Course Code: REL-ACU-0-EMSDOC
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2026
Learning Objectives:
Identify the minimum standard of documentation needed for the patient care record (PCR).
Apply knowledge of how to create an effective narrative note.
Recall appropriate documentation methods of operational concerns such as patient care refusal and delays in care.
Outline:
Section 1: Patient Care Record
Introduction
Meet Caroline
The PCR
Key Takeaways
Section 2: Narrative Notes
Narrative Notes
Key Takeaways
Section 3: Operational Concerns
Overview of Operational Concerns
Key Takeaways
Section 4: Conclusion
Course Summary
Course Contributors
References
Writer: Sarah Hunter, RN, SCRN, CNRN, CMSRN
Ms. Hunter is a SME writer at Relias. Her area of expertise is neuroscience nursing, medical-surgical nursing, and thoracic surgery. Ms. Hunter has worked at the bedside for 9 years in acute care and intermediate care at a large community hospital in North Carolina. She also served as chair of the hospital's shared governance council for Nursing Quality Improvement. She has a Bachelor of Arts and an Associate Degree in Nursing. Ms. Hunter is a Stroke Certified RN, Certified Neuroscience RN and a Certified Medical-Surgical RN.
Subject Matter Expert: Trisha A. Duerr, MSN-Ed, RN, CEN, CPEN, TCRN, CTRN, NREMT
Mrs. Duerr is a nurse educator and an emergency and critical care transport nurse. She holds certifications in emergency, pediatric emergency, trauma, and transport nursing. Her emergency experience includes prehospital 911 response, critical care transport, charge nurse, preceptor, trauma care coordinator, clinical educator, and department director. Besides her clinical practice, Mrs. Duerr currently holds two adjunct nursing faculty appointments and serves on her local Critical Incident Stress Management team.
Target Audience:
The target audience for this course is: Emergency Medical Personnel; in the following settings: Acute Care Facility.
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All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.