EMS

Documentation and handoff

CCMS-MED-SOP-001 §18

Write it down while it is still true. Twenty seconds for EMS. Then stop talking and answer questions.

1. 1

   Name, age, time of onset / last known well / time of fall.

2. 2

   Chief problem in one line. Vitals and glucose with times.

3. 3

   What you gave, how much, what time. Tourniquet time if used.

4. 4

   Witness names for a seizure or collapse. Parent notification time.

5. 5

   EMS unit and the name of the person who took your report.

• Handoff script: age and sex. Problem. Last known well or mechanism. Most recent mental status and vitals. Glucose. What you did (CPR minutes, shocks, ASA, tourniquet time, airway). Allergies.
• After the ambulance leaves: biohazard cleanup, restock the same day, notify pastoral staff for family support, incident report to the medical director within 24 hours. If a child was involved, follow the church child-protection reporting path in parallel.

This field guide does not replace 911, a medical director, or licensed clinical judgment. It does not authorize anyone to practice beyond license and current training.