Showing posts with label documentation. Show all posts
Showing posts with label documentation. Show all posts

Monday, January 23, 2012

ems documentation method - CHART

C - chief complaint of the patient
H - history of the patient (including the SAMPLE histrory)
A - assessment findings gathered in the primary assessment, secondary assessment, detailed physical exam, and ongoing assessment.
R - Rx for treatment that was provided to the patient
T - transport - any change in the patient's condition enroute to the hospital and the type of transport.

Friday, January 13, 2012

ems term #75

minimum data set - the minimum information the u.s. department of transportation has determined should be included on all prehospital care reports.