RI Narrative

Dispatch: 
On [date name="IncDate" default=""], crew was dispatched for a report of a [text name="IncDisp" default=""].  Crew responded [select name="IncResp" value="emergency with lights and sirens|non-emergency with no lights or sirens"]. During response, [select name="IncDel" value="there were no incidents during responding|there were minor delays in response due to road conditions|crew was cancelled by dispatch"].

Scene/Complaint: 
Upon arrival at scene,    crew donned appropriate PPE and located the patient [text name="PtLocation" default=""].  Patient appeared [checkbox name="pe_general_check" value="well developed, well nourished, well appearing in no acute distress|malnourished|in acute distress|obvious signs of death"].  [text name="PerState" default="Patient"] advised [text name="CCompl" default=""].

HPI:
Onset: [text name="CC" size = 55 default=" "]
Events Surrounding Condition: [textarea name="e" size = 55 default="None Noted"]
Additional Signs/Symptoms Reported: [textarea name="s" size = 55 default="None Noted"]
Other PERTINENT Hx: [textarea name="hpi" default="None Noted"]

Assessment:
Level of consciousness: [checkbox name="loc" value="Alert|Oriented|Person|place|time |event|baseline mental status for patient"]
AIRWAY: [checkbox name="airway" value="maintained by pt|no concerns of compromise|airway patent|no airway obstructions|compromised|airway positioned to open|airway not patent|obstructions to airway|requires airway adjunct|requires advanced airway|requires artificial ventilation"]

Breathing: [checkbox name="breathing" value="Breathing spontaneously|breathing regular|adequate respirations|appropriate tidal volume|not spontaneously breathing|irregular respirations|inadequate respirations|inadequate tidal volume|rapid|slow|deep|shallow|apneic"]

Circulation: [checkbox name="circulation" value="No concerns of circulation|no obvious bleeding|radial pulses intact|skin color appropriate|no life threaths to circulation|hemorrhage present|hemorrhage controlled|CAT tourniquet applied|pulses not intact|skin color not appropriate|life threatening concern with circulation present|pulses weak|bounding radial pulses"]

HEET: [checkbox name="ros_heent_check" value="normocephalic, atraumatic, white sclera, conjunctiva pink/red, ears patent|eyes PERRL|normal mucous|no bleeding|no trauma to face or mouth|contact lenses|unable to assess accurately due to altered mentat state|unable to assess due to uncooperative state"]

Neck: [checkbox name="ros_neck_check" value="No pain noted|No Tracheal Deviation|No JVD|unable to assess accurately due to altered mental state|unable to assess due to uncooperative state"]

Chest: [checkbox name="pe_chest_check" value="bilateral equal rise and fall|atruamatic|no tenderness|clear to auscultation bilaterally upper/middle/lower lobes, no rales, rhonchi, wheezes, stridor, pleural rub, retractions, or accessory muscle use|no flail segment|Patient denies shortness of breath, hemoptysis, orthopnea, dyspnea on exertion, chest pain or discomfort, palpitations, or swelling of extremities|chest pain/discomfort|palpitations|swelling of extremities|shortness of breath|dyspnea on exertion|chest pain/discomfort|palpitations|hemoptysis|orthopnea|dyspnea|apneic|unable to assess accurately due to altered mental state|unable to assess due to uncooperative state"]

Back: [checkbox name="ros_back_check" value="unremarkable back inspection, full range of motion. Patient denies back pain, lower back pain|unable to assess accurately due to altered mental state|unable to assess due to uncooperative state"]

Musculoskeletal: [checkbox name="ros_msk_check" value="normal range of motion without pain on palpation, no crepitus, no obvious deformity, strength age appropriate. Patient denies neck pain, generalized joint pain, generalized muscle pain/aches/cramps/weakness||abnormal range of motion|unable to assess accurately due to altered mental state|unable to assess due to uncooperative state"]

Neuro: [checkbox name="ros_neuro_check" value="Oriented X 4, gait steady & balanced, sensation intact with normal reflexes, smile symmetrical, speech not slurred. Patient denies headache, dizziness, syncope, numbness/tingling, seizures or otherwise loss of consciousness|incoordication|memory deficits|unable to assess accurately due to altered mental state|unable to assess due to uncooperative state"]

GI: [checkbox name="ros_gi_check" value="atraumatic, non-distended or rigid, no guarding, abdomen soft, non-tender to palpation, no masses, no rebound tenderness. Patient denies N/V/D, constipation, change in appetite, abdominal pain |nausea|vomiting|diarrhea|constipation|unable to assess accurately due to altered mental state|unable to assess due to uncooperative state"]

GU: [checkbox name="ros_gu_check" value="stable gait, no tenderness, denies leakage of urine, dysuria, hematuria, oliguria, polyuria, or increased urinary urgency. Patient denies sexual dysfunction, fecal incontinence|foley placed|increased urinary urgency|dysuria|oliguria|hematuria|leakage of urine|pelvic tenderness|unstable gait|unable to assess accurately due to altered mental state|unable to assess due to uncooperative state"]

