1. What would be the best reason for a policy that requires all crew members to synchronize their watches with dispatch at the beginning of each shift?

2. A patient states that he has suffered from chronic neck pain ever since an accident. Further, he states that he is filing a lawsuit against the EMTs since they failed to put a cervical collar on him at the time; in his eyes, this is the reason he has daily neck and back pain. The EMT can remember the incident well and remembers putting a collar on the patient. As such, his best defense would be:

3. Consider the following narrative from a patient care report: 'pt. transported 3 days ago for suspected STEMI; pt. currently denies CP and SOB; PMH of HTN and CAD; pt. currently in NAD.' Which of these interpretations is most accurate?

4. The medical director for your service has put you in charge of designing a new prehospital care report form. He states that it must contain the 'minimum data set' as set forth by the U.S. Department of Transportation. In completing this task, you realize that incorporating these data into your report form will:

5. Which statement describes an advantage of computerized documentation?

6. After oxygen therapy, the patient's SpO2 improves from 90% to 99%. Using the CHEATED method of documentation, this information would be placed in which category?

7. Which item would the EMT place in the administrative information section of the prehospital care report?

8. You have placed a 67-year-old female patient on low-concentration oxygen with a nasal cannula. Under which section of the prehospital care report (PCR) would you document this information?

9. An alert and oriented male patient with chest discomfort refuses treatment and transport to the hospital. He is angry with his family for calling 911 and refuses to sign the refusal of care form despite several requests. Which of these is your next best action?

10. You document the following on the prehospital care report: 'c/o H/A with associated n/v; pt. denies existing CNS problems or history of the same; states positive history of AAA and ETOH abuse.' Regarding this narrative, which interpretation would be most accurate?

11. Just before the end of their shift, EMTs transported a young male who bystanders state 'passed out' and then had a seizure. Now, an hour later, the patient has been stabilized and the physician asks the nurse if she knows what the seizure looked like. To easily answer this question, she would:

12. Which patient who refuses treatment should still be transported to the hospital?

13. A pertinent negative would be illustrated by:

14. You have been called to the house of a patient with altered mental status. You encounter a 41-year-old male who exhibits slurred speech, an unsteady gait, and an odor resembling that of alcohol on his breath. His wife states that he is an alcoholic and needs help to get better. When documenting this information, which statement would be best?

15. Your protocol reads: 'O2 via NC prn if symptomatic for CP / SOB and SpO2 < 94%.' To follow this order, you should do perform which action?

16. A patient care report reads: 'PMH includes ESRF and (+) DNR; (+) ASA pta of EMS.' Regarding this description, which interpretation is most accurate?

17. You have transported a confused 46-year-old male who overdosed on an unknown drug to a busy emergency department. After giving an oral report to the ED nurse, your partner informs you that he wants to hurry back to the station so that he can watch the end of the football game; therefore, he is going to complete the patient care report (PCR) at a later time. How should you respond?

18. A patient with asthma is using his inhaler TID and prn. You would recognize that:

19. The medical director states that it seems as if the number of patients suffering from shortness of breath with a history of congestive heart failure (CHF) has increased. She adds that she is thinking about modifying the protocols, but first must know the number of patients seen with this condition over the past year. To best determine the number of patients treated for this condition, you would:

20. An intoxicated patient will not leave the oxygen mask on. What would be the most appropriate way to document this behavior on the prehospital care report?

21. After a patient, who is short of breath, signs a refusal of service form, which statement would be appropriate prior to leaving the residence?

22. Last week, on a computer-generated report, you accidentally documented that a patient suffered from hypertension when, in fact, he did not. Unfortunately, the report has been locked by the computer and cannot be changed; however, it can be printed. Your first action would be to:

23. You have transferred care of a 21-year-old woman who overdosed on an unknown drug. For the patient, which best describes who is permitted access to the prehospital care report (PCR)?

24. When asked, an alert and oriented 44-year-old male tells you that he called 911 because 'my chest is hurting.' The man is also sweating and feels as if he is going to vomit. He has a history of high blood pressure and states that this pain 'feels just like my heart attack two years ago.' His pulse is 88 beats per minute, respirations are 18 breaths per minute, and blood pressure is 156/92 mmHg. On room air, he has an oxygen saturation level of 95 percent. Based on this information, how would you document his chief complaint on the patient care report?

25. Two days after a call, you realize that you forgot to document that you checked a patient's blood glucose prior to him refusing transport and signing the refusal form. At that time, you did contact medical direction and provide this information to the doctor, prior to him authorizing the patient to refuse. What is now your best course of action?