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Foothills RE TAC Preliminary Patient Care Report CR# Patient Name: Date×Time of Transport Date×Time of Injury×Event Type of Patient: (circle)

How to fill out preliminary patient care report

How to fill out a preliminary patient care report:

1. Gather all necessary information: Start by collecting basic details such as the patient's full name, age, and date of birth. Additionally, document the date and time of the incident, as well as any specific location details.
2. Document the patient's chief complaint: Record the reason for the patient seeking medical assistance. Include any symptoms or injuries they may be experiencing.
3. Obtain a detailed medical history: Ask the patient about any pre-existing medical conditions, allergies, or medication they are currently taking. This information is crucial for the receiving medical professionals.
4. Perform a thorough physical examination: Note the patient's vital signs, such as blood pressure, heart rate, and respiratory rate. Assess any visible injuries or abnormalities.
5. Document the assessment findings: Summarize the patient's condition based on the physical examination and ask follow-up questions to gather relevant information.
6. Record interventions and treatments: Document any actions taken to address the patient's condition. This can include administering medication, bandaging wounds, providing oxygen, or performing CPR.
7. Include transport information: If the patient is being transferred to another medical facility, record the specific destination and mode of transportation used.
8. Document communications: Log any conversations or interactions with other medical personnel or bystanders who may have assisted in the patient's care.
9. Sign off and submit the report: Review the completed preliminary patient care report for accuracy and completeness. Sign and date the document, then submit it to the appropriate authorities or medical facility for further processing.

Who needs a preliminary patient care report:

1. Emergency medical services (EMS) providers: EMS responders, such as paramedics and emergency medical technicians, often fill out preliminary patient care reports. These reports document the initial assessment and treatment provided at the scene.
2. Receiving medical facilities: Hospitals or clinics where the patient is transferred to require a preliminary patient care report for continuity of care. The report helps the receiving medical professionals understand the patient's condition and the interventions already performed.
3. Incident responders and investigators: Law enforcement agencies, insurance companies, or legal entities may request preliminary patient care reports for investigative purposes, insurance claims, or legal proceedings. These reports provide valuable information about the incident and the patient's initial presentation.

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What is preliminary patient care report?

The preliminary patient care report is a document that outlines the initial medical treatment given to a patient by healthcare providers.

Who is required to file preliminary patient care report?

Healthcare providers such as EMTs, paramedics, nurses, and doctors are required to file the preliminary patient care report.

How to fill out preliminary patient care report?

The preliminary patient care report is typically filled out by documenting the patient's vital signs, medical history, chief complaint, treatment provided, and any other pertinent information.

What is the purpose of preliminary patient care report?

The purpose of the preliminary patient care report is to document the initial medical treatment provided to a patient and communicate important information to other healthcare providers.

What information must be reported on preliminary patient care report?

The preliminary patient care report must include the patient's information, vital signs, medical history, chief complaint, treatment provided, and any other relevant details.