Question

What is an example of improper documentation on a patient care​ report?

A. Whether the patient thought the EMS providers acted appropriately.
B. Interventions and response to interventions.
C. Trends in the​ patient's condition.
D. Information from the scene.

Answer 1

Improper documentation on a patient care report includes subjective opinions rather than focusing on factual data like interventions and patient's responses.

Step-by-step explanation:

An example of improper documentation on a patient care report could be the inclusion of subjective opinions, such as whether the patient thought the EMS providers acted appropriately. This type of information is not objective and does not add to the medical or factual account of the patient's condition and treatment. Proper documentation should focus on factual data like interventions performed, the patient's response to these interventions, observed trends in the patient’s condition, and relevant information gathered from the scene. Improper documentation can lead to misunderstanding, jeopardize patient care, and may have legal implications.