Exam 10: Documentation

Careful, thorough documentation has the effect of ________ frivolous lawsuits.

Which of the following situations poses an even greater risk of liability to the paramedic than patient refusal of care?

Writing false or malicious words intended to damage a person's character is called:

The narrative approach that focuses only on the areas involved in the current illness or injury is the ________ approach.

Missing information, inaccurate data, and illegible documentation all give the impression of a(n):

Pertinent clinical information should be documented in the:

Why do patient refusals warrant more thorough documentation than typical EMS calls?

Which of the following would be most useful for paramedics to carry with them as an aid to proper documentation?

The subjective narrative includes information that is elicited:

The narrative format that focuses on immediate management of a variety of patient problems is called:

Which of the following documents containing vital information is affixed to the patient during large-scale incidents with multiple patients?

You are completing your PCR and cannot remember the correct spelling of a medical term. You should:

Instead of using the words heart attack, the paramedic could use the abbreviation:

Seeking and recording pertinent negatives demonstrates which of the following?

The standard charting abbreviation for nitroglycerin is:

To correct an error on the PCR, the paramedic should:

You respond to a call and the police and fire departments are on the scene, as well as a physician. Which of the following should you mention in your PCR?

Why should the PCR be completed immediately after the call?

Which of the following statements is inappropriate for a prehospital care report?

Which of the following allows you to increase the amount of information you can quickly and efficiently write on your PCR?