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Situation- Dispatched to a call out of going to for a patient with a dx of
Background- Pt is a YOM/F with a PMH of BIBA/S/F c/o x days. While in hospital was performed. Pt has a ga IV to, running at mL/hr. Pt is being transferred for
Assessment-Pt is a/o x, VSS, NAD noted. Normocephalic, pupils mm and PERRLA, mucus membranes pink/moist, skin warm/dry/intact, speaking in complete sentences, neck midline, lung sounds bilaterally, good and even chest rise, no obvious deformities to limbs, pulses +2 x4, cap refill less than 3 seconds. Pt intubated with mm ETT/trach, mm at lips. Vent settings as follows
-informed by dispatch
-en route code to
-arrived on scene
-Pt contact made, awaiting report from sending RN
-report received from sending RN
-Pt assessed
-Pt sheet transferred to ambulance gurney, placed on CM =, placed on CCT vent, CCT IV pump, no change in pt status. Pt secured to gurney with all necessary seatbelts. All safety precautions in place.
-Pt transferred to ambulance. No change in pt status, code transport begins.
-arrived at receiving facility. No change in pt status.
-Arrived at receiving hospital bed, awaiting receiving RN to take report.
-Report given to receiving RN.
-Pt sheet transferred to hospital bed, no change in pt status. All CCT equipment dc’d. Pt placed on hospital equipment. All safety precautions in place. EOR.