Pec11 chap 04 documentation

The document discusses documentation in prehospital emergency care. It covers the importance of thorough patient care reports (PCRs) which document medical care provided during emergency calls. PCRs serve several purposes such as continuity of care, legal documentation, and quality improvement. The document reviews the components of a PCR including administrative information, patient details, vital signs, narrative of care provided, and treatments given. It emphasizes the importance of accurate documentation for legal protection and providing pertinent information for medical care and legal cases. Medical abbreviations that should be used in PCRs are also discussed.