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Chap 4 objectives

Comm, and Doc.

QuestionAnswer
describe the factors and strategies to consider for therapeutic purposes comm. with Pts -age -body language -clothing -culture -education -environment -eye contact -facial expression -gender -posture -voice tempo/volume RAPPORT!
Discuss techniques of effective verbal communication eye contact your name and use Pts name tell the Pt the truth language the Pt can understand caution what you say about the Pt to others body language speak clear, slowly consider special Pts be calm and confident
Explain the skills that should be used to communicate with family members, bystanders, people from other agencies, and hospital personnel -Can be valuable, but ask Pts questions not family!! -use all communication skills -ask to step aside, give a task HOWEVER, be careful of HIPPA!!
Discuss special considerations in communication with older people and children elderly- don't assume they cannot function well or are irritable dont base mental status on age, may experience less pain/report less changes, make them feel confident in your care Child- down to thier level, allow comfort person/item, truthful, modest
Describe the use of written communications and documentation written comm= protocols, PCR, special reports, advance directive, Pt orders, Standing orders
state the purpose of a patient care report legal document, describes everything that happened! continuity of care education admin info essential research record evaluation and CQI
explain the legal implications of the PCR legal document, can be taken to court
describe how to document refusal of care, including the legal implications -complete assessment! Must have evidence the Pt can make rational decision! INFORMED refusal: benefits/risks of denying/refusing care -Must gain proper refusal of care form, get 2 signatures (preferably family member, then bystander, then LEO),
Discuss state/local special reporting requirements, such as GSWs, dog bites, or abuse GSW, Animal bites, Infectious diseases, physical/sexual abuse, MCI in these special requirements situations, you may be required to file special reports Learn local requirements failure to report=legal consequences
Describe the basic types communication verbal- radio, partner, cellphone, orders, verbal reports nonverbal- body lang., facial expression written- protocols, PCR, special reports, advance directives, standing orders
Describe the use of radio communication, including the proper methods of indicating and terminating a radio call Maintenace of equipment = YOUR JOB! communication between you and medical control Address the unit you are calling and provide the name of your unit, brief and clear, no codes or unapproved abbreviations, no names, when finished say over
List the correct radio procedures in the following phases of typical call alert: after dispatch, on scene, enroute to hospital, IHERN report, back in service
List the proper sequence of information to communicate in radio delivery of a patient report -Pt: gender, DOB, and Adress, chief complaint, rescue and treatment, response to treatment, vital signs, SAMPLE history, changes in vitals, Name of who is receiving the report Call: date, location, dispatch, arrival, leaving, arrival at hospital, TOC
Discuss special considerations in communication with Pts hard of hearing, visually impaired Pts, and non-English speaking Pts Hearing- use paper/pen, let them read lips, never shout, short questions, basic sign language Vision: explain EVERYTHING your doing, avoid sudden movements non-English- simple/short, basic phrases, find translator (family/child)
Infromation required to complete a PCR -Pt: gender, DOB, and Adress, chief complaint, rescue and treatment, response to treatment, vital signs, SAMPLE history, changes in vitals, Name of who is receiving the report Call: date, location, dispatch, arrival, leaving, arrival at hospital, TOC
Describe the various types of communication devices used in EMS Mobile: in truck Portable: handheld Repeater base- expands for distance cellular telephones MED channels
Created by: emt2023bucher
Popular Paramedic/EMT sets

 

 



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