Chapter 8-Principles Of Effective Documentation Flashcards Preview

Emergency Medical Responder > Chapter 8-Principles Of Effective Documentation > Flashcards

Flashcards in Chapter 8-Principles Of Effective Documentation Deck (4):
1

Patient care report (PCR)

A document that provides details about a patients condition, history, and care as well as information about the event that caused the illness or injury

2

Continuity of care

Refers to how each provider who is assuming care for a patient is properly informed of the patients progression, so he can watch for trends and continue effective treatment

3

Minimum data report

The minimum information required by the department of transportation (DOT) standards for each patient, typically, applies to only 911 calls

4

Electronic documentation

Refers to technology such as laptop computers, electronic tablets, and cellular phones, and their use to document patient condition and care