Communications and Documentation Chapter 4
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Questions and Answers

A ___________ receives messages and signals on one frequency and then automatically retransmits them on a second frequency.

  • Repeater (correct)
  • Scanner
  • Decoder
  • Duplex
  • A patient's refusal of EMS treatment and/or transport must be:

  • Reported to the police.
  • Witnessed by a notary.
  • Authorized by a judge.
  • An informed refusal. (correct)
  • All information recorded on the PCR must be:

  • Typewritten or printed.
  • A matter of public record.
  • Considered confidential. (correct)
  • Reflective of your opinion.
  • Any radio hardware containing a transmitter and a receiver that is located in a fixed location is called a:

    <p>Base station.</p> Signup and view all the answers

    As you are wheeling your patient through the emergency department doors, you receive another call for a major motor vehicle crash. You should:

    <p>Respond only after giving a verbal patient report to a nurse or physician.</p> Signup and view all the answers

    Calming and reassuring an anxious patient can be facilitated by:

    <p>Maintaining eye contact with the patient whenever possible.</p> Signup and view all the answers

    Communicating with hearing-impaired patients can be facilitated by doing all of the following, except:

    <p>Elevating the tone of your voice and exaggerating word pronunciation.</p> Signup and view all the answers

    During the alert and dispatch phase of EMS communications, the dispatcher's responsibilities include all of the following, except:

    <p>Discouraging the caller from providing care until the EMS unit arrives.</p> Signup and view all the answers

    Ethnocentrism is defined as:

    <p>Considering your own cultural values as more important when interacting with people of a different culture.</p> Signup and view all the answers

    In which of the following manners should you act and speak with a patient?

    <p>Calm and confident</p> Signup and view all the answers

    The patient care report (PCR) ensures:

    <p>Continuity of care.</p> Signup and view all the answers

    Two-way communication that requires the EMT to 'push to talk' and 'release to listen' describes which mode of communication?

    <p>Simplex</p> Signup and view all the answers

    When communicating with a visually impaired patient, you should:

    <p>Determine the degree of the patient's impairment.</p> Signup and view all the answers

    When providing a patient report via radio, you should protect the patient's privacy by:

    <p>Not disclosing his or her name.</p> Signup and view all the answers

    When relaying patient information via radio, communications should be:

    <p>Brief and easily understood.</p> Signup and view all the answers

    Which of the following incidents does not require a report to be filed with local authorities?

    <p>Cardiac arrest</p> Signup and view all the answers

    Which of the following statements regarding communication with a child is correct?

    <p>Standing over a child often increases his or her level of anxiety.</p> Signup and view all the answers

    Which type of communications equipment functions as a radio receiver and searches across several frequencies?

    <p>Scanner</p> Signup and view all the answers

    You are caring for a 52-year-old man who complains of chest discomfort. The patient is a retired paramedic and is very anxious because he thinks he is having a heart attack. Which of the following statements would be appropriate?

    <p>&quot;It is possible that you are experiencing a heart attack. I am going to give you four baby aspirin to chew and swallow.&quot;</p> Signup and view all the answers

    You could be sued for ___________ if your radio report to the hospital describes the patient in a manner that injures his or her reputation.

    <p>Slander</p> Signup and view all the answers

    When you begin an oral report, you should state the patient's age, sex, and:

    <p>Chief complaint.</p> Signup and view all the answers

    The official transfer of patient care does not occur until the EMT:

    <p>Gives an oral report to the emergency room physician or nurse.</p> Signup and view all the answers

    Information included in a radio report to the receiving hospital should include all of the following, except:

    <p>A preliminary diagnosis of the patient's problem.</p> Signup and view all the answers

    Typical components of an oral patient report include all of the following, except:

    <p>The set of baseline vital signs taken at the scene.</p> Signup and view all the answers

    Which of the following is not a function of the Federal Communications Commission (FCC)?

