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4 Objectives

Communications and Documentation

TermDefinition
Factors and Strategies for Communication eye contact, body position, facial expression, age, clothing, gender, culture, posture, educational background, voice tempo, environment, volume
Effective Verbal Communication facilitate- talk more silence- wait reflection- restate empathy- compassion clarification- explain confrontation- aggressive interpretation- ask explanation- facts summary- step by step
Bystander Communication - watch for HIPPA - remove from area - functional age - purposeful direction
Communication with Special Populations older Pt- extra time, compassion and patience, don't assume senile/confusion children- eye contact, here to help, explain, save painful for cast, modesty hearing impaired- see lips, paper and pen, don't shout, sign language
Communications with Special Populations 2 visually impaired- explain, guide dog, hearing aids non-english- short simple, translator other health care professionals- IHERN, verbal report ~opening, detailed, Hx, response to treatment, vitals, other
PCR Uses 1. continuity of care 2. legal documentation 3. education 4. admin 5. essential research 6. CQI
PCR Requirements -Pt name, gender, DOB, address -dispatch info -chief complaint -location seen - rescue -social security -care/ treatment given -vitals -Hx -date and time of call -location -time of arrival, leave, hospital -name of Emt -insurance -base
Legal Implications -evidence -sloppy report=sloppy care -not written= didnt happen
Documenting Refusals -consult med control -must be adult or emancipated minor -explain risk/benefits of accepting/refusing care -must be alert and orientated times 4 -documant/assesment
Special Reporting -GSW -animal bites -infectious disease -abuse -injury during felony -childbirth -death
Communications Equipment -base station -mobile radio -portable radio -digital -cell/sat phones -MDT mobile data terminals
Initiating and Terminating Radio Calls -turn on or adjust -clear frequency -push to talk and wait one sec -microphone 2-3 inches away -unit call going to -get acknowledgement -good radio voice -be brief
Initiating and Terminating Radio Calls 2 -clear text -plain speak -concise -limited social -ind. digits -public hears -objective -standard -over no -Dx -EMS only -background -no names
Phases of Radio Calls -initial receipt of call -en route -on scene -arrival @ hospital -return to sservice
Proper Sequence Radio Pt Report -unit/ level -receiving hospital/ ETA -age/gender -chief complaint -Pt Hx -physical findings -summary of care -Pt response to care
Created by: emt2023deal
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