There are errors that occur routinely in our PCR documentation. Please review the most common errors below so that these deficiencies can be corrected in future documentation.
*Spelling Errors
*Documenting PmHx/Allergies/ETC
*Lost Paperwork
*Anatomic Specificity
*Level of Consciousness / GCS
*Vital Signs
*Run Numbers
*ALS Assessment / Downgrade of Care
*OPQRST / Pain Assessment
*Documentation of Behavioral Patients
*Necessary Narrative Items
*Templates