Your EMS system uses a computerized PCR in which you fill in the information electronically and then send it to the emergency department via a secure Internet server. The PCR has a comprehensive series of drop-down boxes, which are used to identify your assessment findings and specify the treatment that you provided; it also has a section for your narrative. When completing your PCR after a call, you should:

A. defer the narrative only if the information in the drop-down boxes accurately reflects the assessment and treatment that you performed.
B. complete a thorough and accurate narrative because drop-down boxes cannot provide all of the information that needs to be documented.
C. enter all of the pertinent information of the electronic PCR, but then print it out and provide a copy to the emergency department staff.
D. avoid documenting personally identifiable information, such as the patient's name, because the PCR could be intercepted during transmission.

Answer: B. complete a thorough and accurate narrative because drop-down boxes cannot provide all of the information that needs to be documented.

Health Professions

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