Pcr format!

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Emtsgv

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Well....im sure there are some threads about this but i cannot find them!


This is a discussion about PCR format for IFT


Im working for a new companie and i just dont really like the way they want me to write my PCR's its just not .... in my opinion proper, but who am i right they been doing this for YEARS before i was even an EMT.

So im here to get the perspective of fellow emt's working in IFT and some extra knowledge to help myself in the field.


If you could just show me a simple mock preview of how u would flow it from start to finish (dont use real pt information) lol... we all know this tho :D
 
How does your company want it?
 
There are several methods, SOAP as CHARTD are sown of the more popular. I'd ask your training coordinator how they want it and follow their format.
 
It would take me too long to write a sample chart for all the different formats that I'm familiar with, not to mention that I modify what's actually written in the narrative portion based on what else is physically on the form. I've worked for several different companies over the years and they all had different forms and formats that they required.

I've used variants of SOAP, CHARTED, Chronological Narrative, and (I think) PIE. Regardless of the style, I make sure that when I read the chart, an accurate "picture" of the patient is made so anyone reading the chart knows what's going on.
 
This may be a gross misinterpretation on my part but I'm assuming you are working for one of the San Gabriel Valley IFT companies which seem to multiply constantly. If that's true then your "training coordinator" is probably a cousin of the owner or something with no real experience and they probably want you to write it in a way so they will get paid regardless if the patient needed transport. If that's the case you have a fine line that you have to walk. You should try and accommodate your employers requests as long as what you write on the PCR is accurate, legal, and ethical. The only advice I can give you is to be objective and never lie on a pcr. Your company is not going to back you up if Medicare investigators arrive. They will take their money and run. If their format is accurate, legal, and ethical I would do it their way. However don't compromise your future for an IFT job.
 
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