Podcast
Questions and Answers
What should you try saying when your patient, Tom, is angry and ranting?
What should you try saying when your patient, Tom, is angry and ranting?
Tom, let me see if I understand you correctly.
What should you try saying when angry patient Tom quiets down but is still refusing care?
What should you try saying when angry patient Tom quiets down but is still refusing care?
I can see why you might feel that way.
Which of the following is a reason that a patient may be frustrated and angry?
Which of the following is a reason that a patient may be frustrated and angry?
What should you consider when transporting a patient handcuffed by police?
What should you consider when transporting a patient handcuffed by police?
Signup and view all the answers
What should you do after assessing a patient restrained by police?
What should you do after assessing a patient restrained by police?
Signup and view all the answers
Why is a patient talking on a cell phone difficult to assess?
Why is a patient talking on a cell phone difficult to assess?
Signup and view all the answers
If a conscious patient starts a phone conversation during assessment, what should you do?
If a conscious patient starts a phone conversation during assessment, what should you do?
Signup and view all the answers
What is another method to get the patient to end a cell phone call?
What is another method to get the patient to end a cell phone call?
Signup and view all the answers
When adjusting the heat in the back of the rig, what should be your primary consideration?
When adjusting the heat in the back of the rig, what should be your primary consideration?
Signup and view all the answers
The GCS is often taught alongside _______ in EMT programs.
The GCS is often taught alongside _______ in EMT programs.
Signup and view all the answers
What action may you need to take to award points in the eye-opening category of GCS?
What action may you need to take to award points in the eye-opening category of GCS?
Signup and view all the answers
What does it demonstrate if a patient tries to grab you with their left hand when you squeeze their right shoulder?
What does it demonstrate if a patient tries to grab you with their left hand when you squeeze their right shoulder?
Signup and view all the answers
Which type of physical assessment do EMS providers tend to use as they become more experienced?
Which type of physical assessment do EMS providers tend to use as they become more experienced?
Signup and view all the answers
You should perform a ____________________ exam on a child while your partner helps for head and neck stabilization.
You should perform a ____________________ exam on a child while your partner helps for head and neck stabilization.
Signup and view all the answers
When assessing a conscious male patient who fell off his motorcycle and is in pain, what should you do?
When assessing a conscious male patient who fell off his motorcycle and is in pain, what should you do?
Signup and view all the answers
What sound like crackling in the bases of the lungs indicates?
What sound like crackling in the bases of the lungs indicates?
Signup and view all the answers
Why is it important to place the stethoscope directly on the patient's skin when listening to lung sounds?
Why is it important to place the stethoscope directly on the patient's skin when listening to lung sounds?
Signup and view all the answers
Why is it important to use an antimicrobial agent on your stethoscope after using it on a patient?
Why is it important to use an antimicrobial agent on your stethoscope after using it on a patient?
Signup and view all the answers
According to Chris Cebollero, what is the best skill you can have as a paramedic?
According to Chris Cebollero, what is the best skill you can have as a paramedic?
Signup and view all the answers
Which of the following should you NOT do?
Which of the following should you NOT do?
Signup and view all the answers
Taking manual vital signs does all of the following EXCEPT:
Taking manual vital signs does all of the following EXCEPT:
Signup and view all the answers
Study Notes
Patient Interaction
- Use calm and understanding language when dealing with an angry patient, such as "Tom, let me see if I understand you correctly."
- Acknowledge a patient’s feelings to defuse anger, saying, "I can see why you might feel that way."
- Recognize feelings of misunderstanding as a common cause of patient frustration.
Custody and Transport Protocols
- For a patient in custody, request for the officer with handcuff keys to accompany you during transport.
- After assessing a restrained patient, change their position to supine and move handcuffs to the front for safety and monitoring during transit.
Patient Communication
- Assessing patients on cell phones can be challenging as they may not fully understand your questions.
- Politely ask a patient to hang up their phone if it disrupts your assessment for better communication.
- Maintaining eye contact while waiting can help signal to a patient that their call needs to end.
Temperature Management
- Adjust ambulance heat primarily for patient comfort rather than general working conditions or external temperatures.
Glasgow Coma Scale (GCS)
- GCS is commonly taught alongside trauma in EMT programs.
- Points for eye opening in the GCS may require applying a noxious stimulus if a patient does not respond verbally.
Pain Response Evaluation
- If a patient localizes pain, they are demonstrating a significant neurological response, indicating awareness and ability to react.
Assessment Techniques
- More experienced EMS providers tend to perform focused physical exams rather than exhaustive assessments.
- Conduct a head-to-toe exam on pediatric patients with parental presence for comprehensive evaluation.
Lung Sounds Assessment
- Identifying specific lung sounds: crackling sounds in the lungs are referred to as rales.
- Accurate assessment of lung sounds requires placing the stethoscope directly on the skin for reliable results.
Hygiene Practices
- Using an antimicrobial agent on stethoscopes post-assessment is crucial to prevent transmission of infections like MRSA.
Core Skills in Paramedicine
- Strong assessment skills are deemed the most valuable attribute for paramedics, highlighting the importance of thorough evaluations.
- Never limit operational decisions based solely on initial diagnoses; always reassess as new information becomes available.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your skills in patient assessment with this interactive quiz designed for EMS professionals. Gain insights on handling difficult patient interactions, particularly with angry patients like Tom. Enhance your communication strategies for effective patient care.
