Incident Basics
If the incident number does not automatically populate, this is where you should obtain it.
First Due
This should document the patient's main problem, preferably using the patient's own words.
Chief Complaint
If a 4-lead or 12-lead ECG is performed, it must be included in this.
PCR
This worksheet should be completed for patients who refuse treatment and/or transport.
Refusal worksheet
This is the narrative format generated by ImageTrend when using the LCFD auto-generated narrative.
LCFD DCHART
This option is used when an individual does not want medical attention AND has no complaint or visible injury.
Non-Patient
This information MUST be documented for all stroke and suspected stroke patients.
Last Known Well
On the Zoll, this button must be pressed to allow an ECG strip to be downloaded into the PCR.
Snapshot button
Every field delivery requires this many APGAR assessments.
two
Before generating the auto-generated narrative, all applicable information must be entered into these.
the appropriate PCR fields
When there are three patients on an incident, the patient numbers should be documented this way.
1 of 3, 2 of 3, and 3 of 3
Stable patients should have their vital signs documented at least this often.
every 10 minutes
Whenever analgesia is administered, this assessment must be repeated.
pain assessment
This should be documented when a patient is transported, including examples such as sitting, supine, or Fowler's.
patient's position during transport?
This section should be checked to make sure the PCR is in chronological order.
Timeline
This device can be used to import some patient information by photographing the back of the patient's driver's license
2D License Scanner
Unstable patients should have their vital signs documented at least this often.
every 5 minutes
For every medication administered, you need to document the medication, the reason it was given, and this.
patient's response
Cellphones, wallets, and medications are examples of items that should be documented in this section.
patient belongings
DAILY DOUBLE
You arrive on a patient with sudden right-sided weakness and difficulty speaking. The patient was last seen normal by their spouse 20 minutes ago.
CLUE: This critical time must be documented in ImageTrend.
last known well
This information must be carefully verified because the patient's first and last name need to be spelled correctly and the DOB needs to be accurate.
demographics
This should be repeated after treatments such as medication administration, fluid boluses, vasopressors, or electrical therapy.
vital signs
For invasive airway management, all methods used to verify placement must be documented in this section.
Airway Confirmations
If the destination hospital isn't listed in ImageTrend, this option should be selected.
Miscellaneous/Other
The PCR isn't considered complete until it reaches this validation score and is locked and finished.
100%