Chapter 4: Communication and Documentation Flashcards
Theraputic communication with patients
Use of verbal and non verbal techniques and stratagies to encourage pts to express themselves
-Age
-Body language
-Facial expression
Theraputic Techniques
-facilitation
-pause
-reflect
-empathy
-clarification
-confrontation
-interpretation
-explanation
-summary
Verbal communication
-open-eneded questions: Pt gives added detail to answer
-closed-ended: Short single word response
Emotional intelligence
-Self awareness
-Self regulation
-Motivation
-Empathy
-Social skills
Older PTs
-Speak clearly
-Be compassionate
-Look for objective changes
-Help gather their things
Children PTs
-Keep a favorite childs toy
-Have family memeber near by for comfort
-Be honest
Deaf or hard of hearing PTs
-Face pt
-Write
-Never shout
-Learn simple sign
Mission-Critical Communication
-communications where disruption will result in failure of task
Mental Model
-Picutre the individuals have in their head
Patient Care Report (PCR) Functions
-Transfer of information
-Compliance and legal documentation
-Admin info
-Reimbursement
-Education
-Data collection
PCR Information Collection
-Chief complaint
-MOI
-LOC
-Vitals
-Initial and ongoing assesement
-Demographics
-Transport information
CHART Method
C- Chief complaint
H- History
A- Assesement
R- Treatments
T- Tranposrt
SOAP Method
S- Subjective
O- Objective
A- Assesment
P- Plan
SBAR/T
-Situation
-Background
-Assesement
-Recap/Treatment
EMS Communication
-Initiate receipt of call
-En route to call
-On scene
-Arrival at hospital
-Return to service
-Miscellaneous
