Podcast
Questions and Answers
What is the recommended distance to speak into a microphone during EMS communications?
What is the recommended distance to speak into a microphone during EMS communications?
- 3-4 inches
- 2-3 inches (correct)
- 1-2 inches
- 4-5 inches
Which of the following is NOT a guideline for radio communications?
Which of the following is NOT a guideline for radio communications?
- Use complex terminology (correct)
- Confirm receipt of the message
- Be brief and concise
- Avoid slang
What should be included in patient information reported to the hospital or dispatcher?
What should be included in patient information reported to the hospital or dispatcher?
- Unit and personnel identification (correct)
- A summary of the hospital policies
- Personal opinions about the patient
- The patient's birth date
When communicating with medical direction, what should the paramedic NOT do?
When communicating with medical direction, what should the paramedic NOT do?
Why is it important to avoid using slang in EMS communications?
Why is it important to avoid using slang in EMS communications?
Which piece of information is essential when reporting a patient's condition?
Which piece of information is essential when reporting a patient's condition?
What is the purpose of confirming receipt of the message in EMS communications?
What is the purpose of confirming receipt of the message in EMS communications?
Which of the following should be reported as a part of the patient's medical history?
Which of the following should be reported as a part of the patient's medical history?
What is the primary purpose of effective communication in patient care?
What is the primary purpose of effective communication in patient care?
Which factor is NOT mentioned as an obstacle to effective communication?
Which factor is NOT mentioned as an obstacle to effective communication?
What is a direct consequence of effective communication in healthcare?
What is a direct consequence of effective communication in healthcare?
What characteristic is essential alongside good communication skills for professional medical practice?
What characteristic is essential alongside good communication skills for professional medical practice?
How do satisfied patients perceive their healthcare providers?
How do satisfied patients perceive their healthcare providers?
What is a common basis for patient dissatisfaction according to surveys?
What is a common basis for patient dissatisfaction according to surveys?
What effect does poor communication have on patient autonomy?
What effect does poor communication have on patient autonomy?
What benefit does effective communicators provide during patient consultations?
What benefit does effective communicators provide during patient consultations?
What is a common patient-related obstacle that can interfere with effective communication?
What is a common patient-related obstacle that can interfere with effective communication?
Which skill is NOT critically dependent on effective communication during a consultation?
Which skill is NOT critically dependent on effective communication during a consultation?
Which step can help reduce communication barriers with patients?
Which step can help reduce communication barriers with patients?
Effective communication in healthcare can be influenced by which of the following?
Effective communication in healthcare can be influenced by which of the following?
What does a HCP need to communicate to the patient before addressing clinical problems?
What does a HCP need to communicate to the patient before addressing clinical problems?
Why might a patient feel intimidated during a consultation?
Why might a patient feel intimidated during a consultation?
Which of the following contributes to a patient's reluctance to ask questions during a consultation?
Which of the following contributes to a patient's reluctance to ask questions during a consultation?
What attitude should HCPs convey to patients to improve communication?
What attitude should HCPs convey to patients to improve communication?
What is a common reason for healthcare professionals' poor communication?
What is a common reason for healthcare professionals' poor communication?
What impact can unresolved emotional issues of healthcare professionals have on communication?
What impact can unresolved emotional issues of healthcare professionals have on communication?
Which factor can impede effective communication in a clinical setting?
Which factor can impede effective communication in a clinical setting?
How does lack of insight affect healthcare professionals' communication skills?
How does lack of insight affect healthcare professionals' communication skills?
What physical aspect of the consulting environment affects communication?
What physical aspect of the consulting environment affects communication?
What is a potential outcome of healthcare professionals feeling anxious during patient interactions?
What is a potential outcome of healthcare professionals feeling anxious during patient interactions?
What should be considered to enhance communication between patients and healthcare professionals?
What should be considered to enhance communication between patients and healthcare professionals?
When can computer use during consultations create challenges in communication?
When can computer use during consultations create challenges in communication?
What is the primary goal of the introduction in a patient consultation?
What is the primary goal of the introduction in a patient consultation?
What impact does premature interruption during a patient consultation have?
What impact does premature interruption during a patient consultation have?
Which of the following is a characteristic of active listening?
Which of the following is a characteristic of active listening?
How much time should ideally elapse before a paramedic interrupts a patient?
How much time should ideally elapse before a paramedic interrupts a patient?
