BCEMS 911 NARRATIVE

[comment memo="Who responded? How did you responded, immediately (unscheduled) or non-immediately (scheduled)? Where did you respond? & What did you respond for?"]
C - Dispatched[select name="variable_1" value="EC-35|EC-49|EC-50|EC-51|EC-52"] was dispatched and responded [select name="variable_2" value="immediately| non-immediately"]to the address stated    in    this    EPCR for [select name="variable_3" value="a 911    response | an Interfacility transfer| Non-Emergency    Interfacility  transfer |a  Intercept | a  Medical  Transport | a  Law  enforcement assist | a    Mutual Aid| a Standby |a Public Assistance/Other Not Listed | a urgent Interfacility Transport"]
[textarea name="variable_4" default=""]
for a    dispatch    complaint of    [select name="variable_4" value="abdominal pain | air medical transport | an allergic reaction/sting | altered mental status | an animal bite/an assault | an Invalid    assist | an    automatic    crash    notification | back pain(non-traumatic | boating accident | breathing    problems | burns/explosion | carbon monoxide/hazmat/inhalation/CBRN | cardiac arrest/death | chest pain | choking | convulsions / seizures | diabetic problem | drowning/diving/SCUBA accident | Electrocution/lighting | EMS special Service | Eye problem/injury | falls | fire | headache | healthcare    professional/admission | heart problems/ACID| hemorrhage/laceration | industrial    accident/inaccessible incident/other entrapments (non-vehicle)|medical alarm | no other appropriate    choice|overdose/poisoning/ingestion|pandemic/epidemic/outbreak|pregnancy/childbirth|psychiatric    problems/abnormal    behavior/suicide attempt | sick person | stab/gunshot wound/penetrating    trauma | transfer/interfacility/palliative care | traumatic injury | an unconscious/fainting | an unknown problem/person down | well person check"]

