)
- Patient's age and sex
- Time of incident.
- Patient's current status
- The patient's pain level.
- Include important details like vital signs, and any injuries (crepitus in pelvic girdle).
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Description
Explore a detailed case study involving an elderly patient who experienced a fall and required pre-arrival radio reporting for proper medical care. This quiz covers vital signs, patient history, and the importance of narrative documentation in emergencies. Test your understanding of effective communication in medical settings.
