Run Report Documentation Policy

When writing a run report, the following information should be included on the report.

q Patient name

q Patient home address

q Responsible party address

q Patient’s age, sex, phone number, date birth

q Patient’s physician

q Medication patient taking

q Allergies

q Past medical history

q Insurance card number or photo copy of insurance card

Vital signs should be taken and recorded on arrival at the patient’s side and least every 15 or 5 minutes depending on the patient condition. A Glasgow Coma Scale rating should be determined and recorded.

The narrative portion of the report should include the following information.

q Nature of the call

q Patient Level of consciousness

q Patient position

q Patient’s symptoms

q Onset, duration and relief of symptom’s

q A complete head to toe assessment

q Treatment given and any changes after treatment

q All communication with Medical control, including times and orders received

q Protocol followed

q The patient condition on arrival at the destination and who assumed responsibility for the care of the patient.

q Write your signature or initials at the end of your narrative and draw a line through any remaining blank lines

Record your times accurately.

Record the name, medic number, and certification level of the driver and attendant (s).

Include any monitor rhythm strips on a separate sheet of paper.

Put your signature on the run report. (Initials are not sufficient)