RI Narrative

Dispatch: On [date name="variable_1" default=""] while on shift, crew was dispatched for [text name="tn1" default=""].  Crew responded without delay.  There were no incidents while responding.

Complaints: Upon arrival at scene, crew located the patient [textarea name="Chiefcomplaint" default=" "].  [text name="Advised" default="Patient"] advised [textarea name="variable_1" default=""].
Additional Signs/Symptoms Reported: [textarea name="s" size = 55 default=" "]

History: 
Onset: [text name="O" size = 55 default=" "]
Allergies: Obtained as noted.
Medications: Obtained as noted.
Past Medical History: Obtained as noted.
Events Surrounding Condition: [textarea name="e" size = 55 default="None Noted"]

Assessment:
Level of Consciousness: [checkbox name="loc" value="Alert|Oriented|Person|Place|Time|Event|Disoriented|Arousable by verbal stimuli|Arousable by painful stimuli|Unresponsive"][text name="consciousness" size = 55 default=" "]
Airway: [checkbox name="airway" value="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=" "]
Breathing: [checkbox name="breathing" value="Adequate tidal volume and rate. |Fast|Deep|Slow|Shallow|Apneic"][text name="airway" size = 55 default=" "]
Circulation: [checkbox name="circulation" value="Radial|Carotid|Brachial|Femoral|Posterior Tibial|Dorsalis Pedis|Regular and normal pulse rate bi-laterally.|Tachycardic|Bradycardic|Weak pulse|Massive hemorrhage|Diminished perfusion|Pulseless"][text name="airway" size = 55 default=" "]
SKIN: [checkbox name="skin" value="Pink|Warm|Dry|Pale|Cool|Clammy|Diaphoretic|Hot|Flushed|Cyanotic|Lividity|Jaundiced"][text name="skin" size = 55 default=" "]
HEENT: [checkbox name="head" value="No pertinent findings|No reported pain|Pupils equally round and reactive"][text name="head" size = 55 default=" "]
Neck: [checkbox name="neck" value="No pertinent findings|No JVD.|Trachae Midline|No reported pain"][text name="neck" size = 55 default=" "]
Chest: [checkbox name="chest" value="No pertinent findings|Breath sounds clear equal bilaterally|Equal chest rise|No reported pain"][text name="chest" size = 55 default=" "]
Back: [checkbox name="back" value="No pertinent findings|No reported pain"][text name="back" size = 55 default=" "]
Abdomen: [checkbox name="abdomen" value="No pertinent findings|No reported pain|Soft non-tender on palpation in all quadrants"][text name="abdomen" size = 55 default=" "]
Pelvis: [checkbox name="pelvis" value="No pertinent findings|No reported pain"][text name="pelvis" size = 55 default=" ]
Extremities: [checkbox name="extremities" value="No pertinent findings|+CSM x4|Equal grip strength x4|Cap refill less than 2 seconds|Skin pink, warm, dry|No reported pain|No Clubbing|No Edema"][text name="extremities" size = 55 default=" "]
GI/GU:[checkbox name="variable_1" value="No pertinent findings|Dysuria|Polyuria|Diarrhea|Bloody stools"][text name=“extremities” size = 55 default=]
Psych:[checkbox name="variable_2" value="No pertinent findings|Calm|Cooperative|No SI/HI|Suicidial ideation|Homicidal ideation.|ETOH use.|Drug use."][text name=“Drugs” size = 55 default=]
Neurological: 
Gait: [select name="G1" value="Steady coordinated gait|Abnormal"]
Sensation: Intact and symmetric at upper and lower extremities bilaterally
Strength: Intact and symmetric at upper and lower extremities bilaterally
FAST ED Score:[select name="FastED" value="0|1|2|3|4|5|6|7|8|9|Not indicated for patients condition"]

Additional neurological findings: [textarea default="None Noted"]

Additional Assessment Findings: [textarea name="additassess" default="None Noted"]

Rx:
Treatment included: [checkbox name="treatment" value="BLS assessment|ALS assessment|Vital signs obtained as noted|Cardiac monitoring enroute|IV access obtained as noted"]

TRANSPORT: [checkbox name="pe_trans_check" value="In the supine position|In the semi-fowlers position|Secured to stretcher via 5 seatbelts|Secured in airway seat via shoulder/lap belt.| Transported lights/sirens.|Non-Emergency.|Patient Refusal.|Patient refusal Against Medical Advise|Patient treated and released Against Medical Advise.|Cancelled on scene.|Cancelled while responding."]

Patient transported to: [select name="tx9" value="Brattleboro Memorial Hospital|Grace Cottage Hospital|Pine Heights of Brattleboro|Dartmouth Hitchcock Medical Center|Albnay Medical Center|Hartford Hospital|Springfield Hospital|Baystate Medical Center, Springfield|Baystate Medical Center, Franklin|Brattleboro Retreat|Southern VT Medical Center"]
Changes During Transport:

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: 
----- END OF REPORT -----
Dispatch: On while on shift, crew was dispatched for . Crew responded without delay. There were no incidents while responding.

Complaints: Upon arrival at scene, crew located the patient
. advised
.
Additional Signs/Symptoms Reported:


History:
Onset:
Allergies: Obtained as noted.
Medications: Obtained as noted.
Past Medical History: Obtained as noted.
Events Surrounding Condition:


Assessment:
Level of Consciousness:
Airway:
Breathing:
Circulation:
SKIN:
HEENT:
Neck:
Chest:
Back:
Abdomen:
Pelvis:
Extremities:
GI/GU:
Psych:
Neurological:
Gait:
Sensation: Intact and symmetric at upper and lower extremities bilaterally
Strength: Intact and symmetric at upper and lower extremities bilaterally
FAST ED Score:

Additional neurological findings:


Additional Assessment Findings:


Rx:
Treatment included:

TRANSPORT:

Patient transported to:
Changes 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:
----- END OF REPORT -----

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.44, 48 form elements, 153 boilerplate words, 21 text boxes, 6 text areas, 1 dates, 17 checkboxes, 3 drop downs, 141 total clicks
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