Medical Assistant Incident Report


Save, fill-In The Blanks, Print, Done!

Click on image to zoom / Click button below to see more images
Adobe Acrobat (.pdf)

  • This Document Has Been Certified by a Professional
  • 100% customizable
  • This is a digital download (34.92 kB)
  • Language: English
  • We recommend downloading this file onto your computer.


  
ABT template rating: 7

Malware- and virusfree. Scanned by: Norton safe website

How to write a Medical Assistant Incident Report? Download this Medical Assistant Incident Report template that will perfectly suit your needs.

Our collection of online health templates aims to make life easier for you. Our site is updated every day with new health and healthcare templates. By providing you this health Medical Assistant Incident Report template, we hope you can save precious time, cost and efforts and it will help you to reach the next level of success in your life, studies or work!

/ / Location: Describe events leading up to incident: SYMPTOMS SIGNS PAIN: Site(s): Character: BLEEDING Site(s): Nausea Faint Hot/feverish Anxious Rash/spots Other (specify): (tick, circle or complete all appropriate boxes) Sharp / Cramping / Aching / Throbbing Severity: Pattern: Mild / Moderate / Severe Constant / Variable Severity: Mild / Moderate / Severe Vomiting Pale Cold Confused Diarrhoea Blue Dizzy Aggressive Cough Flushed Weakness Intoxicated Breathless or wheezy Clammy/Sweating Fit/Convulsion (tick appropriate box/boxes): Abrasion Amputation Concussion Cut Fracture Dislocation Bruising Sprain Burn Foreign Body Ear Finger Torso Leg Back Foot/toe Where: INJURY Body Part Head/neck Arm OBSERVATIONS: Eye Hand Pulse: / minute Temperature: Other observations: Blood Pressure: Respiration: mm/Hg / minute cut-off-portion TRANSFER OF CARE TO GROUND MEDICAL SERVICES Name of Casualty: Date and time of onset: Brief Details of Incident: YES / NO YES / NO YES / NO Oxygen given: Was casualty unconscious at any time Defibrillator applied If yes, did condition improve YES / NO If yes, were any shocks given YES / NO MEDICATION ADMINISTERED: Drug: Dose: Time (GMT) Staff ID: Signature: Any other treatment given: Crew Member name (CAPITALS): SAMPLE MEDICAL INCIDENT REPORT (To be completed for all incidents) PATIENT S MEDICAL HISTORY DETAILS YES YES YES YES YES Had this problem before Taking any medication Any allergies Any recent illnesses or operations Currently pregnant CABIN CREW ACTION Oxygen given Medication given (specify) / / / / / NO NO NO NO NO If yes how many months (circle or complete as indicated) YES / NO If yes, did patient s condition improve YES / NO Was own medication or from other passenger used (specify) Defibrillator used YES / NO YES / NO If yes, were any shocks administered Other onboard medical equipment used (specify) Was Cardiopulmonary Resuscitation (CPR) performed YES / NO Use of ground medical control YES / NO Assistance of on-board Dr or Health Pro

This Medical Assistant Incident Report is intuitive, ready-to-use and structured in a smart way. Try it now and let this Medical Assistant Incident Report sample inspire you.

We certainly encourage you to download this Medical Assistant Incident Report now and use it to your advantage!


Also interested in other health and healthcare templates? AllBusinessTemplates is the most elaborate platform for downloading health templates and is updated every day with new health and healthcare related templates! Just search via our search bar or browse through our thousands of free and premium health forms and templates, contract, documents, letters, which are used by professionals in the healthcare industry. For example health care directive, mental health treatment plan, health management report, allergy log, healthy weekly meal plans, sick leave letter, health evaluation form, and much more...


DISCLAIMER
Nothing on this site shall be considered legal advice and no attorney-client relationship is established.


Leave a Reply. If you have any questions or remarks, feel free to post them below.


default user img

Thanksgiving 2020

Related templates


Latest templates


Latest topics


More topics

There is no security on the earth, there is only opportunity. | General Douglas MacArthur