When reporting your patients condition to the medical control physician you should use terminology?

Setup with two-way radios at a fixed site, such as a hospital or dispatch center

A two way radio that is used or affixed in a vehicle

The unit of measurement of the output power of a radio

A device that picks up signals from lower power radio units, such as mobile and portable radios, and retransmits them at a higher power. It allows low-power radio signals to be transmitted over longer distances

A phone that transmits through the air instead of over wires, so the phone can be transported and used over a wide area

The process of sending and receiving data wirelessly

Drop Report (Transfer Report)

An abbreviated form of the PCR that an EMS crew can leave at the hospital when there is not enough time to complete the PCR before leaving

Which communication device has an output of 20-50 watts and a range of 10-15 miles? 1. Mobile Radio 2. Repeater 3. Portable Radio 4. Base Station

1. Mobile Radio Portable radios have a smaller range Base stations and repeaters have much larger outputs and ranges

A radio that is located at a stationary site is called​ a: 1. Repeater 2. Base Station 3. Portable 4. Mobile

A device that receives transmissions from one​ source, boosts the signal​ power, and then rebroadcasts the transmissions is called​ a: 1. Frequency modulator 2. Repeater 3. Converter 4. Delay Circuit

Which of the following violates FCC​ regulations? 1. Saying "please" and "thank you" excessively 2. Improperly using codes 3. Using offensive language 4. Using unauthorized abbreviations

3. Using offensive language

When communicating within the EMS​ system, you should keep your transmission brief and remember​ to: 1. Listen before transmitting 2. Begin talking as soon as you press the microphone button 3. State your ID number of the unit you are calling 4. Speak with your lips directly on the microphone

1. Listen before transmitting

The ground rules for radio communication​ include: 1. using EMS frequencies for all radio traffic, including personal messages 2. telling the receiving hospital what you believe the patient's diagnosis is 3. pressing your lips against the microphone for clarity while speaking 4. Pushing the "press to talk" button and waiting one second before speaking

4. Pushing the "press to talk" button and waiting one second before speaking

Use of the phrase​ "Be advised"​ is: 1. Not necessary unless you are transmission 2. a standard way to begin each new transmission 3. to be avoided, because it is implied and serves no purpose 4. to be limited to critical information, to signal its importance

3. to be avoided, because it is implied and serves no purpose

In radio​ communication, phrases such as​ "please" and​ "thank you": 1. are assumed, and should not be stated on the radio 2. increase cooperation 3. are common courtesy. and should be included if time and traffic permit 4. are not allowed by the FCC

1. are assumed, and should not be stated on the radio

When receiving orders from medical​ direction, you should do all of the following​ except: 1. refuse to follow any order that you do not immediately understand 2. repeat the order word for the word 3. avoid phrases such as "please," "thank you," and "you're welcome." 4.. ask for clarification of an order that you did not understand or feel is inappropriate

1. refuse to follow any order that you do not immediately understand Instead of refusing an order because you do not understand it, you should do #4 where you are getting clarification of the order in order to gain understanding of the order

Which of the following is not a component of the radio medical​ report? 1. Estimated time of arrival 2. Patient name 3. Patient age and sex 4. Chief Complaint

2. Patient name All of the other information would be in the report. "Enroute to you with a (#3) 47 y/o M. (#4) complaining of Chest Pain.......we will be arriving about 5 minutes (#1)

You may receive an order from medical direction over the radio to help a patient with the​ patient's medication. After receiving the​ order, you should​ next: 1. confirm the order with your partner 2. administer the medication 3. repeat VS 4. repeat the order

4. repeat the order Repeating the order back to online medical direction, verifies that you heard the order correctly, it also assures the physician that the order was understood

The physician has asked you to administer nitroglycerin to your patient.​ However, the​ patient's blood pressure is​ 80/50. Which of the following responses is most​ appropriate? 1. "I refuse to administer nitro to this patient" 2. "Maybe I'm breaking up, doc. Did you read the blood pressure?" 3. "Sorry doc, I can't hear you. You're breaking up." 4. "Received order for nitro. Did you copy that the patient's BP was 80/50?

4. "Received order for nitro. Did you copy that the patient's BP was 80/50? While the BP does not support the order to assist in administering the nitroglycerin, you need to repeat the order that the online gave you. THEN, you repeating your information to the Doc and getting THEIR confirmation that THEY understood the contraindication that you provided. Once all parties understand, if the MD gives you the order, even after confirming that they understand, then proceed with the order.

The first information you give to the receiving hospital will​ be: 1. your oral report 2. the minimum data set 3. your prehospital care report 4. the patient refusal form

1. your oral report The prehospital report is something that you will write later. It includes the minimum data set. If the patient refuses, then it is not part of the report, it is only used with the patient refuses care/transport

The first information you give to the emergency department staff when you arrive with a patient​ is: 1. written 2. communicated through dispatch 3. oral 4. form-based

3. oral Your oral report is the first thing that you are giving to the ED staff. It contains information such as; Chief Complaint, patient hx, additional tx/interventions, VS (baseline and those taken enroute), allowing the ED staff to see the hx of the patient from scene to ED All of the above is communicated DIRECTLY to ED staff, NOT through dispatch It is not written, it does not use a form.

If you were communicating information through dispatch, what could be a problem to this?

