MS Emergency Procedures & Response 2 — Questions and Answers
Question 1: When documenting a trauma activation, which element is most critical to record first?
- Patient's insurance information
- Time of patient arrival and mechanism of injury (Correct answer)
- Attending physician's name
- Bed assignment number
Correct answer: Time of patient arrival and mechanism of injury
Time of arrival and mechanism of injury establish the trauma timeline and guide clinical decision-making.
Question 2: A patient presents with suspected anaphylaxis. The scribe should document the administration of epinephrine and note which route?
- Intravenous (IV)
- Intramuscular (IM) to the lateral thigh (Correct answer)
- Subcutaneous (SQ)
- Oral
Correct answer: Intramuscular (IM) to the lateral thigh
Epinephrine for anaphylaxis is administered IM into the lateral thigh for fastest absorption.
Question 3: During a code blue, the scribe's primary responsibility is to:
- Assist with chest compressions
- Accurately record all interventions and their timestamps (Correct answer)
- Call family members
- Prepare discharge paperwork
Correct answer: Accurately record all interventions and their timestamps
The scribe documents all interventions, medications, and timestamps in real time during a resuscitation event.
Question 4: Which abbreviation correctly documents the rhythm identified during a cardiac arrest?
- VF – Ventricular Fibrillation (Correct answer)
- VA – Ventricular Arrhythmia
- VQ – Ventricular Quotient
- VB – Ventricular Beat
Correct answer: VF – Ventricular Fibrillation
VF (ventricular fibrillation) is the correct abbreviation for a shockable cardiac arrest rhythm.
Question 5: When a patient is intubated during an emergency, what should the scribe document regarding tube placement?
- Color of the tube
- Centimeter marking at the lip and confirmation method (Correct answer)
- Brand of the endotracheal tube
- Patient's preference
Correct answer: Centimeter marking at the lip and confirmation method
Documentation must include the cm mark at the lip and confirmation methods such as capnography or chest X-ray.
Question 6: ROSC, as documented after a cardiac arrest, stands for:
- Return of Spontaneous Circulation (Correct answer)
- Rate of Systolic Compression
- Rhythm of Sinus Contractions
- Recovery of Stable Cardiac output
Correct answer: Return of Spontaneous Circulation
ROSC stands for Return of Spontaneous Circulation and marks a key milestone in resuscitation documentation.
Question 7: A patient arrives via EMS after a motor vehicle collision. The scribe should capture EMS handoff information including:
- EMS crew's years of experience
- Scene findings, interventions performed, and vitals en route (Correct answer)
- Ambulance unit color and model
- Insurance pre-authorization number
Correct answer: Scene findings, interventions performed, and vitals en route
EMS handoff documentation includes scene assessment, prehospital interventions, and trending vital signs.
MS Emergency Procedures & Response 2
When documenting a trauma activation, which element is most critical to record first?