Exam 10: Documentation

In filling out your prehospital care report, you want to document that your patient had a laceration to his right hand secondary to a fall. How would you abbreviate "secondary to?"

Free

(Multiple Choice)

4.9/5

(32)

Question 1

Correct Answer:

Verified

The abbreviation Hgb stands for:

Free

(Multiple Choice)

4.8/5

(28)

Question 2

Correct Answer:

Verified

What is the chief complaint in the following narrative? The pt. stated he had chest pain x 2 days before calling EMS. Pt. denies SOB. Vitals: BP 90/50, respirations labored with retractions, HR 44. Rx: O2 and atropine 0.5 mg IVP. Upon arrival, the pt. reported feeling better.

Free

(Multiple Choice)

4.7/5

(28)

Question 3

Correct Answer:

Verified

What is the correct abbreviation for potassium?

(Multiple Choice)

4.8/5

(38)

Question 4

Which of the following best describes why abbreviations and acronyms can cause confusion and problems?

(Multiple Choice)

4.9/5

(37)

Question 5

Patient and bystander quotes belong in the ________ section.

(Multiple Choice)

4.9/5

(40)

Question 6

The standard charting abbreviation for Tylenol is:

(Multiple Choice)

4.9/5

(41)

Question 7

Why is it important for billing companies to have complete PCRs?

(Multiple Choice)

4.8/5

(37)

Question 8

Which of the following is the paramedic's interpretation of the patient's problem?

(Multiple Choice)

4.8/5

(31)

Question 9

When your patient refuses care and transportation, even though you have communicated to the patient that you feel it is necessary, the patient is refusing:

(Multiple Choice)

4.9/5

(33)

Question 10

Who would be held MOST responsible if poor prehospital documentation results in inappropriate continuing medical care?

(Multiple Choice)

4.9/5

(27)

Question 11

All of the following are part of the standard patient documentation narrative, EXCEPT a(n):

(Multiple Choice)

4.7/5

(36)

Question 12

The unofficial language used by a particular group or profession is known as ________ and can be confusing when included on a PCR.

(Multiple Choice)

4.7/5

(34)

Question 13

What is the patient's heart rate in the following narrative? The pt. complained of CP x 2 days before calling EMS and is now also c/o SOB. Vitals BP 90/50, labored with retractions. Treated with O₂and atropine. Upon arrival, the pt. reported feeling better.

(Multiple Choice)

4.8/5

(33)

Question 14

Which words are spelled incorrectly in the following narrative? Pt. is a 53 y/o male with pain to the upper thoracks and neck 2- to past history. Pt. has a history of a heart attack and takes KCl, HCTZ, and aspirin. 1) Thoracks 2) Heart attack 3) Aspirin 4) History

(Multiple Choice)

4.8/5

(38)

Question 15

The objective narrative portion of documentation contains information on the:

(Multiple Choice)

4.7/5

(35)

Question 16

What is one of the common problems with documenting times?

(Multiple Choice)

4.9/5

(36)

Question 17

The call incident approach for narrative writing emphasizes all of the following, EXCEPT:

(Multiple Choice)

4.8/5

(36)

Question 18

The only truly factual record of the events on an EMS call is the:

(Multiple Choice)

4.9/5

(33)

Question 19

The paramedic's general impression is documented in the:

(Multiple Choice)

4.8/5

(29)

Question 20

Showing 1 - 20 of 65

In filling out your prehospital care report, you want to document that your patient had a laceration to his right hand secondary to a fall. How would you abbreviate "secondary to?"

The abbreviation Hgb stands for:

What is the chief complaint in the following narrative? The pt. stated he had chest pain x 2 days before calling EMS. Pt. denies SOB. Vitals: BP 90/50, respirations labored with retractions, HR 44. Rx: O2 and atropine 0.5 mg IVP. Upon arrival, the pt. reported feeling better.

What is the correct abbreviation for potassium?

Which of the following best describes why abbreviations and acronyms can cause confusion and problems?

Patient and bystander quotes belong in the ________ section.

The standard charting abbreviation for Tylenol is:

Why is it important for billing companies to have complete PCRs?

Which of the following is the paramedic's interpretation of the patient's problem?