It becomes like a game of "telling a secret" where you tell a short story to one person, (*whispering), then that person tells the next, so on and so forth. The story is NEVER the same exact story as it started. If you rely on someone else to transmit your oral report, you risk the information not being communicated correctly

A home healthcare aide is on the scene when you respond to a call for an elderly patient with respiratory difficulty. You​ should: 1. inform the aide to speak to the medical direction, not to you, about information regarding the patient 2. respectfully ask the aide to leave the scene immediately 3. respectfully ask the aide for information about the patient and the present emergency 4. request that the aide accompany you in transporting the patient

3. respectfully ask the aide for information about the patient and the present emergency Although not listed as an option, you can have the aide, give information to your partner(s). This removes the aide from the situation ** Something that must be taken into consideration - Metal competency; Mental Status overall

Eye contact should​ be: 1. avoided 2. frequent 3. only employed if the patient demands it 4. brief

2. frequent * It shows that you are interested in your patient and that you are attentive to their needs. ** If you avoid eye contact, it will create a distrust between yourself and the patient. It gives the patient non-verbal cues that you are not interested, maybe you are uncomfortable in the situation.

The​ gestures, mannerisms, and postures by which you communicate with others​ should: 1. convey warmth and openness 2. make it clear that you don't intend to speak unless absolutely necessary 3. convey a strict format to discourage unnecessary conversation 4. signal your authority at all times

1. convey warmth and openness * Non-verbal cues are just as powerful, and sometimes more powerful than verbal cues. ** Your position in relation to the patient is not part of the body language. However, you do want to get on their level, not hover above them, trying to establish domination, which hovering above them actually does convey to them

You are treating an elderly man who tells you that his name is Robert Walters. What is the most appropriate way to refer to​ him? 1. Mr. Walkers 2. Mister 3. Robert 4. Rob

1. Mr. Walkers Address patients formally unless they advise you to inform them differently

You arrive at a​ patient's residence and determine that the patient is from a culture that is very different from yours. It is apparent that eye contact makes the patient​ uncomfortable, and you suspect this a culturally influenced attitude. You​ should: 1. try to avoid looking at the patient at all 2. mirror the patients behavior 3. continue to make eye contact, to express friendliness

2. mirror the patients behavior If your patient's culture does not allow for eye contact, then mirror their behaviors, only look when needed

Which of the following is the term for an abbreviated form of the PCR that an EMS crew can leave at the hospital when there is not enough time to complete the PCR before​ leaving? 1. Patient Care Record 2. Quality Assurance Report 3. Drop Report 4. Run Data

3. Drop Report This is an abbreviated form of a PCR Run data provides administrative information about a call A Patient Care Record IS the PCR Quality assurance helps make sure EMT actions are reviewed for adherence to current medical and organizational standards

What is a​ short-term benefit of​ documentation? 1. It becomes part of the permanent patient record 2. It helps you remember important facts during a call 3. It can be a part of research efforts to trend data 4. It can be used for quality improvement purposes

2. It helps you remember important facts during a call The short term benefit is that you are able to have such items as the VS and patient hx that you gained during the course of the call. Other benefits listed are long term benefits

Documentation is part of​ the: 1. Patient care process 2. general impression of the patient 3. oral report to the ED staff 4. interpersonal communications with the patient

What is the difference between the patient information section of the minimum data set and the administrative information that is included on the minimum data​ set? 1. the patient information is the CC, and the administrative information is the EMS arrival time 2. the patient information includes the specifc assessment findings, and the administrative information includes the trip times 3. the patient infromation includes the patient assessment information, and the administrative section is the name and address of the EMS system 4. the patient information includes the patient's address only, and the administrative section includes the trip times

2. the patient information includes the specifc assessment findings, and the administrative information includes the trip times The patient information includes specific but comprehensive patient assessment​ information, whereas the administrative information includes the times that were pertinent to the EMS call itself.

Administrative information in the Department of​ Transportation's minimum data set includes the time when​ the: 1. unit left the hospital after tansferring care 2. EMT radioed the patient report to the hospital 3. unit was enroute to the call 4. incident was reported

4. incident was reported The information to be included in the administrative information section includes the time the incident was​ reported, the time the unit was​ notified, the time of arrival of the​ patient, the time the unit left the​ scene, the time the unit arrived at its destination​ (e.g., the​ hospital), and the time of transfer of care. (Box 17-2 page 479)

Documenting pertinent negatives means​ documenting: 1. examination findings that are negative but important to note 2. your actions when a patient refuses care 3. any time the patient said "no" 4. anything you decided not to do

1. examination findings that are negative but important to note Pertinent negatives are examination findings that are negative​ (things that are not​ true) but are important to note. For​ example, if a patient has chest​ pain, you will ask that patient if he has difficulty breathing. If the patient says he does not have difficulty in​ breathing, that statement is an important piece of negative information. On your prehospital care​ report, you would​ note, "The patient denies difficulty​ breathing."

Which of the following sections is used by the EMT to add more detailed information to a​ PCR? 1. treatment section 2. demographic section 3. administrative section 4. patient narrative section

4. patient narrative section The portion of the PCR that allows the EMT to provide more detailed information is the patient narrative section. This section allows for more information about the patient and the​ patient's problem than is allowed for in check​ boxes, drop-down​ menus, or limited data fields. This critical information sets the tone for the entire course of​ assessment, treatment, and documentation that will follow.

