EMR Chapter 5 Communications and Documentation Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

EMR Chapter 5 Communications and Documentation Questions and Answers | Latest Version | 2025/2026 | Correct & Verified What is the primary purpose of effective communication in EMS? To ensure clear, accurate exchange of information among responders and with patients. Why is it important to use simple, clear language when communicating with patients? To avoid confusion and ensure the patient understands instructions and information. What is the term for the spoken and written account of the patient's condition and care? Documentation. When should documentation be completed in the EMS process? As soon as possible after patient care is provided. What information is essential to include in a patient care report? Patient’s condition, treatments given, vital signs, and any changes observed. 2 Why is confidentiality important in EMS communication? To protect the patient’s privacy and comply with legal regulations. How can nonverbal communication impact patient care? It can convey empathy, reassurance, or confusion and affect patient cooperation. What does the acronym SBAR stand for in communication? Situation, Background, Assessment, Recommendation. Why is it important to verify information when receiving a handoff report? To ensure accurate understanding and continuity of care. What is one key element of active listening in EMS communication? Giving full attention to the speaker without interrupting. How should you handle communication with a patient who has limited English proficiency? Use simple words, speak slowly, and use gestures or interpreters when available. 3 What is the purpose of a handoff report? To transfer important patient information to the next caregiver. Why should EMS providers avoid using medical jargon with patients or families? It can cause misunderstanding and anxiety. What is the impact of poor documentation on patient care? It can lead to errors, miscommunication, and legal issues. What information should be documented regarding patient consent? Whether consent was given, implied, or refused, and under what circumstances. How can cultural differences affect communication in EMS? They may influence how patients perceive illness, express pain, or respond to treatment. What is the best way to correct an error in written documentation? Draw a single line through the error, write the correction nearby, and initial it. 4 Why is timeliness important in EMS communication and documentation? Delays can compromise patient care and affect legal and medical accuracy. What is the role of electronic patient care reports (ePCR)? To improve accuracy, legibility, and ease of information sharing. How should confidential patient information be handled? Only shared with authorized personnel involved in the patient’s care. What are some barriers to effective communication in EMS? Noise, language differences, stress, and environmental distractions. Why should EMS personnel maintain professional tone and demeanor when communicating? To build trust and maintain respect with patients and colleagues. What information is important to include when documenting vital signs? The exact time taken, the readings, and any changes from previous measurements.