EMR Run Report

EMR Run Report
Event Date
Address
En Route Time
:
En Route Time
On Scene Time
:
On Scene Time
In Service Time
:
In Service Time
Patient's Name
Patient's Name
First
Last
Date of Birth
Sex of Patient
Race of Patient
Medical and Social History
Allergies
Patient Allergies
Patient's Medications
Right Upper Extremity
Right Upper Extremity
Left Upper Extremity
Left Upper Extremity
Right Lower Extremity
Right Lower Extremity
Left Lower Extremity
Left Lower Extremity
1st Vital Sign Time
1st Pulse Reading
1st Respirations Reading
1st Blood Pressure Reading
1st 02 Stat Room Air
1st 02 Stat Oxygen
2nd Vital Sign Time
2nd Pulse Reading
2nd Respirations Reading
2nd Blood Pressure Reading
2nd 02 Stat Room Air
2nd 02 Stat Oxygen
Interventions Performed/Treatments Provided