PCR Documentation Guidlines Flashcards
1
Q
The PCR is?
A
-A medical record
-Legal document
-Research record
-Quality management
-Billing record
-Final step in your communication process
2
Q
General information
A
-PCR number
-Call date/time
-Location
3
Q
Patient information
A
-Age
-Gender
-Weight
-Advanced directives/DNR