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OKLAHOMA DEPARTMENT OF CORRECTIONS Emergency Care Record SRM 140117.01.48-Page 1 of 2 (R 12/15) (Medical Diagram of Injury) Chief Complaint: Onset: Location: Medical History: None Asthma CAD COPD

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How to fill out emergency care record

01

Start by gathering all the necessary information, such as the patient's personal details, medical history, and emergency contact information.

02

Next, carefully document the reason for the emergency care, including any symptoms or injuries the patient is experiencing.

03

Use a systematic approach to record the vital signs of the patient, including their blood pressure, heart rate, respiratory rate, and temperature.

04

Describe any medical interventions or treatments administered during the emergency care.

05

Note down any medications given to the patient and their dosage.

06

Document any changes in the patient's condition over time, including improvements or deterioration.

07

Include any relevant test results or laboratory findings.

08

Finally, ensure that the emergency care record is signed and dated by the healthcare provider responsible for treating the patient.

Who needs emergency care record?

01

Emergency care records are essential for anyone who requires immediate medical attention in an emergency situation.

02

This includes individuals involved in accidents or traumas, patients experiencing severe illnesses or sudden medical complications, and those in need of urgent medical interventions.

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Emergency care records are especially important for healthcare professionals to have a comprehensive understanding of the patient's condition and the care provided, facilitating informed decision-making and continuity of care.

04

These records also serve as a valuable source of information for future reference, research, and quality assurance purposes.

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What is emergency care record?

Emergency care record is a document that details the medical care provided to a patient in an emergency situation.

Who is required to file emergency care record?

Medical professionals such as doctors, nurses, and paramedics are required to file emergency care records.

How to fill out emergency care record?

To fill out an emergency care record, medical professionals must document the patient's condition, treatment provided, and any medication given.

What is the purpose of emergency care record?

The purpose of an emergency care record is to ensure accurate documentation of the medical care provided in emergency situations for future reference.

What information must be reported on emergency care record?

Information such as patient demographics, medical history, vital signs, treatment administered, and follow-up instructions must be reported on an emergency care record.

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