What percentage of communication in a consultation is estimated to occur through non-verbal means?
What percentage of communication in a consultation is estimated to occur through non-verbal means?
What should a paramedic focus on if they have computerized medical records during a consultation?
What should a paramedic focus on if they have computerized medical records during a consultation?
Why is it important to acknowledge patient distress verbally during a consultation?
Why is it important to acknowledge patient distress verbally during a consultation?
What might be an exception to the rule of allowing patients to express their concerns uninterrupted?
What might be an exception to the rule of allowing patients to express their concerns uninterrupted?
What is a key element in responding to angry patients?
What is a key element in responding to angry patients?
Which response is commonly seen after patients receive bad news?
Which response is commonly seen after patients receive bad news?
How can a paramedic assist relatives after a patient's death?
How can a paramedic assist relatives after a patient's death?
What can compromise patient care in a medical setting?
What can compromise patient care in a medical setting?
Why is it important to assure privacy when conveying bad news?
Why is it important to assure privacy when conveying bad news?
What emotional reaction might grief manifest as according to the content?
What emotional reaction might grief manifest as according to the content?
What is critical to do when responding to a patient's complaint?
What is critical to do when responding to a patient's complaint?
Which of the following statements is true about communication in healthcare?
Which of the following statements is true about communication in healthcare?
Flashcards
How to speak into a microphone
How to speak into a microphone
Speak slowly and clearly, using normal pitch and no emotion.
Being concise in radio comms
Being concise in radio comms
Avoid unnecessary details and focus on essential information.
Avoiding slang in radio comms
Avoiding slang in radio comms
Use standard phrases instead of informal language.
Confirming message reception
Confirming message reception
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Protecting patient privacy
Protecting patient privacy
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Reporting patient information
Reporting patient information
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Communicating with medical direction
Communicating with medical direction
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Proper radio communication etiquette
Proper radio communication etiquette
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Patient Autonomy
Patient Autonomy
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Building Trust
Building Trust
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Beyond Communication
Beyond Communication
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Team Leadership
Team Leadership
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Quality of Care
Quality of Care
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Patient Dissatisfaction
Patient Dissatisfaction
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Communication Barriers
Communication Barriers
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Obstacles to Communication
Obstacles to Communication
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Lack of training in communication skills
Lack of training in communication skills
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Lack of insight into communication deficiencies
Lack of insight into communication deficiencies
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Lack of time in clinical practice
Lack of time in clinical practice
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Subconscious anxieties affecting communication
Subconscious anxieties affecting communication
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Lack of attention to emotional content
Lack of attention to emotional content
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HCP's own emotional and psychological problems
HCP's own emotional and psychological problems
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Obstacles in the clinical setting
Obstacles in the clinical setting
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Barriers to effective communication in the consultation room
Barriers to effective communication in the consultation room
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Patient-related Communication Barriers
Patient-related Communication Barriers
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Obstacles to Patient Communication
Obstacles to Patient Communication
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Reducing Communication Barriers
Reducing Communication Barriers
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Communication in Healthcare Consultations
Communication in Healthcare Consultations
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Skills requiring effective communication
Skills requiring effective communication
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Developing Communication Skills
Developing Communication Skills
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Starting a Consultation
Starting a Consultation
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Time Constraints and Communication
Time Constraints and Communication
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Coping with angry patients
Coping with angry patients
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Stages of reaction to bad news
Stages of reaction to bad news
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Supporting grieving families
Supporting grieving families
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Impact of poor communication in healthcare
Impact of poor communication in healthcare
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Increased risk of communication failure in healthcare
Increased risk of communication failure in healthcare
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Patient autonomy through communication
Patient autonomy through communication
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Building trust with patients
Building trust with patients
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Beyond communication skills
Beyond communication skills
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Consultation Introduction
Consultation Introduction
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Uninterrupted Listening
Uninterrupted Listening
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Active Listening
Active Listening
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Body Language
Body Language
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Verbal Acknowledgement
Verbal Acknowledgement
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Spontaneous Information Phase
Spontaneous Information Phase
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Premature Control
Premature Control
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Exceptions to Uninterrupted Listening
Exceptions to Uninterrupted Listening
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Study Notes
Effective Communication in EMS
- Effective communication in EMS is crucial for scene safety and communication with emergency personnel
- Communication systems allow public service agencies to exchange information during emergency events.
- Communication occurs among paramedics, patients, hospitals, and medical directors.
