SOAP

Question 1

S - 1

Answer 1

Response Type

Code 2, Code 3, or Upgraded

Question 2

S - 2

Answer 2

Dispatch Compliant

Question 3

S - 3

Answer 3

Other Agencies

Engine #, Squad #, LE

Question 4

S - 4

Answer 4

Location of Call

Residence, Business, Healthcare Facility, Freeway

Question 5

S - 5

Answer 5

Pt

Age, Sex, Position Found

Question 6

S - 6

Answer 6

Chief Complaint

Question 7

S - 7

Answer 7

Sign & Symptoms

SAMPLE, OPQRST, Pertinent +/- who provided info

Question 8

S - 8

Answer 8

Pain Scale

Question 9

S - 9

Answer 9

PTA: any interventions performed & who performed them

Question 10

O - 1

Answer 10

AVPU

A/O Status, Responsive/Unconscious, WNL = Why NFP

Question 11

O - 2

Answer 11

GCS

E+V+M= X, must document any changes in GCS

Question 12

O - 3

Answer 12

Physical Findings

SS, WoB, Trauma, DCAPBTLS, DRGERM, AEIOUTIPS, Abnormal Findings (Acute/Chronic)[why]

Question 13

O - 4

Answer 13

Vitals

HR, RR, BP, SpO2, Pupils, Lung Sounds, BGL

Question 14

S - 5

Answer 14

Distress Level

Question 15

A - 1

Answer 15

Reason for Transport

Field Impression (why transport / why chosen Destination)

Question 16

A - 2

Answer 16

Bed Confinement

Is the pt ambulatory? Can pt sit w/out assistance? Can pt get out of bed?

Question 17

A - 3

Answer 17

Isolation

Why on ISO, Type of ISO, where is infection

Question 18

A - 4

Answer 18

Code Status

DNR, POLST, Hospice, FULL

Question 19

A - 5

Answer 19

Reassessment of Pt en Route

Improve, Worsen, Remain en route

Question 20

P - 1

Answer 20

Loading Pt

How pt moved to gurney
Position placed/any repositioning
Seatbelts placed

Pt Moved with No Incident

Question 21

P - 2

Answer 21

Interventions

All BLS interventions performed including every intervention for all abnormal findings
Why/When/Who performed

Oxygen

Rate, Route, Why
Could pt self administer

(ALS interventions performed by ALS)

Question 22

P - 3

Answer 22

Pt Transport

Code 2/3
ALS vs BLS
Receiving Center
Department
Bed #

Question 23

P - 4

Answer 23

Pt Unload

How pt moved from gurney to hospital bed/wheelchair/chair

Pt moved with No Incident

Question 24

P - 5

Answer 24

Pt Signature

Obtained Signature
or
Valid PUTS

NPP Form given
Belongings returned

Question 25

P - 6

Answer 25

Transfer of Care Receiving facility representative (Name & Title) No further Pt Contact

Question 26

P - 7

Answer 26

Scanning ID, Insurance, FS, PCS, Transfer Packet (if not obtained, why?),

Question 27

P - 8

Answer 27

Demographics DOB, SSN, Phone #, Address, MRN

Question 28

P - 9

Answer 28

PPE Used Gloves Goggles Gown Face Mask