Documentation Flashcards
1
Q
What’s the reason for a patient care report?
A
Picture of initial emergency
Shows our interventions, allows hospital follow-up
Helps track patient through medical system
Billing
2
Q
What should the PCR be written in?
A
Black pen.
3
Q
What are the 6 sections of a patient care report?
A
On arrival
Chief complaint
History of chief complaint
Past medical history
On examination
Treatment
