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Documentation of Patient Care Standard

The paramedic shall:

  1. complete documentation as per the Ontario Ambulance Documentation Standards and the Ambulance Call Report Completion Manual;
  2. document clinical response to treatment and procedures performed;
  3. document all instances of threatened violence on the Ambulance Call Report; and
  4. for inter-facility transfers, document,
    1. pertinent patient history and care information,
    2. receipt of transfer papers (e.g. case summary, treatment orders, lab work, x-rays, list of personal effects or patient’s personal belongings), and
    3. name(s) of escort, transport team members and list of equipment accompanying the patient, where applicable.


Ministry of Health and Long-Term Care
5700 Yonge Street, 6th Floor
Toronto, ON M2M 4K5