Another name for an abbreviated​ transfer-of-care form​ is: 1. Drop report 2. condensed report 3. incomplete report 4. short report

1. Drop report Since it is not always possible to complete the PCR before a crew has to​ leave, many EMS agencies using electronic data collection employ a drop report. This is an abbreviated report containing the minimum data set.

A triage tag is affixed to the patient and​ records: 1. the patient's name, address, and date of birth 2. the patient's transport priority on a scale of 1-10, with a 1 being the highest priority 3. the patient's chief complaint and injuries, VS and tx given 4. a narrative hx of the patient that paints a picture of the patient's condition

3. the patient's chief complaint and injuries, VS and tx given A triage tag is affixed to the patient and records the​ patient's chief complaint and​ injuries, vital​ signs, and treatments given. This can keep critical information with the patient as the patient moves through the system. At a point later in the​ emergency, the tag will be used to complete a traditional prehospital care report. (page 487)

To whom information about a patient may be distributed is dictated​ by: 1. medical direction 2. the patient's family 3. an attorney for the receiving hospital 4. HIPAA, state, and local regulations

4. HIPAA, state, and local regulations

A​ refusal-of-care form: 1. takes place of a prehospital care report 2. must include the NHSTA minimum data set 3. must be witnesses by an attorney when signed 4. should be read and signed by the patient

4. should be read and signed by the patient Most EMS agencies have a​ refusal-of-care form to use in the event that you have done your best to persuade the patient to accept care or transport and the patient still refuses. This form may be either part of the prehospital care report or a separate document. You should make sure the patient reads and signs this form.

To avoid falsifications in your prehospital care​ report, follow this​ rule: 1. write a disclaimer at the top of the report that inaccuraccies are simple errors 2. avoid writing anything about the patient that could be construed as subjective 3. write everything important that did happen and nothing that did not 4. only write down objective, measurable data concerning the patient

3. write everything important that did happen and nothing that did not You will avoid falsifications if you follow this​ rule: Write everything important that did happen and nothing that​ didn't. You should try to avoid any inaccuracies and should not write disclaimers regarding inaccuracies. You need to include both pertinent subjective and objective information in your report.

Your activities as an EMT may take you to some unusual​ situations, such as exposure to infectious​ disease, that will require documentation on a form other than a prehospital care report. Such forms are usually specific to a local agency rather than mandated statewide. They are​ called: 1. special incident reports 2. drop reports 3. supplemental forms 4. refusal information sheets

1. special incident reports Refusal information sheets document patient refusals of care or​ transport, drop reports are abbreviated versions of the PCR that EMTs can drop at the​ hospital, and supplemental forms augment the PCR to document calls involving Advanced Life Support or that were otherwise complex or involved.

You were on a call involving ALS. It is likely that you will have to fill out which type of form to add to the​ PCR? 1. patient refusal 2. supplemental 3. special incident 4. triage

2. supplemental Many states use a supplemental form for Advanced Life Support​ (ALS) calls, or additional documentation for calls that were complex or involved. For a call involving​ ALS, it is likely that you will have to fill out this​ form, but not a patient refusal form unless a patient refused care or​ transport, and not a special incident report unless situations that occurred are covered by such reports. There​ isn't a triage form.

The prehospital care report​ is: 1. delivered to the patient's family 2. puublicly available information 3. proofread by an attorney for the hospital 4. completely confidential information

4. completely confidential information The PCR itself and all the information it contains are strictly confidential. The information must not be discussed with or distributed to unauthorized persons.​ Typically, only those needing to know the information in the report to treat the patient​ properly, such as staff at the receiving​ hospital, are authorized to have access to it.

If a patient refusing care or transport also refuses to sign a​ refusal-of-care form, then you​ must: 1. document this refusal as well 2. fill out a special situation report 3. report the patient to the police 4. request medical direction to advise

1. document this refusal as well It is rare that a patient will refuse to sign the form. If he​ does, be sure to document this as well and note the names of witnesses to the refusal. If​ possible, when a patient refuses to sign the​ form, get the witnesses to sign a statement confirming that the patient has refused care or transport. You would not report this patient to police. You should consult medical direction whenever a patient refuses care or​ transport, but this particular situation requires​ documentation, not medical advice. A special situation report would not cover this situation.

Which of the following terms describes inaccurate information that has been documented on a PCR and may lead to revocation of EMT​ certification? 1. falsified 2. incomplete 3. confidential 4. inaccurate

1. falsified The PCR documents the nature and extent of emergency medical care an EMT provides. It is meant to be a thorough and accurate record. Any mistake in care must be highlighted on the PCR. In such a​ situation, the EMT might be tempted to falsify the PCR. Falsification of information on a PCR should never occur. False information may lead to suspension or revocation of EMT certification or license. It also can lead to poor patient​ care, because the facts​ weren't documented.

Which of the following best describes the manner in which an EMT should correct a known error on a written patient care​ report? 1. circle the word and write the correct one beside it 2. draw a single horizontal line through the error and write the correction beside it 3. scribble out the word and write the correct one beside it 4. erase the error and write the correction over the erasure

2. draw a single horizontal line through the error and write the correction beside it Even the most careful EMT will occasionally make errors in filling out the PCR. When such an error is discovered while a paper report is being​ written, draw a single horizontal line through the​ error, initial​ it, and write the correct information beside it.

