PCR
VITAL SIGNS
RECORDING
REPORT
miscellaneous
100
INFORMATION ABOUT LOCATION, TIMES, UNIT NUMBER,PERSONNEL, AND DATE
What is CALL DATA
100
TAKEN EVERY FIVE MINUTES
What is CRITICAL PATIENTS
100
WHAT YOU SEE
What is OBJECTIVE
100
NKA
What is No known allergies
100
Dx
What is Diagnosis
200
THIRD COMPONENT TO PCR
What is NARRATIVE
200
TAKEN EVERY FIFTEEN MINUTES
What is STABLE PATIENTS
200
HE TOLD YOU
What is SUBJECTIVE
200
c/o
What is complains of
200
also known as handing off
What is transferring the patient
300
SECOND COMPONENT OF THE PCR
What is PATIENT DATA
300
B/P
What is BLOOD PRESSURE
300
DESCRIBES THE PATIENTS SITUATION
What is ASSESSMENT
300
fracture
What is Fx
300
D.O.B.
What is date of birth
400
PATIENT CARE DATA
What is THE PCR
400
LEVEL OF CONSCIOUSNESS
What is LOC
400
ACTION TAKEN
What is PLAN
400
Pt
What is Patient
400
in the acronym CHART C stands for
What is chief complaint
500
LEGAL RECORD OF PATIENTS CONDITION
What is THE PATIENT CARE REPORT
500
MULTIPLE SETS OF VITAL SIGNS
What is TRENDING VITALS
500
ACRONYMS OF A SYSTEMIC APPROACH TO DOCUMENTATION
What is SOAP AND CHART
500
LPM
What is liters per minute
500
single most effective way of preventing the spread of disease
What is handwashing
M
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