Paramedic Disclaimer statement

[checkbox name="variable_1" value="Pt is alert and oriented to person, place, time and event.  Pt breathing regular and non-labored.  Pt pulse regular and strong.  Pt skin pink, warm and dry."]

Vitals and assessment as noted.

[checkbox name="variable_2" value="Monitored and reassessed Pt throughout transport."]

[checkbox name="variable_3" value="Stretcher to "][text name="variable_4" default=""].   [checkbox name="variable_5" value="Pt stood and pivoted with assistance to bed. Settled  Pt in bed.|Sheet lifted Pt to bed.  Settled Pt in bed."]

[checkbox name="variable_6" value="Gave report and transferred care to staff."]
All times are approximated based on dispatch and monitor times.
[checkbox name="variable_7" value="PT advised of the risks and to seek medical attention for any abnormal changes. PT signed the refusal form."]
MJB 18813-B