Include a patient narrative
The narrative is the chronological story about a patient encounter, the care provided, and the competence of the EMS providers. It should include your clinical impressions of the patient, their signs and symptoms, chief complaints, and injuries. It is also your opportunity to list any factors that impacted patient care, and how the patient was transported to the hospital.
Tip: You can copy and past your narrative from other locations, such as templates, and if your mobile device supports it, you can use dictation to enter the narrative text.
Note: Before you begin using the EHR module, you need to contact your ESO Suite administrator and ask them to enable tabs, fields, validations, defaults, and so forth, so that your agency can capture the data it needs. The administrator can also disable the display of tabs and fields that your department does not need, to streamline the EHR module to only the necessary fields.
Information on configurations and settings that affect the EHR module is available in Configure tabs.
List patient's signs and symptoms
Detail the patient's complaints
Describe the patient's injuries