EMS NARRATIVE – NON TRANSPORT

Unit [text name="variable_1" default="UNIT"] dispatched to the listed address for type [text name="variable_2" default="CALL"].  Unit responds [checkbox name="variable_1" value="emergently|non-emergently"].

HPI/ACTIVATION INFORMATION
[textarea name="variable_1" default="Reason for call"]

DISPOSITION: [select name="variable_1" value="Refusal|No Services|Class V|Other"]

ASSESSMENT
Airway: [textarea name="variable_2" default="Normal"]
Breathing: [textarea name="variable_3" default="Normal"]
Circulation: [textarea name="variable_4" default="Normal"]
HEENT: [textarea name="variable_5" default="Normal"]
Mentation:[checklist name="variable_1" value="Person|Place|Time|Event|Other"]
Other Findings:[textarea name="variable_6" default="No other remarkble findings."]
(N/A - Not applicable or not assessed by EMS provider)

VITAL SIGNS
HR: [text name="variable_7" default="NA"]
BP: [text name="variable_8" default="NA"]
Sp02: [text name="variable_9" default="NA"] [checkbox name="variable_3" value="RA"]
RR: [text name="variable_10" default="NA"]
BGL: [text name="variable_11" default="NA"]

Patient does not wish to be transported to the emergency room for further evaulation of care.  EMS notifies patient that [checklist name="variable_17" value="There are risks associated with refusal|Serious injury or illness could result|EMS preogative is to transport patient to nearest ED|"] [text name="variable_12" default="as well as other clinical risks associated."] Patient still does not wish to be transported.

MEDICAL COMMAND
Contacted: [checkbox name="variable_19" value="Yes|No"]
Facility: [select name="variable_20" value="DTH|AMH|SMMC|GVH|HRH|NA"]
Physician: Dr. [text name="variable_21" default="NA"]
Orders: [textarea name="variable_22" default="NA"]

[checklist name="variable_32" value="Refusal prepared and signed.|Patient advised to call back should they have any further complaints|Unit clear."]


Carter Rowe,
EMT 1037022



NOTE: (-) = Negative/Unremarkable/Not Present | (+) = Positive/Remarkable/Present