Psych: [checkbox name="ros_psych_check" value="Pleasant, calm, and cooperative; judgement and insight intact, understands treatment, thought process is logical/linear. Patient denies suicidal ideation, homicidal ideation, auditory or visual hallucinations, depression, or mood changes and age appropriate with normal affect|not calm|uncooperative|impaired attention/concentration|judgement and insight not intact|Suicidal ideation|homicidal ideation|Auditory hallucinations|visual hallucinations|agitated|anxious|unable to assess due to uncooperative state"]

Treatment: 
[checkbox name="treatment" value="primary and secondary ALS assessment|Primary and secondary BLS assessment|Vital signs obtained as noted|continuous cardiac monitoring|12-lead ECG|waveform capnography|obtained orthostatic vital signs|IO placed and flushed W/ NS 0.9% blood return noted|Peripheral vascular access obtained and flushed W/ NS 0.9% blood return noted, secured W/ tegaderm/tape|Verbal report given to destionation staff|Patient paperwork given to the destination staff"]

Hospital Activations: 
[checkbox name="pe_act_check" value="Stroke Activation|Trauma Activation|Sepsis activation|STEMI Activation|CPR Activation|Security requested|no activation"]

Transport:
Patient was transferred to the [text name="txloc" default="stair-chair"] via [select name="transtretcher" value="stand and pivot with no assist|stand and pivot with little assistance|stand and pivot with full assist|blanket carry"].  Once on the [text name="txloc" default="stair-chair"], patient was secured with all available straps for safety.

Patient was then transferred to the [text name="txloc2" default="stretcher"] via [select name="transtretcher" value="stand and pivot with no assist|stand and pivot with little assistance|stand and pivot with full assist|blanket carry"].  Once on the [text name="txloc2" default="stretcher"], patient was secured with all available straps for safety.  Patient was placed in the [text name="ptpos" default="semi-fowlers position"] and was loaded into the ambulance.

Patient was transported to [select name="dest" value="Brattleboro Memorial Hospital ED|Brattleboro Memorial Hospital PCU|Grace Cottage Hospital ED|Grace Cottage Hospital MSU|Cheshire Medical Center|Dartmouth Hitchcock Medical Center|Yankee Dialysis|Pine Heights of Brattleboro"].  Crew transported [select name="Inctx" value="emergency with lights and sirens|non-emergency with no lights or sirens"]. During transport, [select name="txDel" value="there were no incidents during responding|there were minor delays in response due to road conditions|crew was cancelled by dispatch"]. 

Destination: Upon arrival at destination, patient was transferred from the [text name="tx2" default="stretcher"] to the [text name="tx3" default="hospital bed"] via [text name="tx4" default="sheet pull"].  Once on the [text 
name="tx5" default="hospital bed"], patient care was transferred to the destination staff in stable condition.

NPP/Signatures:[checkbox name="Variable_3" value="NPP offered and left with patient|NPP not offered due to pt condition|Signature obtained from PT|Signature obtained from patients legal gaurdian or parent|Signature obtained from RN in lieu of patient due to current condition|Signature obtained from RN for patient acceptance and transfer of care"]

Crew returned in service without further incident.
Provider:

Note: All interventions performed in this report were approved within state protocols and the scope of practice for the providers licensure. Interventions and care provided was completed using national, state, regional and local best practices for pre-hospital emergency medical care at the time of contact with this patient.
----- END OF REPORT -----
Dispatch:
On , crew was dispatched for a report of a . Crew responded . During response, .

Scene/Complaint:
Upon arrival at scene, crew donned appropriate PPE and located the patient . Patient appeared . advised .

HPI:
Onset:
Events Surrounding Condition:

Additional Signs/Symptoms Reported:

Other PERTINENT Hx:


Assessment:
Level of consciousness:
AIRWAY:

Breathing:

Circulation:

HEET:

Neck:

Chest:

Back:

Musculoskeletal:

Neuro:

GI:

GU:

Psych:

Treatment:


Hospital Activations:


Transport:
Patient was transferred to the via . Once on the , patient was secured with all available straps for safety.

Patient was then transferred to the via . Once on the , patient was secured with all available straps for safety. Patient was placed in the and was loaded into the ambulance.

Patient was transported to . Crew transported . During transport, .

Destination: Upon arrival at destination, patient was transferred from the to the via . Once on the , patient care was transferred to the destination staff in stable condition.

NPP/Signatures:

Crew returned in service without further incident.
Provider:

Note: All interventions performed in this report were approved within state protocols and the scope of practice for the providers licensure. Interventions and care provided was completed using national, state, regional and local best practices for pre-hospital emergency medical care at the time of contact with this patient.
----- END OF REPORT -----

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.6, 42 form elements, 209 boilerplate words, 14 text boxes, 3 text areas, 1 dates, 17 checkboxes, 7 drop downs, 172 total clicks
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