EMS Narrative TRANSPORT

Unit [text name="variable_1" default="sample text"] dispatched to the listed address for type [text name="variable_2" default="sample text"].  Unit responds [checkbox name="variable_2" value="Emergently|Non-Emergently"]

HPI:
[textarea name="variable_3" default="History"]

ASSESSMENT FINDINGS:

MENTATION:
[checkbox name="variable_0" value="Person|Place|Time|Event|Baseline"]
[text name="variable_4" default="with no additional findings noted"]
AIRWAY:
[checklist name="variable_3" value="Patent|Obstructed|Other"]
[text name="variable_5" default="with no additional findings noted"]
BREATHING:
[checklist name="variable_4" value="Normal|Other"]
[text name="variable_6" default="with no additional findings noted"]
CIRRCULATION:
[checkbox name="variable_5" value="Normal"]
[text name="variable_7" default="with no additional findings noted"]
SKIN:
[checkbox name="variable_6" value="Normal|Other"]
[text name="variable_8" default="with no additional findings noted"]
Other Assessments:
[textarea name="variable_9" default="No other findings present."]

TRANSFER:
Patient transferred to ambulance litter by [select name="variable_21" value="Ambulation|Stand and Pivot|Exremity Lift|Sheet Pull|Other Method"] and is secured to litter by straps and rails. Pt loaded into ambulance. 

DISPOSITION:
Transport to [select name="variable_1" value="SMMC|DTH|AMH|ALH|HRH|GVH"] emergently w/o lights and sirens. Vital signs are assessed and noted. See Interventions below if any.  When patient/complaint is reassessed, pt states that [textarea name="variable_25" default="sample text"]. [select name="variable_26" value="SMMC|DTH|AMH|ALH|HRH|GVH"] Notified via [select name="variable_27" value="Phone|Radio|BCRR"].  Transport concluded.  Upon arriving at destination, pt unloaded and taken to [text name="variable_28" default="room"] and transferred to [checkbox name="variable_10" value="Bed|Wheelchair"] by [select name="variable_29" value="Ambulation|Stand and Pivot|Exremity Lift|Sheet Pull|Other Method"] and secured by rails. Report given to [text name="variable_12" default="sample text"] and signatures obtained. Unit available.



INTERVENTIONS:

Unit dispatched to the listed address for type . Unit responds

HPI:


ASSESSMENT FINDINGS:

MENTATION:


AIRWAY:


BREATHING:


CIRRCULATION:


SKIN:


Other Assessments:


TRANSFER:
Patient transferred to ambulance litter by and is secured to litter by straps and rails. Pt loaded into ambulance.

DISPOSITION:
Transport to emergently w/o lights and sirens. Vital signs are assessed and noted. See Interventions below if any. When patient/complaint is reassessed, pt states that
. Notified via . Transport concluded. Upon arriving at destination, pt unloaded and taken to and transferred to by and secured by rails. Report given to and signatures obtained. Unit available.



INTERVENTIONS:

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.5, 24 form elements, 98 boilerplate words, 9 text boxes, 3 text areas, 5 checkboxes, 2 check lists, 5 drop downs, 34 total clicks
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