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7	Prehospital Care Written Report Non Transporting Agencies
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40	Med Call-In Department Name Unit ____ requests to speak to a doctor for Med Orders. ( Med Com will transfer call to a emergency doctor. He will provide a log number (telemetry number) that will be needed for your report.) Unit ___is on the scene of a ___ (nature of call) and we have a ___ year old (male/female) patient complaining of ___ . The patient is Alert x ___ Vitals are B/P ___ , pulse __ and Respirations are __ . Skin vitals are ___ , Lung sounds are ___ , abdomen is ___ and the patient ( is/isn’t) ambulatory. The patient takes the following medications___. The patient is allergic to ___. We have given the following treatment ( with/ without) change. I ‘am requesting the following medications ____. Do you have any questions? ( The doctor will either accept or reject your request or give you the orders they want followed. You must comply)
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