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The EMS patient report form documents the following items: patient information and chief medical complaint, time, EMS personnel impressions, ambulance number, clinical information, cardiac arrest information, cause of injury, procedures, medications, scene information, treatment authorization, equipment used and billing information. Miscellaneous (such as training, equipment, vehicles, medical direction) We can look at each stage of an EMS call and look for areas of improvement. The RESCUE EXCHANGE System was developed in response to concerns by Alabama hospitals that patient care report availability negatively affected the Joint Commission Accreditation process.
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The EMS & Trauma Systems Program (EMS/TS) requested information on each Prehospital Care Report for all EMS agencies for the month of May.
In addition to a verbal report from EMS providers, the minimum key information required for patient care must be provided in written or electronic form at the time of transfer of patient care.
SECONDARY Not Applicable The EMS Report Form is a medical record of care provided. Reportable Incident Report (PDF) EMS Complaint Form (PDF) Agency. AED Notification of Placement Form NOTIFICATION OF AED PLACEMENT - Orange County Health Care Agency, Emergency Medical Services Notification of a new or update to an existing AED provider (Also known as Public Access).
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