The Write Way to Better E. M. S.

Overview

The call is not complete until the paperwork is done. Many EMTs and paramedics would welcome assistance in how to prepare and give oral and written reports clearly and concisely. This book is designed to do just that. The oral report needs knowledgeable and effective delivery. The written report also needs completeness and accuracy. It is a permanent patient medical record. It may be referred to in the hospital by medical care providers, utilized by quality assurance programs, and is a legal document admissible ...
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Overview

The call is not complete until the paperwork is done. Many EMTs and paramedics would welcome assistance in how to prepare and give oral and written reports clearly and concisely. This book is designed to do just that. The oral report needs knowledgeable and effective delivery. The written report also needs completeness and accuracy. It is a permanent patient medical record. It may be referred to in the hospital by medical care providers, utilized by quality assurance programs, and is a legal document admissible in a court of law. The call documentation is the starting point for any questions or investigations concerning the care given by EMTs and paramedics. It is their first line of defense. This book breaks down the components of report giving and writing and provides the reader a useful reporting system to fit just about any written documentation or verbal reporting situation. It also contains helpful chapters on special reporting situations commonly encountered by EMS personnel, and sample reports useful either for discussion groups or individual analysis. Common, proper medical abbreviations and charting symbols drawn from authoritative texts are also provided. The result is a text useful to both new and veteran EMTs and paramedics.
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Product Details

  • ISBN-13: 9780595004249
  • Publisher: iUniverse, Incorporated
  • Publication date: 6/15/2000
  • Pages: 224
  • Product dimensions: 8.33 (w) x 11.07 (h) x 0.50 (d)

Table of Contents

Acknowledgements vii
Disclaimer ix
Introduction 1
Section 1 Developing a Clear, Concise Report
1 Scenes from EMS 5
2 Goals 9
3 Purpose, Form, and Content of Written Reports 11
4 Reporting Format 15
5 The Simplified EMS (SEMS) Format 19
6 The Report as a Resource in the Hospital 41
7 Ambulance-to-Hospital Radio Communication 45
8 Presenting the Case in the Emergency Department 51
9 Special Reporting Situations 55
10 Final Remarks 79
Section 2 Sample Run Reports & Classroom Exercises
11 Run Report Forms 83
12 Classroom Exercises 159
A Common Deficiencies in Report Writing 177
B 105 CMR 170.240 Records 179
C Process for Investigating Complaints 181
D Terms 183
E Commonly-Used Abbreviations 185
F Charting Symbols 195
End Notes 197
Index 205
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