Chapter 4

Question 1

Set of data the DOT recommends including on all PCR reports

Answer 1

Minimum Data Set

Question 2

Measurable and verifiable in some way

Answer 2

Objective finding

Question 3

Information based on an individuals perceptions or interpretations.
Symptoms

Answer 3

Subjective Finding

Question 4

Subjective information should be ______
It should relate to the circumstance

Answer 4

Pertinent

Question 5

Signs and symptoms that might be expected based on chief complaint but patient denies having

Answer 5

Pertinent negatives

Question 6

Error on paper report should be corrected by

Answer 6

drawing a single line through error and add corrective information. Include date and time of correction

Question 7

SOAP Charting method

Answer 7

Subjective
Objective
Assessment
Plan

Question 8

CHART charting method

Answer 8

Chief complaint
History
Assessment
Rx- Treatment
Transport

Question 9

CHEATED charting method

Answer 9

Chief complaint
History
Exam
Assessment
Treatment
Evaluation
Disposition