Purpose

1. To explain how to complete the Disposition & EMS Narrative section of an ePCR.
   
   

Related Articles

1. Completing an ePCR - 1. Response
2. Completing an ePCR - 2. Information
3. Completing an ePCR - 3. Assessment
   
4. Completing an ePCR - General Assessment
5. Completing an ePCR - 4. Vital Signs
6. Completing an ePCR - 5. Treatments
7. Completing an ePCR - 6. Billing, Outcomes & External Reporting
8. Completing an ePCR - 7. Disposition & EMS Narrative (This Article)
   
9. Completing an ePCR - 8. Signatures

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Background

The First Due ePCR workflow is designed to follow the following a typical EMS incident:

1. Response
   
2. Information
   
3. Assessment
   
4. Vital Signs
   
5. Treatments
   
6. Billing, Outcomes & External Reporting
   
7. Disposition & EMS Narrative
   

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Directions:

1. Within the ePCR, navigate to the Disposition & EMS Narrative Section.
   
   
   
   
   
   
   
   
   

   IMPORTANT: All NEMSIS required fields are notated with an asterisk (*). Depending on your state protocols, additional information could be required.
   
   
   
   
2. The Disposition section of Disposition & EMS Narrative documents patient disposition throughout the incident. This section includes the following:
   
1. Incident Patient Disposition* - Type of disposition treatment and/or transport of the patient by this EMS Unit.
2. How Pt. was Moved to Ambulance - The method by which the patient was moved to the ambulance from the scene.
3. Position During Transport - The position of the patient during transport from the scene.
4. Disposition Instructions - Information provided to patient during disposition for patients not transported or treated.
5. Transported To - The destination the patient was delivered or transferred to.
6. Type of Destination - The type of destination the patient was delivered or transferred to.
7. Reason for Choosing Destination - The reason the unit chose to deliver or transfer the patient to the destination.
8. Transport Mode From Scene - Indication whether the transport was emergent or non-emergent.
9. Additional Transport Mode Descriptor - The documentation of transport mode techniques for this EMS response.
10. How Pt. was Moved from Ambulance - The method by which the patient was moved from the ambulance to the destination.
11. Hospital In-Patient Destination - The location within the hospital that the patient was taken directly by EMS (e.g., Cath Lab, ICU, etc.).
12. Final Patient Acuity - The acuity of the patient's condition after EMS care.
13. Hospital Capability - The primary hospital capability associated with the patient's condition for this transport (e.g., Trauma, STEMI, Peds, etc.).
    
    
    
    
    
    
    
3. Within Disposition, a Hospital Team Activation can also be notated. Select the  to capture this information. When finished, select the  button. This section includes the following:
   
1. Destination Team Pre-Arrival Alert or Activation* - Indication that an alert (or activation) was called by EMS to the appropriate destination healthcare facility team. The alert (or activation) should occur prior to the EMS Unit arrival at the destination with the patient.
2. Pre-Arrival Alert Date* - The Date/Time EMS alerted, notified, or activated the destination healthcare facility prior to EMS arrival. The EMS assessment identified the patient as acutely ill or injured based on exam and possibly specified alert criteria.
   
   
   
   
   
   
   
   
   
   
4. The Narrative section of Disposition & EMS Narrative allows the user to complete a narrative for the ePCR. 
   
   
   
5. At this point, the ePCR should be ready for submission. Select the  button. The system will check for any errors. Any incomplete required sections will be highlighted. Correct all highlighted sections and submit the ePCR.