Which type of radio may be carried by the​ EMT? 1. mobile 2. repeater 3. base 4. portable

Your EMS system covers a large area. For reliable transmission between mobile and portable​ radios, which of the following is​ essential? 1. repeaters 2. digital radios 3. microwave radios 4. cell phones

Errors in prehospital care​ reports: 1. are evidence of criminal negligence 2. must be corrected 3. cannot be corrected once the report has left the EMT's hands 4. are fine if they clearly just a reflection of difficult circumstances

Written documentation​ should: 1. describe everything that the EMT observed on the call 2. suggest potential diagnosis for the patient's condition 3. avoid radio codes and nonstandard abbreviations 4. describe every statement the EMT made during the call

3. avoid radio codes and nonstandard abbreviations

You have just received a medication order from your medical director over the radio. You should​ immediately: 1. direct the physician to repeat the order 2. administer the drug 3. repeat the order 4. notify the patient

What type of special reporting situation typically employs the use of triage​ tags? 1. crime scenes 2. pediatric arrest scenes 3. multiple casualty incidents 4. sporting event scenes

3. multiple casualty incidents

Which EMS systems should be collecting the minimum data set on all emergency​ runs? 1. fire-based EMS systems 2. third service public EMS systems 3. privae EMS systems 4. all EMS systems

Which of the following is typically NOT included in the patient information section of the minimum data​ set? 1. chief complaint 2. breath sounds 3. respiratory rate and effort 4. skin color and temperature

Which of the following should be used instead of​ "yes" over the​ radio? 1. negative 2. copy 3. affirmative 4. roger that

When you encounter a patient who refuses​ treatment, you​ should: 1. simply leave the scene 2. forcibly treat the patient 3. tell the patient that the patient will die 4. inform the patient of the consequences of that decision

4. inform the patient of the consequences of that decision

One of the EMTs at the station has been cited by the medical director for his​ sloppy, incomplete, and sometimes inaccurate patient care documentation. What is the most important reason documentation must be clear and​ accurate? 1. the service cannot bill for sloppy report forms 2. poor communication can lead to misunderstanding and medical errors 3. patient care documentation may be used late as legal evidence 4. failure to document properly will make it easier for the EMS system to be successfully sued

2. poor communication can lead to misunderstanding and medical errors

If a patient seemed reluctant to​ speak, what would your next step​ be? 1. rule out language barriers and hearing difficulties 2. assume that pathology is not the cause 3. decide whether the patient is hiding something 4. treat the patient as uncooperative

1. rule out language barriers and hearing difficulties

Which of the following is not one of the roles of the Federal Communications​ Commission? 1. assigning radio frequencies 2. licensing users 3. overseeing radio communications 4. developing standardized 10 codes

4. developing standardized 10 codes

While reviewing a written PCR for your QI​ committee, you come across a word that was misspelled. There was a single line drawn through​ it, and the correctly spelled word was next to it. Characterize how well the EMT corrected this mistake. 1. the EMT forgot to initial the mistake after striking out the word and writing in the correct one 2. the EMT corrected the mistake correctly 3. the EMT was supposed to circle the incorrect word, write the cord beside it, then initial the change 4. the EMT should have scribbled out the word to make it illegible and then written in the correct word

1. the EMT forgot to initial the mistake after striking out the word and writing in the correct one Page 487

Which of the following components of an EMS communication system would most likely provide the farthest transmission of​ voice? 1. a 50 watt mobile radio 2. portable handheld radio 3. portable ambulance-mounted radio 4. base station with a repeater

4. base station with a repeater

You arrive at the scene to find a​ 55-year-old female who first stated that she hurts all over but now refuses to talk. Her friend volunteers that the​ patient's husband recently passed away and the patient is becoming increasingly despondent. You would use this information​ to: 1. establish depression as the patient's chief complaint 2. avoid speaking to the patient 3. authoritatively direct the patient to answer your questions 4. watch the patient's body language for clues

4. watch the patient's body language for clues

In the event that a patient refuses care or​ transport, you will have to make notes​ on: 1. the patient's capacity 2. the patient's probable motivations for refusal 3. the patient's physical appearance 4. whether the patient has committed a crime

1. the patient's capacity

In some​ cultures, prolonged eye contact is​ considered: 1. rude 2. compassionate 3. passive 4. caring

The narrative section or sections of a prehospital care​ report, compared with the​ fill-in or​ check-box sections,​ are: 1. strictly objective 2. strictly subjective 3. more structured 4. less structured

You have just transported a patient to the emergency department at your local hospital. What additional information that is not typically included in the radio report should be shared with the ED​ staff? 1. baseline VS 2. pertinent medical hx 3. the CC 4. additional VS that were taken enroute

4. additional VS that were taken enroute

Arrival and transport times fall under which component of the prehospital care​ report? 1. narrative section 2. tx area 3. administrative information 4. subjective field

3. administrative information

If a base station​ fails, then: 1. EMT's should consider themselves to be off duty until the base station returns to full service 2. EMT's should use only mobile radios until further notice 3. EMT's should use only portable radios until futher notice 4. it is likely that a backup will be put into service

4. it is likely that a backup will be put into service

The patient denying respiratory difficulty is an example​ of: 1. an irrelevant detail 2. a CC 3. a subjective judgement 4. a pertinent negative

Medical direction has asked you to give the patient three nitroglycerin tablets. Which of the following responses to medical control is​ best? 1. the physician has ordered three nitroglycerine tablets. Roger that 2. Nitroglycerine sublinguial, repeat in 5 minutes, up to three, correct? 3. 10-4, will do 4. copy that. three nitros.

