EMT Quiz Chapter 5 – Flashcards
Flashcard maker : Sean Mitchell
What communication format should the EMT utilize when communicating with the emergency department​ (ED) via​ cellular/mobile phone?
Similar to radio
Which of the following aspects of patient care is NOT enhanced by effective​ communications?
Response​ time, transfer of​ care, and completion of the PCR are all enhanced by effective communication.
Your ambulance was dispatched for a patient complaining of shortness of breath at 1512. You arrived on scene at 1523 and left at 1538. You arrived at the hospital with the patient at 1557 and were back in service at 1622. Which one of the following is​ true?
Your scene time was 15 minutes.
What role does the Federal Communications Commission​ (FCC) play in​ EMS?
Establishing and enforcing regulations related to the use of radio operations
Your partner accidentally uses a profane word when talking to dispatch. Which agency has the power to fine him and the ambulance​ service?
Federal Communications Commission
An example of effective communications between the EMS dispatcher and crew would​ be:
​Dispatcher: Control to Unit​ 34, respond high priority to 783 Third​ Street, cross street​ Vine, on a possible heart attack Unit​ 34: Control, Unit 34​ copy, responding high priority to 783 Third Street​ Dispatcher: Unit​ 34, 1340 hours
You are treating an elderly man who tells you his name is Robert Walters. What is the MOST appropriate way to refer to​ him?
Mr. Walters
​Gestures, mannerisms, and postures by which a person communicates with others are known​ as:
body language.
What is the most appropriate way to initiate contact with a receiving hospital to alert them that you are en route with a​ patient?
​”St. Margaret’s​ Hospital, this is BLS ambulance​ 17-64. How do you​ copy?”
Which one of the following best explains the reason why emergency services communications are​ recorded?
Communications can become part of a legal record if need be.
Which of the following can help enhance effective communication with your​ patient?
Summarize the message.
Which one of the following is an effective way to improve communication with most​ patients?
Maintain eye contact.
Which one of the following statements is most appropriate when communicating with the medical facility that will receive the​ patient?
​”En route to your facility with a​ 73-year-old male complaining of​ dizziness.”
Which one of the following is an​ open-ended question?
​”Can you describe the pain to​ me?”
Over the next three​ days, your ambulance service is getting new and improved mobile radios. As an EMT with knowledge of communication​ equipment, you realize​ that:
new radios will be installed in all of the ambulances.
The ground rules for radio communication​ include:
depressing the​ “press to​ talk” button and waiting one second before speaking.
When providing a lengthy radio​ report, the most important reason to pause every 30 seconds is so​ that:
other people can use the radio for an emergency transmission.
When using your portable​ radio, you must push the​ “press to​ talk” button and wait one second before speaking. This is essential to effective communication because your EMS system must​ use:
repeaters.
Your patient denies difficulty​ breathing, but displays signs of respiratory distress. You​ state, “I know that you said you are breathing​ fine, but you cannot speak more than two to three words at a time without gasping for​ air.” Your response is an example​ of:
confrontation.
When interviewing a patient with a medical​ emergency, the EMT is using the technique of summary when she​ says:
​”So the nausea and vomiting started two days​ ago.”
You are transporting an elderly man with a history of angina pectoris to the ED for chest pain. He is normotensive and has a SpO2 of 97. You have contacted the ED and have received permission to assist the patient with his nitroglycerin and to administer four
81-mg
tablets of baby aspirin. After 15​ minutes, the patient is still normotensive but tells you that his chest pain is returning. You​ should:
81-mg
tablets of baby aspirin. After 15​ minutes, the patient is still normotensive but tells you that his chest pain is returning. You​ should:
contact the ED​ again, provide them with a patient update using the SBAR​ format, and request permission to administer additional nitroglycerin.
SBAR is a method of organizing your communication into a standard format that is particularly useful in communicating with medical​ direction, especially if you are seeking further orders
dash-
so it would be useful here. SBAR is an acronym for​ situation, background,​ assessment, and recommendation. Situation refers to the problem or reason why you are calling and the​ patient’s chief complaint. Background is a concise description of the past medical history and the​ patient’s response to treatment to that point. Assessment includes pertinent subjective and objective assessment findings such as mental​ status, vital​ signs, neurological​ findings, blood glucose​ level, and Glasgow Coma Score. Recommendation is basically what you are requesting for the​ patient, such as an order to administer another nitroglycerin tablet.
You pull up to the scene of a​ one-car motor vehicle collision and find a physician treating the patient. Which one of the following is the best way to initially communicate with the​ doctor?
​”Hello, we are EMTs. How can we help​ you, doctor?”
