Many long term EMTs had little or no education on patient care reports during initial education .They were left to figure it out on their own or by shadowing an equally untrained but more experienced provider, checking boxes, entering vital signs, and memorizing a whole new set of EMS acronyms, abbreviations, and quaint structural narrative components “Upon arrival EMS found…” . Often, all of this was transcribed from random notes scribbled on used rubber gloves or bandaging tape into preprinted, in-triplicate paper forms. ( I realize some of you still do this!)
They hated it then.
They hate it worse now.
NEMSIS, billing, technology, and increased care and interventions during patient care have turned the ePCR in to the bane of every healthcare provider’s existence.
“QA” flags rarely have anything to do with quality assurance, they exist to ensure a billable report reaches the insurance company.
In this session, Nancy Magee will discus show to organize your thought process and note taking from the time of dispatch through the patient handover, and how to ensure your report is complete for continuity of care, healthcare research initiatives, and the billing process.
Objectives
1. Learn how to approach the patient interview and create notes using the interrogative style (who, what, when, where, why ,how) and how using it will ensure you check all the boxes.
2. Discuss the top 5 reasons charts get flagged, and how to avoid them.
3. Consider the importance of practice charting to build confidence in both new and experienced providers, ensure continuity of care, and keep your billing manager and your medical director off your back!
4. Review NEMSIS, and why it is important to the future of medicine.
ALS/BLS Core Prep