Flight LCHART

[comment memo="This is a work in progress. If you use this, proofread it. Some fields populate in a way that is not intended and ends up looking funny. Messages highlighted in color will not populate on the end form. While it might be easier to have more checkboxes for things, there has to be a balance between what's in this vs. what counts as a 'template.' As such, a lot of this is self-guided charting but with the important stuff laid out.

Last updated: 12-7-2021 1047. Current version 1.2

Changelog v1.2: 
-Deleted checkboxes for abnormals in attempt to prevent being classified as a template
-Typographical errors corrected
-Formatting errors corrected
-Spelling errors corrected
-Basic readability improved
-Comment memos added specifying what needs to go in each box

Changelog v1.1
-Further checkboxes added for abnormals
-Added and subsequently removed GCS drop down menu to prevent errors in double charting

Changelog v1.0
-Copied original template over from previous LCHART
-Used memo sent by education to add required fields for documentation
-Attempted to define what 'template' actually means and to stay outside the bounds" memo_color="orange"]

(L)ogistics/Location:
Tail/Unit Number: [text name="tailnum" size = 55 default=""]
Sending facility: [text name="sendfac" size = 55 default=""]
Receiving facility: [text name="recfac" size = 55 default=""]
Sending MD: [text name="sendmd" size = 55 default=""]
Receiving MD: [text name="recmd" size = 55 default=""]
Report received RN/MD: [text name="reprec" size = 55 default=""]
Method of transport? [checkbox name="methtrans" value="Rotor|Fixed Wing|Ground"] [text name="methotrans" size = 55 default=""]
[comment memo="Why was this method of transport utilized? Why not another method? Geography, weather, time, critical condition, etc."]
Delays leaving sending: [text name="delay" size = 55 default=""]
[comment memo="Scene Calls: (Delete if IFT.)" memo_style="bold" memo_color="red"]
Location of Incident: [text name="locinc" size = 55 default=""]
Requesting EMS service and paramedic/EMT name: [text name="reqems" size = 55 default=""]

(C)hief Complaint/Transfer Diagnosis:
Patient diagnosis: [text name="ptdia" size = 55 default=""]
[comment memo="Absolutely must match the the sending diagnosis on the transfer form! Avoid making diagnosis."]
[comment memo="Scene Calls: (Delete if IFT)" memo_style="bold" memo_color="red"]
Patient stated: [text name="ptsta" size = 55 default=""]
Apparent or suspected injuries: [text name="susinj" size = 55 default=""]
[comment memo="OK to chart 'Suspected TBI,' etc. List apparent injuries if unresponsive."]

(H)istory of the Incident:
Pertinent medical history: [text name="perthx" size = 55 default=""]
Specific events: [text name="spceve" size = 55 default=""]
[comment memo="Be specific with events leading up to your care"]
Interventions prior to arrival: [text name="intpta" size = 55 default=""]
Pertinent labs, imaging, EKG: [text name="pertlab" size = 55 default=""]
[comment memo="Must also do Power Tool."]
Prior to arrival medications: [text name="ptamed" size = 55 default=""]
[comment memo="Do not include dosages or times"]