Over the​ radio, medical direction has given the following order for an unstable patient you suspect of having a heart​ attack: ​”have the patient chew four baby​ aspirin, each one at 81​ mg, and transport as soon as​ possible.” You would show reception of this order by​ stating:
​”copy … we will have the patient chew four baby​ aspirin, each one at 81 mg and transport​ ASAP”
Which phrase best illustrates the EMT using the summary technique of therapeutic​ communication?
​”It appears that you have been depressed for several weeks​ now.”
To contact someone via landline means​ to:
use telephone communications.
You are treating an​ 82-year-old female who is having trouble hearing some of your questions. What technique would be best in helping you get her past medical​ history?
Speak clearly and slowly.
Why is using a standard format for relaying medical information to the emergency department​ important?
The opportunity for forgetting important medical information decreases.
Which one of the following is a disadvantage in using cell phones as an emergency backup communication​ system?
Cell phones may not be effective in disaster situations.
What is the primary purpose of providing the physician or nurse with an oral report in transferring care to the hospital emergency department​ (ED)?
To summarize and update patient assessment and treatment information
In​ order, the steps of communication​ are:
​encoding, receiving,​ decoding, and response.
In the process of providing an oral​ report, the sender creates the message from words​ and:
symbols
The wife of a​ 57-year-old male called 911 because he had chest pain. Which of the following pieces of information would be included in your SBAR report at the​ hospital?
​”… I am thinking that the patient would benefit from 324 mg of​ aspirin…”
What important piece of information has been omitted from the following​ report: “University​ Hospital, we are en route with a​ 61-year-old male complaining of generalized weakness. He states that he was cutting the grass when he suddenly became hot and​ weak, forcing him to sit down. He has a history of diabetes and prostate​ cancer, but takes no medications. Right now he is alert and oriented and has the following vital​ signs: pulse​ 96, respirations​ 18, and blood pressure​ 156/82 mmHg. We have placed him on two liters of oxygen by nasal cannula and are transporting in a​ semi-Fowler’s position. He states that the weakness is starting to resolve. Do you have questions or​ orders?”
ETA to the hospital
When relying on a cell for medical​ communications, the EMT realizes​ that:
he should use the same format of communication as used for radio transmissions.
What is another term for providing false assurances to your​ patient?
Lying
How should the EMT clean a portable radio that became dirty when dropped in a field during an emergency run on and MVC earlier in the​ day?
With a damp cloth and mild detergent
You are returning from a call when you come across an apartment building with flames coming from several windows on the top story. You see several occupants trapped and hanging out of the windows screaming for help. Which radio transmission is most appropriate when first contacting dispatch of the​ situation?
​”Central communications from Unit​ 118, how do you​ copy?”
If you ask the​ patient, “Is your chest pain​ sharp?”, what kind of question is​ this?
​Closed-ended
A​ 42-year-old female is complaining of shortness of breath. Which of the following questions would best assist you in getting additional information about the​ patient’s chief​ complaint?
​”You appear to be short of breath. Are you also having chest​ pain?”
Which one of the following statements is most appropriate in initiating an oral report to the emergency​ department?
​”Mr. Benton called us today because he was having chest​ pain.”
You are treating a​ 2-year-old girl who fell off her bike. She is crying and will not answer any of your questions. Which one of the following would be appropriate to find out where the girl​ hurts?
Have the​ girl’s mother ask your questions for you.
Medical direction has advised you to place a patient who is obese and extremely short of breath in a supine position. Knowing that doing so will cause the patient to become more short of​ breath, your best action would be​ to:
explain your concern to the physician and ask for clarification.
As you drive lights and sirens to the hospital with a critical​ patient, the paramedic asks you to notify the receiving hospital since he is busy caring for the patient. He tells you to specifically let the emergency department know that the​ patient’s blood sugar is 15​ mg/dL (very​ low). There is no history of diabetes. Of the following​ reports, which is​ best?
​”… be advised that the blood sugar is 15 … that is​ one-five mg/dL”
You have been called for a​ 23-year-old male who is completely deaf. To best communicate with this​ patient, you​ should:
write questions on a note pad.
You have accepted the head position on a committee that oversees the operation and maintenance of the communications system for your busy service. Which of the following mandates would you make to maximize the effectiveness and quality of the communication​ system?
Emergency generators must be placed at the base station and repeater stations.
While gathering an elderly female​ patient’s medical​ history, you find she is very upset and crying about having to go to the hospital and not having money to pay the bill. What technique to help facilitate this communication would be helpful for the EMT to​ employ?
empathy
