Which of the following is NOT a component of the minimum data set?
a. chief complaint
b. blood pressure
c. insurance information
d. skin color, temperature, and condition ** Answ** insurance information
What is the name of the document in which the EMT should document all patient findings and
treatment?
a. triage tag
b. medical chart
c. general use statement
d. PCR ** Answ** PCR
In a multiple-casualty incident, the patient's name and chief complaint are recorded on a:
a. mobile data unit
b. field note
c. mini PCR
d. triage tag ** Answ** triage tag
Which one of the following is attached to a patient during a multiple-casualty incident (MCI) to
record basic information?
a. MCI tape
b. MCI tag
c. triage tape
d. triage tag ** Answ** triage tag
Which one of the following is an administrative use for the prehospital care report (PCR)?
a. research
,b. legal defense
c. quality improvement
d. preparing bills ** Answ** preparing bills
What is the prime reason for high-quality documentation?
a. billing purposes
b. high-quality patient care
c. education and research
d. legal defense ** Answ** high-quality patient care
Which of the following components is in the patient demographics section of the PCR?
a. the patient's family doctor
b. any allergies to medications
c. the patient's home address
d. the patient's chief complaint ** Answ** the patient's home address
The medical documentation you prepare has legal and administrative functions. Which of the
following is TRUE regarding these uses of your documentation?
a. Since the PCR is not considered a legal document, you will not be able to refer to it when
testifying in court.
b. the medical documentation you provide typically becomes part of the patient's permanent
hospital record.
c. because the EMS system is the only entity that reviews the PCR, the use of abbreviations is
not important.
d. EMT's documentation is generally not used when preparing bills ** Answ** the medical
documentation you provide typically becomes part of the patient's permanent hospital record
What type of PCR format requires the EMT to document patient information with an ink pen or
other similar writing instrument?
a. hybrid computer report
b. electronic clipboard report
,c. traditional computer report
d. traditional written report ** Answ** traditional written report
You are giving a presentation to a group of new hires about your system's computer-based
patient care report system. What might you identify as the greatest benefit of this system?
a. it eliminates the need for the EMT to have a pen handy.
b. it is cheaper than paper reports
c. it creates more legible written reports
d. it is the most common type of reporting system used today ** Answ** it creates more
legible written reports
Which of the choices is an advantage of the paper-based charting system
a. the user can just rip up a PCR they made an error on, and start a new one
b. since the paper system cannot connect to monitoring equipment it is easier to use
c. the user typically has more freedom on the type of information entered, including writing style
d. the paper system will not fail if the PCR is accidentally left out in the rain ** Answ** the
user typically has more freedom on the type of information entered, including writing style
What element of good PCR documentation and reliability should the EMS system ensure is
occurring?
A quality improvement process to determine if the data set has been biased
B.
Paper-based PCR charting with legible handwriting
C.
Use of synchronized clocks
D.
Computer-based PCR charting ** Answ** use of synchronized clocks
Which of the following in NOT a reason the EMT should maintain good documentation
practice?
a. determining whether or not the EMT was acting in an ethical manner
, b. submitting records to insurance companies
c. providing data for researchers and scientists
d. helping to ensure the continuity of care for the patient ** Answ** determining whether or
not the EMT was acting in an ethical manner
which of the choices is necessary for ensuring that the minimum data set is as accurate as
possible?
a. use of accurate and synchronous clocks
b. use of integrated clipboard PCR formats
c. use of paper PCR
d. use of computer-based PCR ** Answ** use of accurate and synchronous clocks
what organization developed the information that is to be included in the PCR minimum data
set?
a. U.S. Department of Education
b. Social Security Administration
c. U.S. Department of Health and Human Services
d. U.S. Department of Transportation ** Answ** U.S. Department of Transportation
The United States Department of Transportation's minimum data set for patient information
gathered by the EMT includes:
a. capillary refill for patients less than three years old
b. the patient's medical insurance information
c. systolic blood pressure for patients greater than one year old
d. the patient's respiratory rate and effort ** Answ** the patient's respiratory rate and effort
Administrative information in the U.S. Department of Transportation's (USDOT's) minimum
data set includes the time the:
a. unit was en route to the call
b. unit left the hospital after transferring care
c. incident was reported
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller smartchoices. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.