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Documentation Let’s make it easier! This applies to triage…. This is what is required in the triage process…. Triage time, historian, PCP and how they arrived . Chief complaint (this will look different depending on your template choice) Pain level must be documented!. - PowerPoint PPT Presentation
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DocumentationLet’s make it easier!
This applies to triage…
Triage time, historian, PCP and how they arrived
This i s what i s required in the t r iage process…
Chief complaint (this will look different depending
on your template choice)Pain level must be documented!
Any treatment by EMS prior to arrival,Meds and Allergies
Past history-expand if needed
Immunization and LNMP/pregnant
THIS IS REQUIRED! All you need to do is click on it-that tells us you have assessed their RISK for skin integrity, not completely undressed them and seen all their skinAll the other questions are NOT required (unless they declare themselves as suicidal)
Vital signs, weight and Sepsis screen-do at least the temperature, HR, and respiratory rate for the sepsis screen
Assign your acuity
For checking in an ambulance or if you can’t get to computer…
REQUIRED!!!