    <p>Maintaining communications equipment on the ambulance</p> Signup and view all the answers

    Medical control gives you an order that seems inappropriate for the patient's condition. After confirming that you heard the physician correctly, you should:

    <p>Advise the physician that the order is unclear and ask for clarification.</p> Signup and view all the answers

    When communicating information over the radio, you should:

    <p>Use the words 'affirmative' and 'negative' instead of 'yes' or 'no.'</p> Signup and view all the answers

    Your EMS system uses a computerized PCR in which you fill in the information electronically and then send it to the emergency department via a secure Internet server. The PCR has a comprehensive series of drop-down boxes, which are used to identify your assessment findings and specify the treatment that you provided; it also has a section for your narrative. When completing your PCR after a call, you should:

    <p>Complete a thorough and accurate narrative because drop-down boxes cannot provide all of the information that needs to be documented.</p> Signup and view all the answers

    You and your partner are dispatched to a residence for an 'ill person.' When you arrive, you find that the patient, a 44-year-old man, does not speak English. There are no relatives or bystanders present who can act as an interpreter. You should:

    <p>Use short, simple questions and point to specific parts of your body to try to determine the source of the patient's complaint.</p> Signup and view all the answers

    After being dispatched on an emergency call, you should expect the dispatcher to provide you with all of the following information, except:

    <p>The general geographic location of the incident.</p> Signup and view all the answers

    Study Notes

    Communications in EMS

    • A repeater is a device that receives messages on one frequency and retransmits them on another.
    • An informed refusal is necessary when a patient declines EMS treatment and/or transport.
    • Patient Care Reports (PCR) contain confidential information that must be kept private and secure.

    Radio Hardware and Communication Protocols

    • A base station is radio hardware that includes both a transmitter and receiver fixed in one location.
    • The EMT should always complete a verbal patient report before responding to new emergencies, ensuring continuity of care.

    Patient Interaction Techniques

    • Maintaining eye contact with anxious patients helps calm and reassure them effectively.
    • When speaking with hearing-impaired patients, avoid elevating your voice and exaggerating pronunciation; instead, ensure they can see your lips.

    Dispatcher Responsibilities

    • Dispatchers prioritize calls and notify the correct EMS units but do not discourage callers from providing care until help arrives.

    Cultural Sensitivity and Communication

    • Ethnocentrism is considering one’s own cultural values as superior during interactions with individuals from different cultures.
    • When interacting with children, standing over them can increase anxiety, so approach them at their eye level.

    Patient Report and Privacy

    • Protect patient privacy during radio reports by not disclosing their name and avoiding preliminary diagnoses.
    • Effective communication requires brevity and clarity, making reports brief and easily understandable.

    Documentation and Legalities

    • Certain incidents like cardiac arrest do not require a report to local authorities, while gunshot wounds and spousal abuse do.
    • Slander can occur if a radio report negatively impacts a patient’s reputation.

    Communication with Diverse Populations

    • Assess the degree of impairment in visually impaired patients to determine appropriate communication strategies.
    • When facing a language barrier, use simple questions and non-verbal cues to communicate effectively.

    Electronic Documentation

    • Completing a thorough narrative in a computerized PCR is essential, as drop-down boxes may not convey all necessary details.

    Communication Equipment and Modes

    • Scanners function as radio receivers that search across multiple frequencies.
    • Simplex mode of communication requires the user to push to talk and release to listen.

    Responding to Orders and Clarifications

    • When confronted with an inappropriate medical order, clarify with the physician before proceeding with treatment.

    General Communication Guidelines

    • Always use professional language, opting for "affirmative" or "negative" instead of "yes" or "no" during radio communications.
    • Expect dispatchers to provide information on nature and number of patients, but not necessarily the geographic location of the incident.

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    Description

    Test your knowledge on key concepts from Chapter 4 covering communications and documentation in emergency medical services. This quiz features flashcards that help reinforce important terminology and definitions essential for effective patient management.

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