H - The PT reports complaining of [textarea name="variable_1" default="Chief complaint"]
which began [text name="variable_1" default=""].[comment memo="chief complaint duration time"] 
The PT reports pain level at [select name="variable_5" value="1|2|3|4|5|6|7|8|9|10"]
[checkbox memo="" name="VAC333333" value="Pain Statement:"][comment memo="use    OPQRST    to complete this field"][conditional field="VAC333333" condition="(VAC333333).is('Pain Statement:')"]
The patient states their pain began while [text name="variable_41" default="O"]. [text name="variable_42" default="P"] makes the pain [select name="variable_43" value="worse | better"]. The patient describes the pain as [text name="variable_44" default="Q"]. The patient advises it [text name="variable_45" default="R"].    The patient advised the pain has lasted [text name="variable_47" default="T"].[/conditional]
The PT has a medical history of [checkbox name="variable_1" value="COPD | CHF | HTN | chronic renal failure/ckd | diabetes | cardiac arrhythmias | dementia | Parkinson’s disease | a-fib | decubitus ulcers |obesity |Anxiety |Depression"] [text name="variable_6" default=""].[comment memo="List any other medical history not listed"] 
The PT has allergies to [checkbox name="variable_2" value="pcn | sulfa | amoxicillin | aspirin | codeine | morphine |Statins"] [text name="variable_7" default=""].[comment memo="List any other allergies    not listed"] 
The PT takes various meds which are listed in the EPCR report.
A- Upon arrival to the PT was found [text name="variable_3" default=""]. The PT is found to be alert and oriented X [text name="variable_9" default=""] with a GCS of [text name="variable_10" default=""]. 
The PT skin is [checkbox name="variable21" value="warm, dry and normal color | warm | cool | cold | pale | dry | cyanotic | mottled | jaundiced"] [text name="variable_11" default=""].[comment memo="Any other skin conditions not listed"] 
The PT has [checkbox name="variable22" value="bilateral radial pulses present | pedal pulses present | absent radial pulses | absent pedal pulses | unilateral radial pulse present | unilateral pedal pulse present | bilateral brachial pulses present | unilateral brachial pulse present"][text name="variable_12" default=""]. [comment memo="Any other conditions not listed"]
Assessment: 
General overall appearance: [textarea name="appearance" default="the patient appears well nourished, well developed, and appears/does not appear to be in acute distress. "]
Airway: [checkbox name="airway" value="open, maintained by patient, with no concern for compromise |open. |maintained by patient. |no concerns for compromise. |not open. |compromised. |requires manual opening. |requires airway adjunct. |requires advanced airway."][text name="airway" size = 55 default=" "][comment memo="Any other conditions not listed"]
Breathing: [checkbox name="breathing" value="breathing spontaneously, non-labored, with a regular rate and adequate tidal volume. | tachypneic |deep | bradypneic |shallow |agonal |apneic "][text name="breathing" size = 55 default=" "][comment memo="Any other conditions not listed"]
Circulation: [checkbox name="circulation" value="normal and without concerns. |regular and normal pulse rate. |tachycardic. |bradycardic. |weak pulse. |massive hemorrhage. |diminished perfusion. | pulseless. "][text name="circulation" size = 55 default=" "][comment memo="Any other conditions not    listed"]
Level of consciousness: [checkbox name="loc" value="alert and oriented to person, place, time, and event. |alert. |oriented. |disoriented. |person. |place. |time. |event. | arousable by verbal stimuli. | arousable by painful stimuli. |unresponsive."][text name="consciousness" size = 55 default=" "][comment memo="Any other conditions not listed"]
Skin: [checkbox name="skin" value="pink, warm, and dry. |pale, cool, and clammy. |pink. |warm. |dry. |pale. |cool. |clammy. |diaphoretic. |hot. |flushed. |cyanotic. |lividity. |jaundiced."][text name="skin" size = 55 default=" "][comment memo="Any    other    conditions    not    listed"]
Capillary    Refill:[checkbox name="Capillary    Refill" value="normal and unremarkable. |less    than    2    seconds.| greater  than 2 seconds. | less than 3 seconds. | greater than 3 seconds."][text name="extremities" size = 55 default=" "][comment memo="Any other conditions  not listed"]
additional assessment findings:[textarea name="additassess" default=" "][comment memo="Any other conditions not listed"] 

