Explain the components and legal considerations of EMS documentation.

Explanation should include

• the principles of medical documentation and report writing
• the information included on a written or electronic report, including standard methods of recording patient information
• cybersecurity and privacy (e.g., Health Insurance Portability and Accountability Act of 1996 [HIPAA]) considerations.

Process/Skill Questions:

• How does an EMT use documentation to paint a picture for medical control?
• What information should be included in the narrative section of patient documentation?
• What are the legal considerations of a patient-care report that is used as a court document?