Basic PCR – Restraints

This narrative is part of a patient care report (PCR). The narrative is intended to be considered and construed along with the information in the other parts of the PCR. This PCR was initially prepared close in time to the events of the incident. However, nothing in the narrative, or any other part of the PCR, shall be construed as a representation that all possibly relevant information and facts were available, known to, or recorded by the author in the limited time available at initial creation. The author reserves the right to amend or supplement the PCR with relevant information or facts at any later time.

*********** DISPATCH INFORMATION ***************

Unit _ was dispatched to transport a __ year-old __ patient with reported __ from __ to __.

*************** ON SCENE **************************

After the crew arrived, it was reported to the crew that the patient ________.

The crew assessed the patient, and treatment was provided to the patient consisting of ___.

********************** TRANSPORT *******************************

After consideration of the assessment, it was determined that transport of the patient to the destination by BLS ambulance by the crew was appropriate because __.

A face sheet for the patient was __ received.

A packet to accompany the patient was __ received.

The patient was transferred to the ambulance gurney without incident. The gurney rails were raised. Soft velcro restraints were applied to the patient’s wrists, and the CMS of the patient’s restrained extremities was assessed. The patient was covered and secured with all straps. The crew moved and loaded the patient and any patient belongings that the crew had identified into the ambulance without incident.

During transport, the author continuously monitored and regularly assessed the patient. The patient was _. The patient’s condition and vital signs were __.

***************** PATIENT DELIVERY ***************************

At the destination, the patient was unloaded from the ambulance and moved to the patient receiving area without incident. The gurney was lowered, the safety straps and restraints were removed, the rails lowered, and the patient was assisted to the location identified by the staff for placement of the patient. The patient’s condition had not changed detrimentally or materially since the time of pick-up. The patient’s belongings were left with staff in the receiving area. 

A verbal report was offered or given to __.

Care was transferred, and the call was completed without incident.