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53) Which of the following is NOT an appropriate use of patient care report (PCR) information?
A) To conduct research
B) To provide EMS personnel with education and quality assurance
C) For billing and insurance purposes
D) For referral to Alcoholics Anonymous or similar social services
Objective: 15.12
54) In which of the following circumstances is a fully documented patient care report NOT
necessary?
A) A patient is treated but not transported.
B) Multiple patients come from an office building evacuation.
C) A patient says that someone else called EMS and he does not want any assistance.
D) A fully documented patient care report is required for all of the above.
Objective: 15.12
27
55) Which of the following is a possible consequence of using medical terminology about which
you are unsure of the meaning in your patient care report?
A) Loss of credibility
B) Embarrassment
C) Negative impact on patient care
D) All of the above
Objective: 15.12
56) You have responded to a call at a government office building. One of the office workers
became very upset during a fire drill and experienced an episode of difficulty breathing. As your
partner is speaking with the patient, who is not sure she wants to be transported, an individual
wearing civilian clothes approaches you and states she is a security guard in the building. She
asks you for the "yellow copy" of your patient care report. Which of the following should you
do?
A) Get permission from medical control.
B) Ask the patient if it is alright with her if you provide the individual with a copy of the patient
care report.
C) State that you are unable to comply with the request due to patient confidentiality.
D) Provide the documentation if the individual shows proper identification.
Objective: 15.12
28
57) Which of the following is the most common situation in which an EMT may be liable?
A) Patient refusal of treatment and transport
B) Failing to get the receiving physician's signature on the patient care report
C) Failure to document all of a patient's medications on the patient care report
D) Inaccurate recording of times and mileage
Objective: 15.12
58) Which of the following pieces of legislation applies to use of information on a patient care
report?
A) FERPA (Family Educational Rights and Privacy Act)
B) EMTALA (Emergency Medical Treatment and Labor Act)
C) COBRA (Consolidated Omnibus Budget Reconciliation Act)
D) HIPAA (Health Insurance Portability and Accountability Act)
Objective: 15.12
29
59) Which of the following is NOT a reason for routine review of patient care reports in a quality
improvement program?
A) Assess conformity to patient care standards
B) Review excellent patient care
C) Review poor patient care
D) Satisfy requirements of the shift supervisor
Objective: 15.12
60) The Health Insurance Portability and Accountability Act (HIPAA) requires ambulance
services to do all of the following except:
A) place patient care reports in a locked box.
B) safeguard patient confidentiality.
C) report child abuse.
D) All of the above are required by HIPAA.
Objective: 15.12
30
61) The QI manager calls your partner into his office after your shift. He pulls out his EMS
report on a call he ran last month on a 45-year-old driver of a single-vehicle motor vehicle
collision. There were several empty beer cans in the patient's vehicle and the EMT detected an
odor of alcoholic beverages on the patient's breath. The QI manager, however, critiques your
partner about calling the patient an alcoholic and giving opinions in the report. He tells your
partner to never write opinions in the EMS report. Your partner is confused because he is sure the
patient was drunk, and he was actually arrested for suspicion of driving while intoxicated. Your
partner believes his assessment is supported by facts and not just his opinion. How can you help
your partner understand the QI manager's concerns?
A) Calling the patient an alcoholic is not polite, even if it is true.
B) The QI manager is afraid the patient will sue the EMS service for libel.
C) Documenting that the patient is an alcoholic gives an incorrect opinion of the patient that is
not supported by facts, and could negatively influence other medical providers.
D) The patient is assumed to be innocent until proven guilty. He is not an alcoholic until he is
convicted of drinking and driving by a court of law.
Objective: 15.12
31
