Get Environmental Incident Report

This guide provides users with clear and concise instructions on how to fill out the Environmental Incident Report online. Whether you are familiar with this type of form or new to it, this comprehensive guide aims to support you in accurately completing the report.

Follow the steps to complete the Environmental Incident Report easily.

1. Press the ‘Get Form’ button to access the Environmental Incident Report form in your document editor.
2. Begin by entering the patient's last name and first name in the designated fields.
3. Fill in the patient’s address, including city, state, and zip code, as well as their phone number.
4. Select the patient's gender from the options provided.
5. Record the incident date and time accurately.
6. Indicate the name of the AED operator and the student's ID number.
7. Describe the position in which the patient was found, such as lying or sitting.
8. Select the patient’s skin color from the options: blue, pale, or other.
9. Specify whether there was a shockable rhythm, answering 'Yes' or 'No'.
10. Provide the location of the incident.
11. Estimate the time taken from the patient’s collapse until CPR was started.
12. In the description of the incident, provide detailed information about what occurred.
13. Fill in the initial heart rhythm and final heart rhythm as applicable.
14. Indicate if the cardiac arrest was witnessed and provide details of 'Yes', 'No', or 'Unknown'.
15. State whether CPR was started, and if applicable, record who initiated it.
16. Document the total number of shocks delivered and the time of each shock.
17. Indicate whether the patient ever regained a pulse, breathing, or consciousness, including the times.
18. Enter the name of the hospital the patient was transported to along with the time.
19. Include any other treatments provided to the patient.
20. Note if there were signs of trauma and provide explanations if necessary.
21. Conclude with the incident outcome and add any additional comments.
22. Complete the report by filling in your name, the date, and submitting it for review.

Complete the Environmental Incident Report online today.