The Drama Behind Documenting Trauma

Multiple trauma patients challenge our professional senses when carrying out the delivered care in the field.  We are called to use all of our talents and training to ensure a positive outcome for each patient.  For many reasons, this doesn't always come easy.  Part of the pre-hospital care plan is to ensure that all we did for the patient(s) is well-documented for both the clinical staff at the trauma center for ongoing care as well as to make sure we protect ourselves long after the call has ended.  Clear, concise documentation is key and must paint a true picture of these challenging patient types.  This episode of The QMC Board & Collar looks at the drama behind the trauma patient and making sure you covered every aspect of the care you delivered in the patient care report (PCR).    Written by:  C. Humphrey Presented by:  G. Harvat