HEENT: [checkbox name="head" value="normal and unremarkable. |no reported pain.|pupils equally round and reactive|pupils    unequal."][text name="head" size = 55 default="pupils PERRL at Xmm "][comment memo="X  meaning pupil size"]
Neck: [checkbox name="neck" value="normal and unremarkable. |jvd. |no jvd. |tracheal deviation. |no tracheal deviation. |no reported pain."][text name="neck" size = 55 default=" "][comment memo="Any    other conditions not listed"]
Chest: [checkbox name="chest" value="normal and unremarkable.| breath sounds clear equal bilaterally. |no reported pain."][text name="chest" size = 55 default=" "]
Back: [checkbox name="back" value="normal and unremarkable. |no reported pain."][text name="back" size = 55 default=" "][comment memo="Any other conditions not listed"]
Abdomen: [checkbox name="abdomen " value="soft, non-tender, unremarkable. |no pain. "][text name="abdomen" size = 55 default=" "][comment memo="Any other conditions not listed"]
Pelvis: [checkbox name="pelvis" value="normal and unremarkable. |no reported pain. "][text name="pelvis" size = 55 default=" ][comment memo="Any other conditions not listed"]
Extremities: [checkbox name="extremities" value="normal and unremarkable. |equal strength x4. |unequal strength. |cap refill less than 2 seconds. |no reported pain. "][text name="extremities" size = 55 default=" "][comment memo="Any other conditions not listed"]
additional assessment findings:[comment memo="Any other conditions not listed"] [textarea name="additassess" default=" "]
VITAL SIGNS: 
[checkbox name="variable_30" value="orthstatic positive. |orthstatic negative. "]
[checkbox memo="" name="VAC333333" value="EKG:"][comment memo="EKG  interpretation   "][conditional field="VAC333333" condition="(VAC333333).is('EKG:')"]EKG interpretation    [checkbox name="ekg" value="12 Lead EKG |4 lead Cardiac Monitoring | Normal Sinus Rhythm | Normal Sinus Rhythm with PVC | Sinus Tachycardia | Sinus Arrhythmia|Bradycardia|A-fib|A-flutter|1st Degree AV    Block|2nd  Degree type I Block|2nd Degree  type II Block|3rd Degree AV Block | LBBB | RBBB | A-Fib    with RVR | Inferior AMI | Anterior AMI | Septal  AMI |Lateral AMI | No ST Elevation or ectopy. |No EKG preformed. "][text name="ekg" size = 55 default=" "][comment memo="Any other conditions not listed"].[/conditional]
Pain level at ending [select name="variable_6" value="1|2|3|4|5|6|7|8|9|10"]
After initial assessment, the PT was moved from [text name="variable_30" default=""]to ems cot and placed in position of comfort then secured with provided straps and rails up and locked.  Once in ems unit, baseline vitals were obtained and recorded as BP[text name="variable_6" default=""]/[text name="variable_7" default=""].  Heart Rate[text name="variable_8" default=""], initial sp02 was noted as [text name="variable_13" default="spo2"]%.  Breathing rate was noted as [text name="variable_14" default=""] bpm. The PT was placed on cardiac monitor and [select name="variable_4" value="4 lead|12 lead|other"] PT was continued on 02 at [text name="variable_15" default="02 setting"]lpm. Treatment during transport included the following: [comment memo="ALS or BLS assessment, O2, IV, etc."][textarea name="variable_5" default="treatments"].
Ongoing assessment was continued to during transport. 
The PT was transported to [text name="variable_3" default=""] via EMS cot and secured with provided straps in [text name="variable_22" default="position"]. The PT condition [checkbox name="variable_13" value="improved | unchanged | got worse"] during transport and upon arrival to [text name="variable_3" default="destination"] The PT was moved to room #[text name="variable_16" default=""]  bed. Care and report given to [text name="variable_17" default="name"]RN
[checkbox memo="" name="VAC444444" value="Medical Necessity Statement:"][comment memo="Required on all convalescent/IFT transports. Select ALL that apply."][conditional field="VAC444444" condition="(VAC444444).is('Medical Necessity Statement:')"] The patient requires ambulance transportation due to [checkbox name="" value="Inability to get up from bed without assistance, inability to ambulate, and inability to sit in a chair or wheelchair|Could be moved only by stretcher|Is confused combative, lethargic, or comatose|Is a flight risk|Moderate   /Severe    pain    on    movement|Danger    to    self/others|Required physical or chemical restraint to prevent injury to the beneficiary or others|Had to remain immobile because of a fracture that had not been set or the possibility of a fracture|Severe vertigo causing inability to remain upright|Needed advanced airway management (ventilator dependent, apnea monitor, possible intubation needed, deep suctioning)|Required cardiac/hemodynamic monitoring|Required non-self-administered IV meds en route|Required suctioning en route per transfer instructions|Required airway control/positioning en route per transfer instructions|Required third party assistance/attendant to apply, administer or regulate oxygen en route. Does not apply to patient capable of self-administration of portable or home 02. Patient is so frail as to require oxygen assistance.|Has a condition such that patient risks injury during vehicle movement despite restraints|Has morbid obesity which requires additional personnel or equipment to handle|Has a communicable disease or hazardous material exposure and must be isolated from the public or whose medical condition must be protected from public exposure|Has an orthopedic device that requires special handling en route (backboard, halo traction, use of pins and traction)|Has severe pain aggravated by transfers or moving vehicle such that trained expertise of EMT is required. Pain is present, but is not sole reason for transport.|Required positioning special handling to avoid further injury (less than grade 2 decubiti on buttocks).|Required positioning special handling that is inappropriate in a wheelchair or standard car seat due to contractures or recent extremity fracture|DVT requiring elevation of lower extremity|Contractures|Severe muscular weakness and de-conditioned state precludes any significant physical activity|Requires a higher level of care/specialty care unit unavailable at referring facility|Requires a procedure unavailable at referring facility|Non-healded    fractures|other"][textarea name="variable_20" default="sample text"][/conditional]

