CSI Narrative

D -DISPATCH
[textarea name="variable_1" default="CSI AUTO BILLING HEADER"]
[select name="variable_1" value="SP1|MAF|GRK C|STU"] dispatched to [text name="variable_1" default="Sending Facility"] for a/an [select name="variable_3" value="Interfacility Transport|Case Management Transport|Scene Call"] from [text name="variable_1" default="Sending Facility"] to [text name="variable_1" default="Receiving Facility"]. The originating airport is [text name="variable_1" default="Airport Code"] and the arrival airport is [text name="variable_1" default="Airport Code"].

H - This is a [text name="variable_1" default="age"] [select name="variable_1" value="MALE|FEMALE"]came to [text name="variable_1" default="Hospital name"] complaining of [text name="variable_1" default="C/C"] for the past [text name="variable_1" default="Time"] [select name="variable_1" value="HOURS|DAYS|WEEKS|MONTHS"]. After testing and exam, the Pt was diagnosed with [text name="variable_1" default="Transferring Dx"]. The Pt is being transferred to [text name="variable_1" default="Receiving Hospital"] for higher level of care and [select name="variable_1" value="Cardiology|Pulmonolgy|Neonate|GI|Neurology|Orthopedic|OB-GYN|Psych|Radiology|Rehab|Dialysis|Trauma|Wound care|Pediatric|Other"] [text name="variable_5" default=""] which is not available at sending facility. 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|decubitis ulcers"] [text name="variable_7" default=""]. 
The Pt has allergies to [checkbox name="variable_2" value="PCN|sulfa|amoxicillin|Aspirin"] [text name="variable_8" default=""].  
The Pt current home medication list: [textarea name="variable_1" default="current home meds"]

A- Upon arrival to [text name="variable_2" default=""] staff gave report and the PT was found in Room [text name="variable_11" default=""].  The PT is found to be alert and Oriented X [text name="variable_13" default=""] with a GCS of [text name="variable_6" default=""]. The PT skin is [checkbox name="variable21" value="warm, dry and normal color|warm|cool|cold|pale|dry|cyanotic|mottled|jaundiced"]. 

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 presnet|unilateral brachial pulse present"]. 

HEENT was noted as [checkbox name="variable23" value="unremarkable|abnormal"] [text name="variable_9" default=""]. 

The PT puipls are [checkbox name="variable24" value="equal|unequal"], left pupil is [text name="variable_10" default=" xxMM"] right pupil is [text name="variable_12" default=" xxMM"]. The PT lungs are [checkbox name="variable25" value="equal and clear bi lateral|left diminished|right diminished|left absent|right absent| left wheezing|right wheezing"]