2. Nitroglycerine sublinguial, repeat in 5 minutes, up to three, correct?

What are all the types of communication an EMT is likely to employ on a typical​ call? 1. oral and written 2. body language and written 3. oral, body language, written 4. oral and body language

3. oral, body language, written

Which of the following would generally lead to poor communication with a patient in the prehospital​ environment? 1. speaking clearly, slowly, and distinctly, using language the patient understands 2. choosing the most soothing answer to any question 3. using the patients name throughout the contact 4. being aware of how your body language may send messages to the patient

2. choosing the most soothing answer to any question

Which of the following is the term for the unit of measurement of the output power of a​ radio? 1. watt 2. ampere 3. joule 4. volt

You document that a patient was administered​ oxygen, which you know did not happen. The failure to administer oxygen​ is: 1. a pertinent negative 2. an error of omission 3. an error of comission 4. a falsification

2. an error of omission Page 486

When speaking during a radio​ transmission, you​ should: 1. Use slang you know the dispatcher will understand 2. say "yes" and "no", not "affirmative" and "negative" 3. give a nonstop commentary on everything you do during transport 4. use pronouns such as "we" instead of "I"

4. use pronouns such as "we" instead of "I" Box 17-1 page 466

Which of the following is the federal agency that assigns and licenses radio​ frequencies? 1. FAA 2. NHTSA 3. FCC 4. DOT

When making a radio​ report, which details are​ relevant? 1. Pertinent facts 2. Diagnostic criteria 3. Only the ETA 4. Any level of detail

The patient hand-off is: 1. an oral transfer-of-care report 2. a drop-off form for patient transfers 3. the arrival at the ED 4. verified delivery of the patient's personal effect's

1. an oral transfer-of-care report

1). The QI manager calls your partner into his office after your shift. The QI managers pulls out your​ partner's EMS report on a call he ran last month on a​ 45-year-old driver of a​ single-vehicle motor vehicle collision. There were several empty beer cans in the​ patient's vehicle, and your partner detected an odor of alcoholic beverages on the​ patient's breath. The QI​ manager, however, critiques your partner about calling the patient an alcoholic and giving opinions in the report. He tells your partner to never write opinions in the EMS report. Your partner is confused because he is sure the patient was​ drunk, and he was actually arrested for suspicion of driving while intoxicated. Your partner believes his assessment is supported by facts and not just his opinion. How can you help your partner understand the QI​ manager's concerns? 1. The QI manager is afraid the patient will sue the EMS service for libel 2. Documenting that the patient is an alcoholic is an unverifiable opinion of the patient that is not supported by available facts and could negatively influence other medical providers 3. Calling the patient an alcoholic is not polite, even if it is true 4. The patient is assumed to be innocent until proven guilty. He is not an alcoholic until he is convicted of drinking and driving by a court of law.

2. Documenting that the patient is an alcoholic is an unverifiable opinion of the patient that is not supported by available facts and could negatively influence other medical providers

2). Two EMTs are on the scene of a behavioral call at a psychiatric facility. The medical personnel state that the patient had a psychotic episode and slashed his wrists. During the​ call, the patient claims to hear the voice of God and says that the voice is hurting his ears. The patient refuses to be transported to the emergency​ department, becomes​ combative, and bites one of the EMTs. Which of the following should not be documented on the EMS​ report? 1. the fact that the patient slashed his wrists 2. the fact that the patient was violent and bit the EMT 3. the fact that the EMT had an exposure incident 4. the fact that the patient hears voices

3. the fact that the EMT had an exposure incident

3). Which of the following best describes the position you should take when dealing with a cooperative patient who is sitting in a​ chair? 1. stand behind the patient's chair 2. sit or kneel at the same level as the patient 3. stand next to the chair 4. sit on the floor at the patient's feet

2. sit or kneel at the same level as the patient

4). Which of the following should not be included in a patient care​ report? 1. radio codes 2. CC 3. patient's subjective statements 4. pertinent negative findings

5). Which of the following is one the most common situations in which an EMT may be​ liable? 1. failing to get the receiving physician's signature on the PCR 2. failure to document all of a patient's medications on the PCR 3. patient refusal of tx and transport 4. inaccurate recording of times and mileage

3. patient refusal of tx and transport

6). Which of the following best describes a base​ station? 1. a device used to receive and then amplify transmission that must be carried over long distances 2. a two-way radio mounted in a vehicle 3. a two-way radio that can be carried on a belt-clip 4. a two-way radio at a fixed site

4. a two-way radio at a fixed site

7). Which of the following is not appropriate to document on your patient care​ report? 1. patient's attitude 2. patient's race 3. patient's mental status 4. all should be documented

8). When giving a radio report to the​ hospital, which of the following would be the first​ patient-specific information​ provided? 1. the patient has taken nitro 2. the patient is having a heart attack 3. the patient is complaining of CP 4. the patient is a 55 y/o M

4. the patient is a 55 y/o M

9) You are responding to a nursing home for an​ 85-year-old patient complaining of difficulty breathing. How would you initiate contact with this​ patient? 1. P/U the patient's wrist and begin taking her pulse 2. sit on the foot of the bed and ask the patient what's up 3. stand near the head of the bed and shout to make sure the patient can hear you 4. place yourself at eye level, identify yourself, and ask the patient for her name

