SOLVED

51) What is the patient’s heart rate in the following narrative? The pt. complained of CP x 2 days before calling EMS and is now also c/o SOB. Vitals BP 90/50, labored with retractions. Treated with O2 and atropine. Upon arrival, the pt. reported feeling better. A) 50 B) 90 C) 40 D) Cannot be determined 52) Which of the following best describes why abbreviations and acronyms can cause confusion and problems? A) They are not universally accepted by all EMS agencies. B) Nursing uses a different set of abbreviations and acronyms. C) Some abbreviations and acronyms can have multiple meanings. D) Physicians use a different set of abbreviations and acronyms. 53) The ultimate responsibility for documentation belongs to the: A) Agency’s administration B) Paramedic writing the PCR C) Medical control physician D) Receiving nurse 54) One common pattern for organizing a narrative report is identified by the mnemonic: A) CHART B) OPRST C) SAMPLE D) DCHART-E 55) Careful, thorough documentation has the effect of ________ frivolous lawsuits. A) Eliminating B) Defeating C) Discouraging D) Encouraging 56) Under what circumstances should paramedics try to hide charting errors? A) Always B) When directed to by a supervisor or superior officer C) When a lawsuit is probable D) Never 57) The objective narrative portion of documentation contains information on the: A) History of the present illness B) Current health status C) Chief complaint D) Physical exam 58) The unofficial language used by a particular group or profession is known as ________ and can be confusing when included on a PCR. A) Terminology B) Semantics C) Slang D) Jargon 59) Which of the following words is an example of proper medical terminology? A) Belly B) Thorax C) Jawbone D) Chest 60) Why is it important for billing companies to have complete PCRs? A) They can decide what to bill for. B) They require all information for accurate billing. C) They provide quality assurance audits as part of their service. D) They are required by law to collect the complete PCR.