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Ime Name called arrived Patient Tag/Sticker Date of Birth Gender : 1 2 3 Present upon Pt arrival? General Surgeon EMS report in Pt chart No : : Yes No : : Yes No : Transfer from: Yes Anesthesia Arrived via: Ambulance Helicopter Police Self : ED Physician Medical Record # : : Yes No Pt. Medications Pre-hospital Interventions Airway: Oral Nasal Intubated O2 IV size site IV #2 size site Blood sugar mg/dl CPR LBB C collar MAST Splin.

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How to fill out the Resuscitationrecord Sheet Form online

Filling out the Resuscitationrecord Sheet Form online is a crucial step in ensuring comprehensive health care documentation during trauma events. This guide will walk you through the key sections and fields of the form, providing clear instructions to support you in completing it accurately.

Follow the steps to fill out the Resuscitationrecord Sheet Form effectively.

  1. Click the ‘Get Form’ button to obtain the Resuscitationrecord Sheet Form and open it in the online editor.
  2. Begin by entering the admit date and patient name in the designated fields at the top of the form. Make sure to use the correct format for the date.
  3. Record the arrival time along with the time of trauma team notification. Mark whether the trauma team was activated by selecting 'Yes' or 'No' and include the relevant times.
  4. Document the patient's date of birth and gender accurately to ensure proper identification.
  5. In the pre-hospital interventions section, detail any relevant medical actions taken prior to patient arrival, such as airway management and medications administered.
  6. Indicate the mechanism of injury by selecting the appropriate options, ensuring you provide complete information about the scenario.
  7. Fill out the primary survey and preliminary interventions section, providing detailed observations on airway, breathing, circulation, and vital signs.
  8. Enter information on ongoing monitoring, surface trauma, and any procedures that have been performed, using the provided time and detail fields.
  9. Finalize by ensuring all fields are completed, then save your changes, and choose to download, print, or share the form as necessary.

Complete your documents online to ensure accurate and timely record-keeping.

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Resuscitationrecord Sheet Form
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