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

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2
Q

General information

A

-PCR number
-Call date/time
-Location

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3
Q

Patient information

A

-Age
-Gender
-Weight
-Advanced directives/DNR

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