Course curriculum

  • 1

    INTRODUCTION

    • INTRODUCTION

    • OBJECTIVES
  • 2

    REASONS FOR ACCURATE AND COMPLETE DOCUMENTATION

    • CONTINUITY OF CARE

    • EDUCATION

    • ADMINISTRATION

    • QUALITY ASSURANCE

    • LEGAL

    • DATA AND WHY IT IS IMPORTANT

    • DATA AND WHY IT IS IMPORTANT
  • 3

    ELEMENTS OF AN EMS REPORT

    • Run Data 1

    • Run Data 2

    • Patient Data

    • Sections Of The Report

    • NARRATIVE OF THE REPORT
  • 4

    ELEMENTS OF AN EMS NARRATIVE SUMMARY

    • Elements of the Narrative

    • S.O.A.P. Format (Subjective)

    • S.O.A.P. Format (O-Objective)

    • S.O.A.P. Format (A-Assessment)

    • S.O.A.P. Format (P-Plan)

    • C.H.A.R.T. Format (C-Chief Complaint)

    • C.H.A.R.T. Format (H-History)

    • C.H.A.R.T. Format (A-Assessment)

    • C.H.A.R.T. Format (Rx- Treatment)

    • C.H.A.R.T. Format (T-Transport)

    • I.M.R.aD. Format (Introduction)

    • I.M.R.aD. Format (M-Methods)

    • I.M.R.aD. Format (R-Results)

    • I.M.R.aD. Format (D-Discussion)
  • 5

    WHAT TO AVOID IN DOCUMENTATION

    • What to Avoid In Documentation
  • 6

    LEGAL ISSUES

    • Confidentiality

    • Refusal Legality

    • Falsification

    • Correction of Errors

    • Own the Report
  • 7

    JUDGING VS JUDGEMENT

    • Do Not Be the Judge
  • 8

    DOCUMENTING PATIENT REFUSALS

    • Refusal- Competent

    • Refusal 2

    • Refusal 3

    • Refusal 4

    • Refusal 5

    • Refusal 6

    • Refusal 7

    • Refusal 8

    • Refusal 9
  • 9

    MAJOR ISSUES SURROUNDING DOCUMENTATION

    • Issues 1

    • Issues 2

    • Issues 3

    • Issues 4

    • Issues 5

    • Issues 6
  • 10

    REFERENCES

    • REFERENCES
  • 11

    EXAM

    • DOCUMENTATION EXAM