(A)ssessment:
Initial impression / General appearance: 
[textarea name="appearance" default=""]
[comment memo="Rapid chronological assessment."]
Airway: [checkbox name="airway" value="Open|Maintained by patient|No concerns for compromise"][text name="airway" size = 55 default=""]
[comment memo="Hand write abnormals."]
Breathing: [checkbox name="breathing" value="Unremarkable"][text name="breathing" size = 55 default=""]
[comment memo="Document adventitious and obvious lung sounds."]
Circulation: [checkbox name="circulation" value="Unremarkable"][text name="circulation" size = 55 default=""]
[comment memo="Hand write abnormals."]
Level of Consciousness: [checkbox name="loc" value="Alert|Oriented|Person|Place|Time|Event"][text name="consciousness" size = 55 default=""]
[comment memo="Hand write abnormals."]
Skin: [checkbox name="skin" value="Pink|Warm|Dry"][text name="skin" size = 55 default=""]
[comment memo="Hand write abnormals."]
HEENT: [checkbox name="head" value="Unremarkable"][text name="head" size = 55 default=""]
[comment memo="Hand write abnormals."]
Neck: [checkbox name="neck" value="Unremarkable"][text name="neck" size = 55 default=""]
[comment memo="Hand write abnormals."]
Chest: [checkbox name="chest" value="Unremarkable"][text name="chest" size = 55 default=""]
[comment memo="Document full breath sounds here."]
Back: [checkbox name="back" value="Unremarkable"][text name="back" size = 55 default=""]
[comment memo="Hand write abnormals."]
Abdomen: [checkbox name="abdomen" value="Unremarkable"][text name="abdomen" size = 55 default=""]
[comment memo="Hand write abnormals."]
Pelvis: [checkbox name="pelvis" value="Unremarkable"][text name="pelvis" size = 55 default=""]
[comment memo="Hand write abnormals."]
Extremities: [checkbox name="extremities" value="Unremarkable"][text name="extremities" size = 55 default=""]
[comment memo="Hand write abnormals."]
Additional assessment findings: [textarea name="additassess" default=""]
EKG: [checkbox name="ekg" value="Normal sinus rhythm"][text name="ekg" size = 55 default=""]
[comment memo="Hand write abnormals."]
Vital Signs: [textarea name="vitals" default=""]
[comment memo="Notable V/S"]
Lines, tubes, IV's: [text name="linestubes" size = 55 default=""]
[comment memo="General information only; full details in Power Tools. All invasive stuff in the patient."]
[comment memo="Scene Calls: (Delete if IFT.)" memo_style="bold" memo_color="red"]
Trauma: [text name="imp" size = 55 default=""]
[comment memo="Damage to vehicle, condition of other patients at scene."]

(R)x / Treatments:
Treatment included: [checkbox name="treatment" value="Primary and secondary ALS assessment performed and repeated per policy and as needed|Continuous cardiac, NIBP, and SP02 monitoring applied and maintained|Medications transferred to transport pumps and maintained|Transport ventilator applied and maintained|ETC02 applied and maintained|Continuous hemodynamic monitoring applied and maintained|Defibrillator pads applied and maintained"][textarea name="rxt" default=""]
Blood sugar time: [text name="bstime" default=""] Blood sugar result: [text name="bsresu" default=""]
Medications administered: 
[textarea name="medadmin" default=""]
[comment memo="Medications given, reason for administering, and response. Include titration of medications."]
Position of patient: [checkbox name="positionofpatient" value="Supine|Semi-fowlers|Fowlers|Left lateral recumbent|Right lateral recumbent|Prone|Trendelenburg. |Reverse Trendelenburg"]
[text name="ww" size = 55 default=""]
Oxygen administration: [text name="oxyadmin" size = 55 default=""]
Airway confirmation: [checkbox name="airwayconfirmation" value="Airway confirmed after transferring patient to litter|Airway confirmed after transferring patient to ambulance gurney|Airway confirmed after loading patient into aircraft|Airway confirmed after unloading patient from aircraft"]

(T)ransport : 
[checkbox name="petranscheck" value="Emergent transport|Secured to litter with belts x5|Litter secured in aircraft|Hot load|Cold load|Hot off-load|Cold off-load"][textarea name="petrans" default=""]
[comment memo="All transports, unless specifically told otherwise, are emergent transports."]
Transport method: [checkbox name="transportmeth" value="Rotor|Fixed wing|Ground"]
[text name="yy" size = 55 default=""]
Called Report: [checkbox name="calledreport" value="Consult with receiving MD|Consult with medical director|Report called to receiving facility"]
[text name="zz" size = 55 default=""]
Destination Hospital: [text name="desthos" default=""] Destination Unit: [text name="destunit" default=""] Destination Room Number: [text name="destroom" default=""]
Transfer of care: [checkbox name="handoffreassessment" value="Focused reassessment completed|Patient condition remains unchanged|Patient condition worsened|Patient condition improved"][text name="ddd" size = 55 default=""]
Report given to: [text name="repto" size = 55 default=""]
[comment memo="Name/title"]
Left at receiving: [checkbox name="Leftatreceiving" value="Patient belongings|Transport paperwork|Radiology disc"]
Airway confirmed post movement by: [text name="fff" size = 55 default=""]

