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The trip/run sheet of the patients encounter is used as a medical record for ambulance services and should include the following: Complete and legible information. Every page of the record must be legible and include the appropriate patient information (e.g., complete name, dates of service).
The EMS record should include the patients demographics, vital signs, assessment, and information on any interventions performed. The documentation serves an important role as a data repository.
Essential elements What was the nature or type of dispatch? What was the initial scene assessment upon arrival? How did you transfer the patient to the ambulance? Which medications were administered, and at what dosages? What supplies were utilized during the call? Were there any safety concerns?
The EMS Report Form is a medical, legal, and data collection document. times, efficiency of service, cost of operations, and whether the community standards are being met. Billing departments with information to justify cost of services.
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