Follow the steps to complete the evaluation record online.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Enter the case number, date, and time at the top of the form. Also, indicate how the call was obtained (e.g., 911, E911, or Other).
3. Fill in the dispatcher(s) name and dispatcher ID to identify the personnel involved.
4. Provide a description of the complaint in the designated field.
5. Complete the primary survey section, answering yes or no to each question related to case entry. Be thorough in assessing if each question was addressed during the call.
6. If applicable, assess the Chief Complaint Protocol and select whether it was correct or incorrect, including if any alternatives should have been selected.
7. In the key questions section, indicate whether each key question was asked and whether they were asked incorrectly.
8. Evaluate the dispatch life support instructions, confirming if they were appropriate and correctly provided.
9. Enter the determinant code and review the coding to ensure accuracy.
10. Calculate the total compliance score based on the scores provided for each category.
11. If needed, fill in the customer service score related to the call handling process.
12. Make any final comments in the designated space and specify the review date, reviewer name, manager's name, and calltaker's name.
13. Once all fields have been completed, save the changes, and choose the option to download, print, or share the form as required.

Complete the Medical Dispatch Case Evaluation Record online to enhance your documentation process.