Documentation and Report Writing Flashcards
1
Q
Define CHART
A
C/C, History, Assessment, Rx, Transport
2
Q
Define SOAP
A
Subjective, Objective, Assessment, Plan
3
Q
When is the complete biocom format used?
A
orders for meds; non-transport refusal
4
Q
When is the shortened biocom format used?
A
emergent- critical patient; activate special teams
5
Q
When is the courtesy call used?
A
Non-emergent patient, diect admission, get a space ready
6
Q
What are the components of the complete biocom format?
A
Unit#/name Scene description Age/sex/weight ETA CC/injury HPI VItals PE PMH Meds/Allergies Treatment rendered Requests
7
Q
What are the components of the shortened biocom format?
A
Unit #/name Age/sex ETA MOI/NOI Injury/CC Vitals Treatment
8
Q
What are the components of the courtesy call biocom format?
A
Unit #/name Age/sex ETA CC/injury Vitals Treatment
