CH 6 Flashcards
(10 cards)
Which of the following laws or entities requires that a statement of medical necessity be clearly documented on a patient care report?
Medicaid
State law
HIPAA
Medicare
Medicare
If a patient with decision-making capacity adamantly refuses treatment for an injury or condition that clearly requires immediate medical attention, the paramedic should:
make other arrangements for patient transport.
contact online medical control for guidance.
ask the patient to sign a refusal of treatment form.
request law enforcement assistance at once.
contact online medical control for guidance.
What should occur if a physician on scene performs an intervention that is outside of the paramedic’s scope of practice?
The physician is required to accompany the patient in the back of the ambulance.
The paramedic is required to disallow the physician to perform the intervention.
The paramedic must allow the intervention and then transport the patient.
The medical director must authorize the physician to perform the intervention.
The physician is required to accompany the patient in the back of the ambulance.
When documenting a statement made by the patient or others at the scene, you should:
place the exact statement in quotation marks in the narrative.
translate the statement into appropriate medical terminology.
include the statement in an addendum to your run report.
document the exact time that the statement was made.
place the exact statement in quotation marks in the narrative.
HIPAA requires that:
a patient’s personal information must be shared with the patient’s immediate family members.
a penalty will be imposed for any release of any portion of a patient’s personal information to any entity.
patient information shall not be shared with entities or persons not involved in the care of the patient.
patient information can only be shared with the receiving physician in the emergency department.
patient information shall not be shared with entities or persons not involved in the care of the patient.
In which of the following situations would ambulance transport likely be required due to medical necessity?
The patient does not require emergent transport.
The patient requires a splint prior to moving.
The patient is able to walk to the ambulance.
The patient has minor bleeding that is controlled
The patient requires a splint prior to moving.
Which of the following statements regarding revisions or corrections to a patient care report is correct?
The original patient care report should be destroyed if a revision is necessary.
Only the person who wrote the original report can revise or correct it.
If a report needs revision, the revision must be made within 12 hours.
A patient care report cannot be revised or corrected after submission.
Only the person who wrote the original report can revise or correct it.
Which of the following documentation styles is the most difficult and time consuming to apply in EMS?
Chronological approach
CHARTE method
SOAP method
Body systems approach
Body systems approach
The patient care report:
provides for a continuum of patient care upon arrival at the hospital.
is only held for a period of 24 months, after which it legally can be destroyed.
should include the paramedic’s subjective findings or personal thoughts.
is a legal document and should provide a brief description of the patient.
provides for a continuum of patient care upon arrival at the hospital.
If you receive another call before completing the patient care report accurately for the previous call:
you should submit what you have completed to the receiving facility.
pertinent details about the previous call may be omitted inadvertently.
your patient care report must be completed within 36 hours after the call.
you should ask the dispatcher to send another paramedic crew to the call.
pertinent details about the previous call may be omitted inadvertently.
