HNcorpsman
Forum Lieutenant
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hello everyone, my name is greg and i am a corpsman in the navy, i am stationed in okinawa and my command has finally picked me to go TAD to the firehouse and work as a EMT... one thing, i took my EMT class before i joined the navy and have never worked on a rig, besides in training... i have decent medical exposure, so i think i know that part OK... but as for documentation and some other minor things i might need some touch ups...
i am going to write a sample narrative document and i would like some insight on what you all think... i will be using the standard for military sick call at least SOAP note form... any advice will help immensely.
(this is not an actual document)
upon arrival to scene 19 y/o male PT presents with a productive cough and states that "it hurts to breathe" PT states that "it all started when i was playing football with my friends" PT is seated in the tripod position, PT claims pain to be at level 5. upon questioning PT reveals that he has asthma. PT does not carry or have albutoral or any medication. B/P: 139/79 P: 70 R: 16 T:98. placed PT on NRB, and transported in supine, sitting position. continually monitored PTs breathing, coughing subsided during transport. conducted secondary assessment during transportation to hospital, turned over to medical officer.
well?
tell me what i need to do better...
i am going to write a sample narrative document and i would like some insight on what you all think... i will be using the standard for military sick call at least SOAP note form... any advice will help immensely.
(this is not an actual document)
upon arrival to scene 19 y/o male PT presents with a productive cough and states that "it hurts to breathe" PT states that "it all started when i was playing football with my friends" PT is seated in the tripod position, PT claims pain to be at level 5. upon questioning PT reveals that he has asthma. PT does not carry or have albutoral or any medication. B/P: 139/79 P: 70 R: 16 T:98. placed PT on NRB, and transported in supine, sitting position. continually monitored PTs breathing, coughing subsided during transport. conducted secondary assessment during transportation to hospital, turned over to medical officer.
well?
tell me what i need to do better...