Chart Generator v1.1

Unit:
Nature:
Patient Age:

Sex:

Level of Consciousness:

Orientation:

Position:

Location:
Bystanders:
Other Scene Info:

Onset:


Other HPI Information:

Skin Condition:

Normal Temperature Normal Color Normal Moisture

Radial Pulses:

Strong Regularly Regular Normal Rate Equal Bilaterally

Dyspnea (in words/breath):
Respirations: Regular Rate Regular Depth Regular Rhythm

Lung Sounds:

Left - Clear Right - Clear
SpO2:
Blood Pressure:

Trauma:

Report Trauma?:
Description:

DCAP-BTLS:


Other Exam Info/Interventions:

ALS:

Transport Decision: RMA Transport
Transport Method: Assisted Stairchair Reeves
Destination: Bed:
Transport Update:

RN: