Two days after a call, you realize that you forgot to document that you checked a patient's blood glucose prior to him refusing transport and signing the refusal form. At that time, you did contact medical direction and provide this information to the doctor, prior to him authorizing the patient to refuse. Which one of the following is now your best course of action?

Question

Quizplus · Accepted Answer

Adding an addendum to the report with the correct information, the current date, and the EMT's initials is the best course of action. This will provide accurate documentation and ensure that all information is recorded. Option A is not necessary as the patient was already provided with a refusal form, and returning to have him resign it would only cause unnecessary inconvenience. Option C is not appropriate as reporting every error to the State Department of Emergency Medical Services can be unnecessary and overwhelming. Option D is incorrect as all medical procedures and interventions, including documentation, must be appropriately recorded regardless of transport status.

Two Days After a Call, You Realize That You Forgot