4. place yourself at eye level, identify yourself, and ask the patient for her name

10) Why is it important that your radio report to the receiving facility be​ concise? 1. you want to appear professional 2. you want to make sure the doctor approves your medical order request 3. you do not want to bore the nurse receiving your report 4. the ED needs to know quickly and accurately the patients condition

4. the ED needs to know quickly and accurately the patients condition

11). Which of the following can be correctly noted as a chief​ complaint? 1. the patient was confused 2. the patient had a respiratory rate of 44 3. the patient was found sitting in the driver's seat on a full-sized sedan 4. the patient stated that she felt sick

4. the patient stated that she felt sick

12). Which of the following best describes a portable​ radio? 1. a device that receives and amplifies signals that must be send over long distances 2. a two-way radio that radio at a fixed site 3. a two-way radio at a fixed site 4. a two-way radio that can carried on a clip

4. a two-way radio that can carried on a clip

13). Which of the following is not an appropriate statement for the EMT to make on a patient care​ report? 1. the patient has a hx of asthma 2. the patient had wheezes that were audible 3. the patient was having an asthma attack 4. Medical direction has requested that you administer 70 grams of activated charcoal to an overdose patient. Which of the following should you do​next

3. the patient was having an asthma attack

14). Medical direction has requested that you administer 70 grams of activated charcoal to an overdose patient. Which of the following should you do​ next? 1. Repeat the order back to the physician to make sure you understood correctly 2. Document the order in writing before carrying it out 3. Prepare the medication and then call the hospital back to verify the order 4. Administer the medication order without delay

1. Repeat the order back to the physician to make sure you understood correctly

15). You are on the scene of an unresponsive adult female patient. You find an empty pill bottle lying next to her bed. You look up the medication in your field guide and discover the medication is a powerful sedative. The prescription on the bottle is for the​ patient's husband, who is not present to answer questions about the medication. What should you​ do? 1. Document the empty pill bottle. It is obvious that she took the pills 2. Do not document the empty pill bottle. You cannot prove that she took the pills and could lead the doctor to make a false diagnosis 3. Do not document the empty pill bottle. It does not belong to the patient 4. Document the empty pill bottle. It may provide important clues to the patient's condition

4. Document the empty pill bottle. It may provide important clues to the patient's condition

16). You are attempting to place a nonrebreather mask on a patient who is experiencing difficulty breathing. The patient is anxious and does not want the mask on his face. Which of the following is the best course of​ action? 1. Tell the patient the mask is for his benefit, and you will restrain him if necessary to place it on him 2. Explain the importance of O2, and ask the patient to at least try to leave the mask on, but assure him that if he cannot tolerate it, you can try another method 3. Document that the patient was uncooperative an refused the O2 3. Tell the patient he will soon become unconscious without the mask, and then you will be able to place it on him

2. Explain the importance of O2, and ask the patient to at least try to leave the mask on, but assure him that if he cannot tolerate it, you can try another method

17). Which of the following is not part of a medical radio​ report? 1. Estimated time of arrival 2. Patient's response to medical care provided 3. Unit Identification 4. Address at which the patient was located

4. Address at which the patient was located

18). Which of the following should be documented as subjective patient​ information? 1. Vital Sx 2. Symptoms 3. Descriptions of surroundings 4. Medications

19). You suspect that a​ 6-year-old female patient with multiple bruises and a broken wrist was abused. The stepmother states the patient fell down the stairs. The patient is crying and sheepishly nods in agreement with the​ stepmother's statements. How should you document this situation in the patient​ report? 1. Document who you suspect caused the injuries in the narrative so that law enforcement has a record of the incident 2. Document any pertinent information that was said by the stepmother and the child exactly in quotations 3. Document what was said was well as your opinion that the child was too afraid to tell the truth 4. Document only the actual exam findings. Do not document anything that was said

2. Document any pertinent information that was said by the stepmother and the child exactly in quotations

20). You are en route to the hospital with a​ 22-year-old male patient who has suffered a very embarrassing injury to his genitalia. Which method of contacting the receiving facility will afford the patient the most​ privacy? 1. Using the handheld radio 2. Using the ambulance radio, but not using the patient's name 3. using the ambulance radio but not providing details of the injury 4. providing the receiving hospital with all information via a cell phone

4. providing the receiving hospital with all information via a cell phone

21). During your radio report to the​ hospital, which of the following pieces of information should not be​ relayed? 1. Patient's name 2. Patient's mental status 3. Patient's age 4. Baseline VS

22). Which of the following information does not need to be provided to the​ dispatcher? 1. Which hospital you are transporting to 2. When you arrive at the hospital 3. ETA at the hospital 4. When you depart from the hospital

23). You are transporting a city councilman to the hospital after he injured his shoulder playing basketball at his gym. His left shoulder is​ swollen, deformed, and bruised. There is pain and tingling when the patient attempts to use his hand. He has a pulse of 92 per​ minute, a respiratory rate of 20 per​ minute, and a blood pressure of​ 132/88 mmHg. Which of the following should not be included in the radio​ report? 1. The appearance of the shoulder 2. Notification that security is needed for a VIP 3. VS 4. How the injury occurred

2. Notification that security is needed for a VIP

24). Which of the following statements regarding eye contact with a patient is not​ true? 1. Failure to make eye contact may signal uneasiness to the patient 2. It shows you are attentive 3. Eye contact is always appropriate 4. It shows you are interested in the patient

