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Get Uva Medic 5
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How to fill out the Uva Medic 5 online
The Uva Medic 5 form is an essential document for recording patient transport and treatment details. Filling it out accurately ensures comprehensive patient care and effective communication among medical providers.
Follow the steps to complete the Uva Medic 5 form online.
- Click ‘Get Form’ button to obtain the form and open it for editing.
- Enter the patient's name in the designated field. If the label is not available, write in the patient's name and medical record number clearly.
- Fill in the call number and record the date of service. Ensure you accurately indicate the run number, reference agency, reference unit, and reference medical director.
- Complete the receiving agency, receiving unit, and receiving medical director information. Provide the active for details and any diagnosis or chief complaint.
- Input the patient’s address, including city, state, zip code, social security number, age, date of birth, sex, weight, and phone number. Include the UVA history number and account number.
- Record starting and ending loaded miles, vehicle number, and dispatch information alongside the times for enroute, arrive 1, depart 1, arrive 2, and in service.
- Document details on the driver and any crew members, along with mileage and pertinent health information, including history of present illness, past medical history, medications, assessment, treatment, and transport notes.
- Fill in vital signs such as blood pressure, pulse, respiratory rate, oxygen saturation, and Glasgow Coma Scale score.
- Indicate the patient's race and the city or county where the incident occurred, along with the trauma score.
- Complete the section regarding seat belt utilization, trauma type, and if applicable, document refusal of service by the patient. Ensure that the patient signs and dates this section.
- Have all relevant crew members sign the form, including the medical control physician if necessary.
- Once completed, save changes to the document. You can then download, print, or share the form as needed.
Complete your Uva Medic 5 form online today for efficient documentation!
Yes, UVA has several urgent care facilities for immediate health concerns. These locations offer a wide range of services without the need for a scheduled appointment. If you find yourself in a medical predicament, visiting one of UVA's urgent care centers provides quick and efficient care. Always keep Uva Medic 5 in mind for long-term health management and resources.
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