Question

The EMT is completing documentation for the prehospital care report​ (PCR) and​ documents: "Patient​ states, 'Upon walking up the​ stairs, I became short of​ breath.'" Which type of information would this be​ considered?

A. Subjective information
B. Patient medical history
C. Objective information
D. Pertinent negatives

Answer 1

The EMT's documentation of the patient's reported shortness of breath would be considered subjective information within a prehospital care report as it pertains to the patient's self-reported symptoms.

Step-by-step explanation:

When the EMT documents that the patient states, 'Upon walking up the stairs, I became short of breath,' this would be considered subjective information. Subjective information refers to any details provided by the patient about their own feelings, symptoms, or perceptions. This contrasts with objective information, which is measurable and observable by the healthcare provider, such as heart rate or blood oxygen levels.

Healthcare providers need to record both subjective and objective data to have a comprehensive understanding of the patient's condition. While patient medical history is a component of the prehospital care report (PCR), it comprises broader information about the patient's past health incidents and long-term conditions. Pertinent negatives are specific things that might be expected but are absent, which is not the case here.