Documentation Let’s make it easier! This applies to triage…

DocumentationLet’s make it easier!

This applies to triage…

Triage time, historian, PCP and how they arrived

This i s what i s required in the t r iage process…

Chief complaint (this will look different depending

on your template choice)Pain level must be documented!

Any treatment by EMS prior to arrival,Meds and Allergies

Past history-expand if needed

Immunization and LNMP/pregnant

THIS IS REQUIRED! All you need to do is click on it-that tells us you have assessed their RISK for skin integrity, not completely undressed them and seen all their skinAll the other questions are NOT required (unless they declare themselves as suicidal)

Vital signs, weight and Sepsis screen-do at least the temperature, HR, and respiratory rate for the sepsis screen

Assign your acuity

For checking in an ambulance or if you can’t get to computer…

REQUIRED!!!