- The basic communication model involves relationships between an idea, encoding, sender, medium/channel, receiver, decoding, and feedback.
Obstacles to Effective Communication
- Common obstacles to successful communication include receiver attributes, semantic issues, and time pressures.
- The terms used in EMS communications should be clear, conveyed in a short, professional narrative form, and confidential.
- Factors affecting communication between patient and doctor include waiting area adequacy, reception staff attitude, and physical surroundings of the consulting room.
- A desk between patient and doctor, use of a computer, some interruptions by telephone calls, time constraints, and real or anticipated constraints by the patient can impede communication.
Patient-related Obstacles
- Patient-related obstacles include differences in age, gender, social class, education, ethnic background, language, and variations in patient attitudes and emotional responses to illness.
- Other factors include effects of illness/medication, patient embarrassment/intimidation, medical jargon, and patient concern over time pressure for the HCP.
HCP-related Obstacles
- HCP-related obstacles include lack of training in communication skills, lack of insight into communication deficiencies, and lack of time in clinical practice.
- Misapprehensions, anxieties, disinterest, curtness, professional detachment, and authoritarianism are factors that can hinder communication.
- A lack of attention to emotional content, unresolved emotional/psychological problems can lead to poor communication.
Procedures for EMS Communications
- General guidelines for radio communications include thinking before speaking, keying the microphone for 2-3 seconds, speaking at close range, speaking slowly and clearly, speaking in normal pitch without emotion, being brief and concise, avoiding codes unless approved, avoiding slang, advising the receiving party when transmission is complete, confirming the message was received, and always being professional, polite, and calm.
- Patient information should include unit and personnel identification, description of the scene or incident, patient's age, gender, and weight (if drug orders are needed), patient's chief complaint/concern, and associated symptoms.
- This should include a brief history of the present illness/injury.
- Pertinent medical history, medications, allergies, pertinent physical examination findings, and any treatment given.
- Estimated time of arrival should also be included.
- When communicating with medical direction, repeat orders, confirm unclear points, repeat drug orders, and inform the hospital of significant changes in the patient's status.
- General consideration includes protecting patient privacy, using proper unit/hospital numbers and titles, avoiding slang, and obtaining confirmation that the message was received.
- During handoffs, paramedics should provide a final verbal report to the receiving facility.
Starting a Consultation
- Ensuring the patient is aware of the paramedic and acknowledging him or her as a person is important.
- Paramedics should introduce themselves by name and maintain awareness of power imbalances.
- Avoid interrupting the conversation with closed/direct questions in the opening.
Active Listening
- Active listening includes maintaining eye contact, asking open-ended questions, and being attentive to tone, demeanor, vocabulary, gestures, and non-verbal cues.
- Information communicated is often non-verbal, and paramedics should be aware of their own body language as well as their patients.
- Summarizing and clarifying points with the patient helps ensure understanding and addresses any possible misunderstandings.
- Use of silence and empathy (e.g., 'Uh-huh', 'Yes') ensures the patient feels heard.
The Physical Examination
- Communication skills are vital during physical examinations.
- All new and review patients should be interviewed prior to undressing.
- The need to undress, use of a cover sheet/gown, and appropriate privacy measures should be explained.
- Anxiety can be reduced by conversation about the patient's history/past medical/social history, to encourage a sense of security/openness.
Transcultural Issues and Interpreters
- In multicultural environments, paramedics must demonstrate respect for cultural differences.
- Using translators, particularly when obtaining consent, is crucial for accurate communication.
- Ideally, translators are properly trained, of the same sex as the patient (if requested) and should not be hospital staff.
Communicating When Things Go Wrong
- Open and frank communication about unexpected/adverse outcomes is essential, with acknowledgment of patient distress without admitting any wrongdoing.
Coping with Angry Patients
- Addressing patient complaints promptly, acknowledging distress, and acknowledging the patient as an active participant in resolving the issue are essential steps.
Talking with the Dying
- Adequate time, privacy, and support (from relatives/friends) should be ensured.
- Patients often go through distinct stages of response to bad news, including denial, anger, bargaining, depression, and acceptance.
Intra- and Inter-professional Communication
- Patient care can suffer from poor communication between health-care professionals due to increased specialization, multiple involved professionals, and concurrent patient illnesses.
Additional Note
- The above outline is derived from the provided images. Please refer back to the source images if you require further detail on specific procedures and guidelines.
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