[checkbox memo="" name="VAC555555" value="Authorization for Information Release:"][comment memo="Required on all transports. If the patient is unable to sign you must select the individual signing on behalf of the patient AND select the last field notating why the patient was unable to sign."][conditional field="VAC555555" condition="(VAC555555).is('Authorization for Information Release:')"] The Authorization for Information Release and Notice of Privacy Practices acknowledgement has been captured electronically by the following: [checkbox name="" value="The patient.|The patient's legal guardian.|Relative or other person who receives social security or other governmental benefits.|Relative or other person who arranges for the patient's treatment or exercise other responsibility for the patient's affairs on behalf of the patient.|Representative of an agency or institution that did not furnish the services for which payment is claimed but furnished other care, services or assistance to the patient.|The patient was unable to sign the Authorization for Information Release and Notice of Privacy Practices necessitating an authorized representative signature due to"][textarea name="variable_20" default=""][/conditional]



[text name="variable_18" default="YOUR NAME"] [text name="variable_19" default="CERT #"]


Who responded? How did you responded, immediately (unscheduled) or non-immediately (scheduled)? Where did you respond? & What did you respond for?
C - Dispatched was dispatched and responded to the address stated in this EPCR for

for a dispatch complaint of

H - The PT reports complaining of

which began .chief complaint duration time
The PT reports pain level at
use OPQRST to complete this field
The PT has a medical history of .List any other medical history not listed
The PT has allergies to .List any other allergies not listed
The PT takes various meds which are listed in the EPCR report.
A- Upon arrival to the PT was found . The PT is found to be alert and oriented X with a GCS of .
The PT skin is .Any other skin conditions not listed
The PT has . Any other conditions not listed
Assessment:
General overall appearance:

Airway: Any other conditions not listed
Breathing: Any other conditions not listed
Circulation: Any other conditions not listed
Level of consciousness: Any other conditions not listed
Skin: Any other conditions not listed
Capillary Refill: Any other conditions not listed
additional assessment findings:
Any other conditions not listed

HEENT: X meaning pupil size
Neck: Any other conditions not listed
Chest:
Back: Any other conditions not listed
Abdomen: Any other conditions not listed
Pelvis: Any other conditions not listed
Extremities: Any other conditions not listed
additional assessment findings:Any other conditions not listed

VITAL SIGNS:

EKG interpretation
Pain level at ending
After initial assessment, the PT was moved from to ems cot and placed in position of comfort then secured with provided straps and rails up and locked. Once in ems unit, baseline vitals were obtained and recorded as BP/. Heart Rate, initial sp02 was noted as %. Breathing rate was noted as bpm. The PT was placed on cardiac monitor and PT was continued on 02 at lpm. Treatment during transport included the following: ALS or BLS assessment, O2, IV, etc.
.
Ongoing assessment was continued to during transport.
The PT was transported to via EMS cot and secured with provided straps in . The PT condition during transport and upon arrival to The PT was moved to room # bed. Care and report given to RN
Required on all convalescent/IFT transports. Select ALL that apply.

Required on all transports. If the patient is unable to sign you must select the individual signing on behalf of the patient AND select the last field notating why the patient was unable to sign.






Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.41, 113 form elements, 235 boilerplate words, 41 text boxes, 8 text areas, 26 checkboxes, 8 drop downs, 26 comments, 4 conditionals, 238 total clicks
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