3. Eye contact is always appropriate

25). While on the scene with an elderly chest pain​ call, you notice that your partner gets on one knee when talking to the seated patient. What is the best reason for an EMT to kneel down beside the​ patient? 1. The EMT is kneeling to protect himself 2. The EMT can examine the patient's chest better 3. The EMT does not want to appear threatening or intimidating to the patient 4. The younger EMT is acknowledging that the older patient is his elder

3. The EMT does not want to appear threatening or intimidating to the patient

26). In which of the following circumstances is a fully documented prehospital care report not​ necessary? 1. Multiple patient's come from an office building evacuation 2. A patient says that someone else called EMS and does not want any assistance 3. A patient is treated but not transported 4. A fully documented patient care report is required for all of the above

1. Multiple patient's come from an office building evacuation

27). Patient information includes all of the following except​ the: 1. time the unit was notified of the the call 2. patient's medications 3. mechanism of injury 4. patient's chief complaint

1. time the unit was notified of the the call

28). Which of the following is a possible consequence of using medical terminology about which you are unsure of the meaning in your patient care​ report? 1. Loss of credibility 2. Negative impact on patient care 3. Embarrassment 4. All of the above

29). Which of the following is part of the minimum data set developed by the National Highway Traffic Safety Administration​ (NHTSA) for purposes of data collection in conducting​ research? 1. Patient's name 2. Time of arrival at the patient's location 3. Patient's insurance coverage 4. Amount charged for ambulance services

2. Time of arrival at the patient's location

30). Which of the following is not appropriate for inclusion in the radio report to the receiving​ hospital? 1. Name of the patient's health insurance provider 2. Major past illness of the patient 3. Pertinent physical exam findings 4. Pertinent past illness

1. Name of the patient's health insurance provider

31). Which of the following describes the importance of effective communication of patient information in the verbal​ report? 1. Additional information that was not given in the radio report can be provided 2. Patient tx can be based on this information 3. Changes in patients condition can be communicated 4. All of the above

32). Which of the following is not an appropriate use of prehospital care report​ (PCR) information? 1. For referral to Alcoholics Anonymous or similar social services 2. For billing and insurance purposes 3. To provide EMS personnel with education and quality assurance 4. To conduct research

1. For referral to Alcoholics Anonymous or similar social services

33). An objective statement made in a prehospital patient care report meets all of the following criteria except which​ one? 1. Verifiable 2. Biased 3. Observable 4. Measurable

34). Which of the following information on a patient care report is not considered run​ data? 1. Time of the incident report 2. CC 3. Time unit left the scene 4. Time of arrival at the receiving facility

35). Which of the following best describes a mobile​ radio? 1. A two-way radio at a fixed site 2. A two-way radio that can be carried on a belt clip 3. A two-way radio that is mounted in a vehicle 4. A device that receives and amplifies signals that must be sent over a long distance

3. A two-way radio that is mounted in a vehicle

36). You have an urgent transmission you need to make to the dispatch center. Which of the following is the appropriate way to communicate​ this? 1. Use the phrase, "Attention, attention, I have priority traffic," 2. Listen to the frequency first to avoid stepping on another transmission 3. Interrupt less-urgent radio traffic to get your message across 4. Speak loudly to convey the urgency of the message

2. Listen to the frequency first to avoid stepping on another transmission

37). Which of the following should be placed in quotes in the patient care​ report? 1. CC 2. Patient's expressed consent 3. List of patient's medications 4. MOI

38). What is the best way to communicate with a young pediatric​ patient? 1. Tell the child the procedure will hurt much more than it actually will so that he or she will be pleasantly surprised when the procedure is over 2. Sit at the level of the child, if possible, and always be honest 3. Only talk with the parents. The child is too young to know his or her medical hx 4. Do not tell the child that a procedure will hurt beforehand because the child will become terrified

2. Sit at the level of the child, if possible, and always be honest

39). Which of the following is not considered a principle of proper radio usage in​ EMS? 1. Make sure the radio is on before speaking 2. Speak with your lips 2-3" from the microphone 3. Speak as quickly as possible 4. Use plain English

3. Speak as quickly as possible

40). Which of the following does not need to be documented regarding a patient refusal of​ treatment? 1. Any insulting remarks the patient has made to you 2. That you advised the patient to call back if he changed his mind 3. That you informed the patient of the consequences of refusing care 4. Patient's mental status

1. Any insulting remarks the patient has made to you

41). You have received the following order from medical​ control: "Administer one tablet of nitroglycerin under the​ patient's tongue." Which of the following is the best​ response? 1. "Order received. One nitroglycerin tablet under the patient's tongue." 2. "Roger, order received." 3. "Clear. Will advise of any changes in patient's condition." 4. "Copy. Administering medication now."

1. "Order received. One nitroglycerin tablet under the patient's tongue."