When your patient refuses care and transportation, even though you have communicated to the patient that you feel it is necessary, the patient is refusing:

Who would be held MOST responsible if poor prehospital documentation results in inappropriate continuing medical care?

All of the following are part of the standard patient documentation narrative, EXCEPT a(n):

The unofficial language used by a particular group or profession is known as ________ and can be confusing when included on a PCR.

What is the patient's heart rate in the following narrative? The pt. complained of CP x 2 days before calling EMS and is now also c/o SOB. Vitals BP 90/50, labored with retractions. Treated with O₂and atropine. Upon arrival, the pt. reported feeling better.

Which words are spelled incorrectly in the following narrative? Pt. is a 53 y/o male with pain to the upper thoracks and neck 2- to past history. Pt. has a history of a heart attack and takes KCl, HCTZ, and aspirin. 1) Thoracks 2) Heart attack 3) Aspirin 4) History

The objective narrative portion of documentation contains information on the:

What is one of the common problems with documenting times?

The call incident approach for narrative writing emphasizes all of the following, EXCEPT:

The only truly factual record of the events on an EMS call is the:

The paramedic's general impression is documented in the:

Introduction to Paramedicine

Ems Systems

Roles and Responsibilities of the Paramedic

Workforce Safety and Wellness

Ems Research

Public Health

Medicallegal Aspects of Out-Of-Hospital Care

Ethics in Paramedicine

Ems System Communications

Human Life Span Development

Pathophysiology

Emergency Pharmacology

Intravenous Access and Medication Administration

Airway Management and Ventilation

Filters

Exam 10: Documentation

In filling out your prehospital care report, you want to document that your patient had a laceration to his right hand secondary to a fall. How would you abbreviate "secondary to?"

The abbreviation Hgb stands for:

What is the chief complaint in the following narrative? The pt. stated he had chest pain x 2 days before calling EMS. Pt. denies SOB. Vitals: BP 90/50, respirations labored with retractions, HR 44. Rx: O2 and atropine 0.5 mg IVP. Upon arrival, the pt. reported feeling better.

What is the correct abbreviation for potassium?

Which of the following best describes why abbreviations and acronyms can cause confusion and problems?

Patient and bystander quotes belong in the ________ section.

The standard charting abbreviation for Tylenol is:

Why is it important for billing companies to have complete PCRs?

Which of the following is the paramedic's interpretation of the patient's problem?

When your patient refuses care and transportation, even though you have communicated to the patient that you feel it is necessary, the patient is refusing:

Who would be held MOST responsible if poor prehospital documentation results in inappropriate continuing medical care?

All of the following are part of the standard patient documentation narrative, EXCEPT a(n):

The unofficial language used by a particular group or profession is known as ________ and can be confusing when included on a PCR.

What is the patient's heart rate in the following narrative? The pt. complained of CP x 2 days before calling EMS and is now also c/o SOB. Vitals BP 90/50, labored with retractions. Treated with O2 and atropine. Upon arrival, the pt. reported feeling better.

Which words are spelled incorrectly in the following narrative? Pt. is a 53 y/o male with pain to the upper thoracks and neck 2- to past history. Pt. has a history of a heart attack and takes KCl, HCTZ, and aspirin. 1) Thoracks 2) Heart attack 3) Aspirin 4) History

The objective narrative portion of documentation contains information on the:

What is one of the common problems with documenting times?

The call incident approach for narrative writing emphasizes all of the following, EXCEPT:

The only truly factual record of the events on an EMS call is the:

The paramedic's general impression is documented in the:

Introduction to Paramedicine

Ems Systems

Roles and Responsibilities of the Paramedic

Workforce Safety and Wellness

Ems Research

Public Health

Medicallegal Aspects of Out-Of-Hospital Care

Ethics in Paramedicine

Ems System Communications

Human Life Span Development

Pathophysiology

Emergency Pharmacology

Intravenous Access and Medication Administration

Airway Management and Ventilation

Filters

What is the patient's heart rate in the following narrative? The pt. complained of CP x 2 days before calling EMS and is now also c/o SOB. Vitals BP 90/50, labored with retractions. Treated with O₂and atropine. Upon arrival, the pt. reported feeling better.