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