pa ems patient care report

by Dr. Alfonzo Effertz IV 8 min read

28 Pa. Code § 1021.41 - EMS patient care reports

18 hours ago EMS patient care reports. 28 Pa. Code § 1021.41. EMS patient care reports. § 1021.41. EMS patient care reports. (a) EMS agencies shall collect, maintain and electronically report complete, accurate and reliable patient data and other information as solicited on the EMS PCR form for … >> Go To The Portal


A patient care report is a document made mostly by the EMS or EMTs. This documented report is done after getting the call. This consists of the information necessary for the assessment and evaluation of a patient’s care.

Full Answer

What is a patient care report?

A patient care report is a document written by medical professionals to report about the patient’s wellbeing, care and status. This document consists of the result of the assessment and the evaluation of the patient being done by the EMTs or the EMS.

Who can write reports in healthcare?

A lot of people believe that only nurses or health care workers can write reports. Most specifically patient care reports or anything that may be related to an incident report that often happens in hospitals or in some health care facilities.

How do I contact the Department of Health EMS office?

Please contact the Department of Health EMS Office at 717-787-8740 if you need assistance in contacting the appropriate regional EMS council office. The Bureau of EMS licenses all EMS Agencies within the Commonwealth.

Can EMS provide CPR to out-of-hospital patients?

These items direct EMS personnel in the out-of-hospital setting not to provide the person for whom they were issued with CPR in the event of the person’s cardiac or respiratory arrest.

How do I write a patient care report in EMS?

EMS providers just need to pull the information together and write it down in a way that paints a picture....Follow these 7 Elements to Paint a Complete PCR PictureDispatch & Response Summary. ... Scene Summary. ... HPI/Physical Exam. ... Interventions. ... Status Change. ... Safety Summary. ... Disposition.

What is included in a patient care report?

The primary purpose of the Patient Care Report (PCR) is to document all care and pertinent patient information as well as serving as a data collection tool. The documentation included on the PCR provides vital information, which is necessary for continued care at the hospital.

When must a patient care report be completed?

Complete the PCR as soon as possible after a call Most states, and many EMS agencies themselves, often have time limits within which the PCR must be completed after the call ended – 24, 48 or 72 hours are common time limits.

What is a EMS report?

The primary purpose of EMS documentation is to provide a written record of patient assessment and treatment that can help guide further care. For the information to be readily understood and communicated, it must be organized in a format that all healthcare providers involved in patient care will understand.

What are PCR documents?

The PCR documentation is considered a medical document that becomes part of the patient's permanent medical record. It is also considered a legal document in cases where liability and/or malpractice issues arise. It is the source in which all medical billing claims are based.

How do I fill out an EMS report?

Emergency respondents should develop a system for writing reports so the run sheets are thorough but concise every time. Gather information on the medical emergency, noting what type of incident caused the injury, the estimated age and sex of the victim, and his condition at the scene.

What should be included in a PCR report?

Most things are self-explanatory – patient's name, address, DOB, age, etc. Then there are a few numbers and codes you have to fill in. Location code: required for transporting agencies; not needed by First Response units. OK, now the really hard part: the actual writing!

How do you write a patient report?

Summary: The format of a patient case report encompasses the following five sections: an abstract, an introduction and objective that contain a literature review, a description of the case report, a discussion that includes a detailed explanation of the literature review, a summary of the case, and a conclusion.

What is an EMS PCR?

Patient Care Report (PCR): An electronically generated form that is a component of a PCRS that is utilized by EMS Field Personnel to document and transmit patient care events at the time of service.

What is an EMS patient?

Emergency Medical Services, more commonly known as EMS, is a system that provides emergency medical care. Once it is activated by an incident that causes serious illness or injury, the focus of EMS is emergency medical care of the patient(s).

What pertinent information should be obtained on a patient care report?

Each PCR should include all pertinent times associated with the EMS call. As well as the times of the assessments and treatments provided, the PCR should include detailed signs and symptoms and other assessment findings such as vital signs, and all the specific emergency care provided.

What must all EMS providers follow?

What must all EMS providers follow? Their state's scope of practice. What does the National EMS Scope of Practice Model do? define the competencies for each EMS provider level and elaborate on the knowledge and skills within each competency.

What Is a Patient Care Report?

We often hear of care reports based on by medical teams or by medical authorities. Yet, we are not sure how this differs from the kind of report that is given to us by the same people. So this is the time to make it as clear as possible.

How to Write a Patient Care Report?

Where do you even begin when you write a patient care report? A lot of EMS or EMTs do know how to write one since they are trained to do so.

What is a patient care report?

A patient care report is a document made mostly by the EMS or EMTs. This documented report is done after getting the call. This consists of the information necessary for the assessment and evaluation of a patient’s care.

What should not be written in a patient care report?

What should be avoided in a patient care report is making up the information that is not true to the patient. This is why you have to be very careful and very meticulous when writing these kinds of reports. Every detail counts.

Who is in charge of reading the patient care report?

The person or the people who will be reading the report are mostly medical authorities. When you are going to be passing this kind of report, make sure that you have all the information correctly. One wrong information can cause a lot of issues and problems.

What is the purpose of the trauma subchapter?

The purpose of this subchapter is to integrate trauma centers into the Statewide EMS system by providing access to trauma centers and for the effective and appropriate utilization of resources .

What is section 8112?

This subchapter implements sections 8112 and 8153 of the act (relating to contracts and grants; and support of emergency medical services), which set forth the standards and criteria governing the award and administration of contracts and grants under the act that are funded by EMSOF funds.

What is the Statewide EMS System Plan?

(a) The Department, with the advice of the Advisory Board, will develop and annually update a Statewide EMS System Plan, which will include both short-range and long-range goals and objectives for the coordinated delivery of EMS in this Commonwealth.

What is an EMS quality assurance reviewer?

Quality assurance reviewer —An EMS agency employee who conducts quality assurance reviews of the EMS agency dispatch center’s radio activity to determine adherence to the EMS agency dispatch center’s standards. Radio activity —Call-taking, dispatching and communicating on a public safety radio frequency.

What is medical command?

Medical command physician —A physician who is certified by the Department to give medical command to EMS providers. Medical coordination —A system which involves the medical community in all phases of the regional EMS system and consists of the following elements: (i) Designation of a regional EMS medical director.

What is emergency medical dispatch?

Emergency medical dispatch protocols —A system or program that enables patients to be assessed and treated by telephone by utilizing currently accepted emergency medical dispatch standards.

What is an EMS system?

EMS system—Emergency medical services system —The arrangement of personnel, facilities and equipment for the delivery of EMS in a geographic area to prevent and manage emergencies. EMS vehicle—Emergency medical services vehicle —A ground EMS vehicle, a water ambulance or an air ambulance.

Paper Patient Care Report (PCR)

Here is an example of two versions of print out, paper PCR you can download and use in your service.

Electronic Patient Care Report (ePCR)

The state of Alaska provids a free ePCR (Electronic Patient Care Report) system allowing communities to customize their run report forms to match their specific community needs.