Changes During Transport: [textarea name="changes" default=""]

Vital Signs/Condition at sign over:
[textarea name="vscondition" default=""]
This is a work in progress. If you use this, proofread it. Some fields populate in a way that is not intended and ends up looking funny. Messages highlighted in color will not populate on the end form. While it might be easier to have more checkboxes for things, there has to be a balance between what's in this vs. what counts as a 'template.' As such, a lot of this is self-guided charting but with the important stuff laid out.

Last updated: 12-7-2021 1047. Current version 1.2

Changelog v1.2:
-Deleted checkboxes for abnormals in attempt to prevent being classified as a template
-Typographical errors corrected
-Formatting errors corrected
-Spelling errors corrected
-Basic readability improved
-Comment memos added specifying what needs to go in each box

Changelog v1.1
-Further checkboxes added for abnormals
-Added and subsequently removed GCS drop down menu to prevent errors in double charting

Changelog v1.0
-Copied original template over from previous LCHART
-Used memo sent by education to add required fields for documentation
-Attempted to define what 'template' actually means and to stay outside the bounds


(L)ogistics/Location:
Tail/Unit Number:
Sending facility:
Receiving facility:
Sending MD:
Receiving MD:
Report received RN/MD:
Method of transport?
Why was this method of transport utilized? Why not another method? Geography, weather, time, critical condition, etc.
Delays leaving sending:
Scene Calls: (Delete if IFT.)
Location of Incident:
Requesting EMS service and paramedic/EMT name:

(C)hief Complaint/Transfer Diagnosis:
Patient diagnosis:
Absolutely must match the the sending diagnosis on the transfer form! Avoid making diagnosis.
Scene Calls: (Delete if IFT)
Patient stated:
Apparent or suspected injuries:
OK to chart 'Suspected TBI,' etc. List apparent injuries if unresponsive.

(H)istory of the Incident:
Pertinent medical history:
Specific events:
Be specific with events leading up to your care
Interventions prior to arrival:
Pertinent labs, imaging, EKG:
Must also do Power Tool.
Prior to arrival medications:
Do not include dosages or times

(A)ssessment:
Initial impression / General appearance:

Rapid chronological assessment.
Airway:
Hand write abnormals.
Breathing:
Document adventitious and obvious lung sounds.
Circulation:
Hand write abnormals.
Level of Consciousness:
Hand write abnormals.
Skin:
Hand write abnormals.
HEENT:
Hand write abnormals.
Neck:
Hand write abnormals.
Chest:
Document full breath sounds here.
Back:
Hand write abnormals.
Abdomen:
Hand write abnormals.
Pelvis:
Hand write abnormals.
Extremities:
Hand write abnormals.
Additional assessment findings:
EKG:
Hand write abnormals.
Vital Signs:
Notable V/S
Lines, tubes, IV's:
General information only; full details in Power Tools. All invasive stuff in the patient.
Scene Calls: (Delete if IFT.)
Trauma:
Damage to vehicle, condition of other patients at scene.

(R)x / Treatments:
Treatment included:
Blood sugar time: Blood sugar result:
Medications administered:

Medications given, reason for administering, and response. Include titration of medications.
Position of patient:

Oxygen administration:
Airway confirmation:

(T)ransport :

All transports, unless specifically told otherwise, are emergent transports.
Transport method:

Called Report:

Destination Hospital: Destination Unit: Destination Room Number:
Transfer of care:
Report given to:
Name/title
Left at receiving:
Airway confirmed post movement by:

Changes During Transport:

Vital Signs/Condition at sign over:

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.29, 105 form elements, 155 boilerplate words, 45 text boxes, 8 text areas, 22 checkboxes, 30 comments, 117 total clicks
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