Use the trip odometer to track mileage to the 10th of a mile.
Medicare / Medicaid requires a decimal point.
DO NOT LOG THE PRIMARY ODOMETER MILEAGE
Reset the trip odometer BEFORE TRANSPORT or once staged at venue.
Start mileage should always be 0.0 in WARDS and in the narrative.
Log into WARDS and create your patient file.
Run number format:
T = TRANSPORT - T-MMDDYYYY-Last Name
NT = NO TRANSPORT - NT-MMDDYYYY-Last Name
I = INTERCEPT - I-MMDDYYYY-Last Name
IFT = INTERFACILITY - IFT-MMDDYYYY-Last Name
An approved run number format must be used to identify to our billing company which
runs should be billed or ignored. Improper formatting will be rejected and corrections will have to be made by the member who created the run.
Pick up location & Address
Pick up time
Destination & Address
Drop off time
Transferred care to
Hospital FIN (Face Sheet)
Insurance Info (May be on the face sheet)
Completed WARDS Report
Scan or Store Documents
SAMPLE - Narrative Template - Copy/Paste into WARDS
R: (Response) Great Lakes EMS Inc was on site providing ambulance service to a a venue.
Unit 3Z** was staffed at the ALS or BLS level for transport.
EMS Crew: Your Name EMT-? and Partner Name - EMT-?
Mileage at Origin 0.0
C: (Chief Complaint) -
H (History) - Dispatched to said venue for these reasons and who called.
A (Assessment) - Pain, vitals, GCS, etc, does not hurt to include multiple assessments including your rapid trauma in the field then your detailed assessment in the ambulance.
Rx (Rendered Treatment) - Position of comfort, patient monitoring, ---- monitor oxygen, vitals. (etc etc etc what you did)
D (Destination) - The patient was transported to? HOSPITAL. The destination was determined by protocol and proximity and patient acuity.
HIPAA signed by patient or guardian / PATIENT NAME, witnessed by EMT NAME AND LICENSE LEVEL
Arrival at destination 00:00
SECTION I - Signed by the patient.
SECTION I - If minor child: PARENT SIGNS.
SECTION I - EMT Should sign as a witness.
SECTION II - Why patient is not signing.
SECTION II - Legal guardian, spouse or POA. >18
SECTION III - Signed by EMS and Hospital staff.
HIPAA DEFINED CLICK HERE for details.