Paramedic phone consult
Amunir4695828
Hx as below
Access to main records: Nill
GM Notes accessed:
Allergies: ? Nkda
Medication: ? Nill
PMSH: ? Nill
TODAY:
Consult with Paramedic
Paramedic Obs
Appears: well, stable
AVPU: Alert
GCS: 15/15
t:
p:
hs: normal
rr:
sats: %
BP:
BM:
12Lead:
Stay at home / careful observation
To call back 111 as required
To contact own GP for further assessment / review
Urgent attention if any acute deterioration
(Own GP / ooh 111 / a+e )
Face 2 face appointment scheduled
Urgent attention if any acute deterioration
(ooh 111 / a+e )
Paramedic advised needs urgent A+E
Ambulance will take in
Home visit booked
Advised can be up to 4 hours untill seen
Urgent attention if any acute deterioration
(ooh 111 / a+e )
Phone Exam
Alert and orientated time place person
Agitation: nill
REFUSING HOSPITAL
Alert Orientated Time place person
Compos mentis
Aware refusal is against medical advise
with risk of deterioration or worse
Can call back OOH 111 / 999
A+E Own transport
Paramedics No longer on site
Consult with Patient
Paramedics called:
Paramedics on site:
Paramedics left: