Submit the completed Emergency Care and Treatment form to your medical records department or designated personnel. Ensure all fields are accurately filled out and signed. For electronic submission, use the hospital's online submission portal or email the form to the appropriate department. For physical submission, mail or hand-deliver the form to the medical records office at your facility. Always keep a copy for your records.

For emergency care documentation, ensure the form is filled out and submitted immediately after patient care is provided to maintain accurate records.

The purpose of the Emergency Care and Treatment Medical Record form is to document all aspects of emergency medical care provided to a patient. This includes patient identification details, medical history, vital signs, lab work, and the treatment administered. Proper completion of this form ensures that all necessary information is recorded, facilitating both patient care continuity and legal accountability. This form is crucial for healthcare professionals as it provides a structured way to capture detailed patient information during emergency situations. It aids in quick decision-making and ensures that subsequent caregivers have access to the necessary data. Additionally, it serves as an official record that can be used for insurance claims and legal matters. Using this form helps maintain a high standard of care in emergency medical settings. By documenting each step of the patient's treatment, healthcare providers can better manage patient care and outcomes. It also helps in analyzing case data for future reference and improving emergency care protocols.

• 1. Patient Identification: Includes fields for the patient's name, ID number (SSN or other), hospital or medical facility.
• 2. Medical History: Captures the patient's medical history, current medications, allergies, and chief complaint.
• 3. Vital Signs: Documents the patient's vital signs including blood pressure, pulse, respiration, temperature, and weight.
• 4. Lab Orders: Contains fields for various lab tests such as CBC, urine culture, blood culture, and chemistry panels.
• 5. Treatment Details: Records the treatment provided, including medications, procedures, and patient response.
• 6. Disposition: Indicates the patient's condition upon release, discharge instructions, and follow-up care requirements.
• 7. Provider Information: Includes fields for provider signature, resident/medical student signature, and diagnosis.

Failure to submit the Emergency Care and Treatment form can result in incomplete medical records and compromised patient care. It may also lead to issues with insurance claims and legal matters.

• Incomplete Medical Records: Important patient information may be missing, affecting ongoing treatment and care.
• Insurance Claim Issues: Lack of proper documentation can result in denied insurance claims or delayed payments.
• Legal Accountability: In the event of legal disputes, incomplete forms can compromise the defense and lead to unfavorable outcomes.

• 1. Emergency Room Visits: Documenting patient care during an emergency room visit.
• 2. Urgent Care Treatment: Recording details of treatment provided in urgent care settings.
• 3. Field Treatment: Capturing information of emergency care provided outside the hospital, such as by paramedics.
• 4. Follow-Up Visits: Documenting patient progress and ongoing care post-emergency treatment.
• 5. Workplace Injuries: Recording care and treatment for injuries sustained at work.