PCRs
What is a patient care report?
This gives detailed information about the patient and his medical problem.
What is the narrative?
This abbreviation stands for signs and symptoms.
What is s/s?
This is when falsification of a PCR is ok.
What is never?
This abbreviation stands for advanced cardiac life support.
What is ACLS?
A set of data that the Department of Transportation recommends including on all PCRs.
What is a minimum data set?
These statements should be put in quotation marks.
What are the patient or bystander's own words?
This abbreviation stands for orally or by mouth.
What is PO?
This is the most commonly falsified entry in a PCR.
What is vital signs?
This abbreviation stands for against medical advice.
What is AMA?
This can be in a written or electronic form.
What is a PCR?
The patient's own words used to define what is happening medically at the current time.
What is the chief complaint?
This abbreviation stands for two times a day.
What is BID?
Information such as chief complaint, vital signs, and treatment provided are included on this.
What is a triage tag?
This abbreviation stands for as needed.
What is prn?
The minimum number of vital signs required on a PCR.
What is two sets of vital signs?
Information that is measurable or verifiable in some way.
What is objective information?
This abbreviation stands for three times a day.
What is TID?
You should never erase or write over this.
What is an error?
This abbreviation stands for positive end-expiratory pressure.
What is PEEP?
Information regarding the run number, names of crew members, and address dispatched to is called this kind of information.
What is administrative information?
Information that is based on the patient's perceptions or interpretations.
What is subjective information?
This abbreviation stands for prescription.
What is Rx?
This is submitted when an error is located on an electronic PCR.
What is an amendment?
This abbreviation stands for ventricular tachycardia.
What is VT?