Get Kern County Ambulance Report Form - County Of Kern - Co Kern Ca

Filling out the Kern County Ambulance Report Form online is an important step in documenting patient care and ensuring accurate reporting. This guide provides clear, step-by-step instructions to effectively complete each section of the form with ease.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. Enter the date of the incident in the designated Date field to mark when the service was provided.
3. In the Amb Provider section, input the name of the ambulance service provider responding to the call.
4. Fill in the Call Time field with the exact time of the emergency call.
5. Indicate the Patient Age in years, ensuring this information is accurate for proper care assessment.
6. Select the Patient Sex from the available options to ensure complete demographic information.
7. Provide the Patient Name-Last by writing the last name of the patient for identification purposes.
8. If applicable, check the box for STEMI to indicate the patient may be having a serious cardiac incident.
9. In the INCIDENT # field, write the unique incident number assigned for tracking purposes.
10. Fill in the Unit # to identify the ambulance unit that responded to the call.
11. Detail the INCIDENT LOCATION where the emergency took place, providing as much specificity as possible.
12. Record the Patient Weight (Kg) in the provided section for relevant medical assessments.
13. Specify the DESTINATION FACILITY where the patient is being transported for further care.
14. Input the time At Pt. Time to indicate when care was initiated.
15. Document the 12 LEAD TIME showing when the 12-lead ECG was performed.
16. Indicate the LAST NORM TIME to reference the last time the patient's condition was normal.
17. If relevant, check the boxes for STROKE and TRAUMA ACTIVATION to highlight the nature of the emergency.
18. Assess the patient and complete the CHIEF COMPLAINT section with the main issue the patient is experiencing.
19. Fill out the VITAL SIGNS section, entering information such as blood pressure, heart rate, and temperature, ensuring accuracy.
20. Complete the GLASGOW COMA SCALE and REVISED TRAUMA SCORE fields based on the patient's responsiveness.
21. Document any MEDICATIONS the patient is taking and ALLERGY(S) they may have, ensuring safety during treatment.
22. Provide additional information in the NARRATIVE section, including details of the incident and any pertinent observations.
23. After completing all sections, double-check your entries for accuracy.
24. Finally, save changes, download, print, or share the completed form as necessary for your records.

Complete your documentation and ensure accurate record-keeping by filling out the form online today.