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Vol. 1, Chapter 10

Documentation

QuestionAnswer
What does the acronym SOAP stand for? Subjective, objective, Assessment, Plan
What does CHART stand for? Chief complaint, History, Assessment, Treatment (Rx), Transport
The call incident approach to documentation emphasizes _______ The mechanisms of injury
You should always attempt to finish your report ________ after the call
The proper way to correct your report is to __________ Draw a single line through the error and initial beside it.
If your patient refuses transport and care, simply having him sign your PCR is not sufficient. True
Created by: Doublej986
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