Triage: Documenting Ambulance Handover.

[Hooch]

Another quick question. We all know the importance of good record keeping, but would the receiving ED nurse in addition to recording the findings of their own assessment, also make a formal written record of all information that would be conveyed to him/her as part of the verbal handover from crews at triage?

[brainkandy87]

In T-system, we have an entire page that we can pull up to put in an infinite amount of information about EMS and their report, ranging from IV site and meds given to detailed information about a 12 lead. I rarely do anything more than the IV site, blood draw, and meds, but it is nice to have in case you have a very critical pt brought in by EMS to have the PTA picture on your charting.