Roaring Fork Fire Rescue Authority EMS QM Program Case Review

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Roaring Fork Fire Rescue Authority EMS QM Program Case Review

Rating (required)

Exceptional Care

Insufficient Documentation

No Adverse Outcome

Major Adverse Outcome

Appropriate Care

Poor Communication

Minor Adverse Outcome

Systems Issue Identified

Incident Number (required)

Indication for Review (required)

Death

Non-compliance with guidline /protocol

Charting deficiency

Full Trauma Activation Criteria Met

Trauma Under-Activation

All EKG Trasmissions

Stroke Symptoms

All Waivered ACT

Hospital or Agency Request for Review

Provider or Authority Request

Patient DOB (required)

Station Number (required)

Crew Involved (required)

Date of Incident (required)

Call Request Dx (required)

Emergent

Non-Emergent

Transport Dx (required)

Emergent

Non-Emergent

Dispatched (required)

Arrived (required)

Transport (required)

Arrival (required)

Destination (required)

AVH

VVH

Refusal

Scene Address (required)

City (required)

State (required)

Zip Code (required)

Patient chief complaint and history documented appropriately? (required)

Yes

No

Details

Patient Assessment and impressions documented appropriately? (required)

Yes

No

Details

Cardiac arrest documented appropriately? (required)

Yes

No

Details

Vital signs documented and ECG uploaded appropriately? (required)

Yes

No

Details

Interventions prioritized appropriately and administered per protocol? (required)

Yes

No

Details

Trauma level identifited appropriately (required)

Yes

No

N/A

Details

Narrative includes adequte information? (required)

Yes

No

Details

Provider Issue

System Issue

Loop Closure (required)

Officer Reviewing ePCR First and Last Name (required)

Email (required)

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

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1089 J W Dr, Carbondale CO 81623

Telephone (970) 340-7040

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Website Accessibility Statement

Roaring Fork Fire Rescue (the "District") is committed to ensuring that its services are accessible to all members of the public. As part of this commitment, the District strives to provide an accessible website compatible with the Web Content Accessibility Guidelines (WCAG) version 2.1, AA, and commercial screen reading software. Features of the website are created to allow individuals with vision and other impairments to understand and use the website to the same degree as someone without disabilities.