Practice Quiz

Emergency Medicine Test Prep

Category - Trauma Overview

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Which of the following shows why documentation is important in Trauma?
  1. Provides chronological order of patient treatment
  2. Gives the opportunity for the provider to evaluate the patient
  3. Provides a response to therapy and treatments
  4. All of the above
Explanation
Answer: D - The medical record serves numerous functions. It provides chronologic evidence of patient evaluation, treatment, and response to therapy, and a means to review the quality of the care. Communication among members of the health care team regarding the patient's status and plan of care also occurs by means of the medical record.
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