(5,6)EMS Communications / Documentation

  1. Transmission of physiologic data, such as ECG, from the patient to a distant point of reception
    • Biotelemetry
    • (telemetry)
  2. Radio system using more than one frequency to permit simultaneous transmission and reception
  3. Sharing of radio frequencies by multiple agencies or systems
  4. The portion of the radio frequency spectrum between 300 and 3,000 mHz
    Untrahigh frequency (UHF) band
  5. A collection of radio equipment consisting, at a minimum, of a transmitter, receiver, and antenna.
    Serves as a dispatch
    Base Station
  6. A two way radio mounted in a vehicle
    Mobile Transmitter/Receivers (Transceivers)
  7. A miniature base station used to extend the transmitting and receiving range of a telemetry or voice communications systems
  8. Communications systems componenets
    • Base stations
    • Transceivers
    • Portable Transceivers/Receivers
    • Repeaters
    • Remote Consoles
  9. A terminal that receives transmissions of telemetry and voice from the field and transmits messages back usually through the base station
    Remote Consoles
    • BRAND NAME: Decadron
    • CLASS: Synthetic adrenocorticoid/glucocorticoid with a predominance of glucocorticoid action 
    • anti-inflammatory
    • BRAND NAME: Dextrose 50%, D50
    • CLASS: Carbohydrate, hyperglycemic
    • BRAND NAME: Valium
    • CLASS: Benzodiazepine
    • BRAND NAME: Cardizem
    • CLASS: Calcium channel blocker, calcium antagonist
  14. Common Interviewing Errors
    • Never provide false assurance
    • Do not give medical advice
    • Do not consider yourself an authority (Dr.)
    • Do not use avoidance language (be honest)
  15. When dealing with hostile patients, you must: 
    1) yell loudly.  
    2) speak softly.  
    3) defer to the police.
    3) defer to the police.
  16. Assessment of a patient’s mental status begins with initial patient contact. The highest form of mental function is the spontaneous expression of: 
    1) grief.  
    2) anger.  
    3) humor.  
    4) compassion.
    3) humor.
  17. One of the best ways to deal with a patient’s fear is to:
    use compassion and professional competence
  18. Measurable signs that you observe and record are known as what type of information? 
    1) Objective 
    2) Subjective  
    3) Critical  
    4) Patient
    1) Objective
  19. UHF has better _____ but a shorter _______, and its energy is readily absorbed by rain and environmental objects.
    penetration; range
  20. Controls frequency allocation and licensing
    Establishes technical standards for radio equip
    Establishes & enforces rules & regs for operations of radio equip
    Monitor transmissions
    Federal Communications Commission (FCC)
  21. Reporting patient medical information should include
    • Age 
    • Sex
    • Chief complaint
    • Brief history
    • LOC
    • Degree of distress
    • Vital signs
    • Mental status
    • Physical findings
    • ECG findings
    • Treatment
    • Response to treatment
  22. Measurable signs that you observe and record
    (vital signs)
    Objective information
  23. Information that is told to you, which cannot be seen
    Subjective information
  24. NEMSIS
    • National
    • Emergency 
    • Medical
    • Services
    • Information
    • System
  25. A standard used by Medicare to determine whether a patient's condition requires ambulance transport in a particular situation
    Medical necessity
  26. Symptoms belong in the _____ part of the report, and signs belong in the ______ part of the report.
    history; physical exam
  27. What is the National Emergency Medical Services Information System (NEMSIS) responsible for?
    Stores the EMS data for each of the states
  28. Medical control orders received should be described in detail in which section of your report?
  29. Which of the following could occur from poor documentation? 
    1) Provider’s reputation can be damaged.  
    2) Juries can be persuaded against the medic. 
    3) Patient’s treatment can be affected.  
    4) All of the above
    4) All of the above
  30. By ensuring that the information on scene, treatment en route, patient’s responses, and patient’s condition on arrival at the hospital are fully documented, the EMS provider helps ensure: 
    1) standard of care.  
    2) scope of practice.  
    3) continuity of care.
    3) continuity of care.
  31. PDDs
    • Pervasive
    • Developmental
    • Disorders
  32. The most relevant part of the HIPAA
    The Privacy Rule
  33. Findings that indicate Medical Necessity
    • Pt transported Code 3
    • Pt. in shock
    • Need restraining
    • Requires O2, IV therapy while in transport
    • Must be immobilized for fracture mgnt
    • Myocardial infarction or stroke
    • Uncontrollable hemorrhage
    • Pt.only able to move by stretcher because of condition
  34. Documentation is imperative to quality assurance because it can identify:
    1) Continuity of care
    2) Protocol compliance
    3) Vital sign trends
    4) Oil change status
     2) Protocol compliance
Card Set
(5,6)EMS Communications / Documentation
EMS Communications CHP 5 EMS Documentation CHP 6