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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.

Contact

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

416-327-7900

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