42). The portion of the patient care report in which the EMT writes his description of the​ patient's presentation, assessment​ findings, treatment, and transport information is called​ the: 1. deposition 2. narrative 3. data set 4. text

43). Which of the following agencies assigns and licenses radio​ frequencies? 1. Federal Trade Commission 2. Federal Communications Commission 3. United States Department of Transportation 4. Transportation Security Administration

2. Federal Communications Commission

44). You have responded to a call at a government office building. One of the office workers became very upset during a fire drill and experienced an episode of difficulty breathing. As your partner is speaking with the​ patient, who is not sure she wants to be​ transported, an individual wearing civilian clothes approaches you and states she is a security guard in the building. She asks you for the​ "yellow copy" of your prehospital care report. Which of the following should you​ do? 1. Provide the documentation if the individual shows proper identification 2. Ask the patient if it is alright with her if you provide the individual with a copy of the PCR 3. State that you are unable to comply with the request due to patient confidentiality 4. Get permission from medical control

3. State that you are unable to comply with the request due to patient confidentiality

45). Which of the following is the correct manner for making a correction on a paper copy of a patient care​ report? 1. Draw a single line through the error and initial it 2. Blacken out the entire error and draw an arrow to correct information 3. Get a credible witness to co-sign your patient care report 4. Use typing correction fluid to cover up the error and write over it

1. Draw a single line through the error and initial it

46). The Health Insurance Portability and Accountability Act​ (HIPAA) requires ambulance services to do all of the following except​: 1. report child abuse 2. place patient care reports in a locked box 3. safeguard patient confidentiality 4. All of the above are required by HIPAA

1. report child abuse This should fall under mandated reporter requirements, not HIPAA

47). Which of the following is not an appropriate way of dealing with a patient who does not speak the same language as you​ do? 1. Avoid communicating with the patient so there is no misunderstanding of your intentions 2. Contact dispatch for assistance in finding a translator 3. Use a manual that provides translation 4. Use an interpreter

1. Avoid communicating with the patient so there is no misunderstanding of your intentions

48). Which of the following is not an objective element of documented patient​ information? 1. Patient's complaint of nausea 2. Patient's age 3. Patient's BP 4. Position in which the patient was found

1. Patient's complaint of nausea

49). You are treating a patient with a possible fractured ankle. The patient appears to be in a lot of pain and is uneasy. As you are getting ready to splint the​ patient's leg, he asks you if it is going to hurt. Which of the following is the best​ response? 1. "I will do my best, but it may hurt while we put the splint on. 2. "If you're stressed out like this, it's going to hurt a lot more." 3. "Relax, this is not a painful procedure." 4. "It doesn't matter, we have to do it anyway."

1. "I will do my best, but it may hurt while we put the splint on.

50). You are on a call of a minor vehicle accident. Your patient is a​ 22-year-old male who was the driver of a moderate​ T-bone collision. The patient was not wearing a seat​ belt, and there was spidering of the windshield. The patient complains of neck pain and has a scalp laceration. After performing the primary​ assessment, you take vital signs and bandage the​ patient's scalp. When you tell him you need to backboard​ him, he refuses care and ambulance transport. Because the person is alert and oriented to​ time, place, and​ person, you have the patient sign the separate patient refusal form provided by your service. How should you document this incident in your EMS​ report? 1. You should document everything including all patient care, all of your attempts to persuade the patient to go by ambulance, and who witnessed the patient refusal 2. You should document your patient care and then simply document that the patient was informed of the risks prior to his refusal. Anything extra is unnecessary and wastes time 3. No report is needed because the patient refused transport and signed the refusal 4. You should only document what tx you performed before the patient refused tx

1. You should document everything including all patient care, all of your attempts to persuade the patient to go by ambulance, and who witnessed the patient refusal

51). You are treating a​ 32-year-old man who is deaf. You need to find out why he called for an ambulance. What is the best way to communicate with this​ patient? 1. Speak very loudly in case he has a little hearing 2. Make sure the patient can see your lips when you speak 3. Use hand gestures to act out what you are trying to say 4. Call for an interpreter to meet you at the hospital

2. Make sure the patient can see your lips when you speak

52). When you arrive at the receiving​ facility, the nurse asks your partner for a verbal report of the​ patient's condition. This is in addition to the radio report your partner gave to the hospital en route.​ Afterwards, you ask your partner why you must give a second verbal report and a written report to the receiving nurse. What is the best reason to provide both​ reports? 1. The nurse may not have heard the first radio report 2. The nurse may have to perform critical interventions on the patient before you complete your written report 3. The patient's condition may have changed since the first radio report 4. The nurse may be too busy to read the written report

2. The nurse may have to perform critical interventions on the patient before you complete your written report

53). 3. The patient's condition may have changed since the first radio report 1. 5 2. 10 3. 12 4. 8

54). our elderly male patient tells you his name is Joe Smith. Which of the following is the best way to address​ him? 1. Joe 2. Smitty 3. Sir 4. Mr. Smith

55). Which of the following is not a reason for routine review of prehospital care reports in a quality improvement​ program? 1. Assess conformity to patient care standards 2. Reveal excellent patient care 3. Review poor patient care 4. Satisfy requirements of the shift supervisor

4. Satisfy requirements of the shift supervisor

56). Which of the following best describes a​ repeater? 1. A two-way radio that is mounted in a vehicle 2. A two-way radio at a fixed site 3. A device that receives and amplifies a signal that must be carried over long distances 4. A two-way radio that can be carried on a belt clip

3. A device that receives and amplifies a signal that must be carried over long distances

57). You have received an order from medical direction that you feel would be detrimental to your patient. Which of the following should you​ do? 1. Carry out the order but document that you disagree with it 2. Call a different hospital for orders 3. Politely question the physician 4. Contact your supervisor for advice

3. Politely question the physician