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GTG GWTGResuscitation Case Record Form (CRF)
Active Form Groups: Admission/ Discharge December 2023Patient ID:
System Entry Date:
DEMOGRAPHICS
Patient Gender Identity:PatientIdentified Sexual Orientation:Date
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How to fill out gwtg-resuscitation case record form
How to fill out gwtg-resuscitation case record form
01
To fill out the GWTG-Resuscitation case record form, follow these steps:
02
Start by entering the patient's demographic information, including their name, age, gender, and contact details.
03
Then, provide details about the patient's medical history, including any pre-existing conditions or allergies.
04
Document the time and location of the cardiac arrest event.
05
Record the initial rhythm observed during the event, whether it was shockable or non-shockable.
06
Document the time of initiation of cardiopulmonary resuscitation (CPR) and the presence of bystander CPR.
07
Note the interventions performed during the resuscitation, such as defibrillation, administration of medications, and airway management.
08
Record the outcome of the resuscitation attempt, including the return of spontaneous circulation (ROSC) or the decision to terminate resuscitation.
09
Finally, ensure that all sections of the form are complete, signed, and dated by the healthcare providers involved in the resuscitation.
10
Remember to follow any specific instructions or guidelines provided by your organization or medical facility while filling out the form.
Who needs gwtg-resuscitation case record form?
01
The GWTG-Resuscitation case record form is typically used by healthcare providers involved in managing and documenting cardiac arrest resuscitations.
02
This form is especially relevant for emergency department physicians, paramedics, nurses, and other healthcare professionals who are part of the resuscitation team.
03
By using this form, healthcare providers can accurately document the events, interventions, and outcomes of a resuscitation attempt, which can be valuable for quality improvement, research, and education purposes.
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What is gwtg-resuscitation case record form?
The GWTG-Resuscitation Case Record Form is a standardized document used to collect data on cardiac arrest cases treated in healthcare settings, aimed at improving patient outcomes through analysis and research.
Who is required to file gwtg-resuscitation case record form?
Healthcare providers and institutions participating in the Get With The Guidelines (GWTG) program are required to file the GWTG-Resuscitation Case Record Form.
How to fill out gwtg-resuscitation case record form?
To fill out the GWTG-Resuscitation Case Record Form, providers must enter patient demographics, event details, resuscitation measures taken, and outcomes as per the provided guidelines and criteria.
What is the purpose of gwtg-resuscitation case record form?
The purpose of the GWTG-Resuscitation Case Record Form is to systematically collect data to evaluate and enhance the quality of care for patients experiencing cardiac arrest.
What information must be reported on gwtg-resuscitation case record form?
Key information to be reported includes patient demographics, type of cardiac arrest, response time, interventions performed, and patient outcomes.
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