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Just a question.... I recently read an article online that was written by a Parameic. The article was about pre-hospital care reports and the format that this particular medic uses. They made the comment that on your report, you need to be as brief but accurate as possible. I find it very hard to be brief on my care reports, because when I write my reports, I try to be as detail oriented as possible. I think that paints more of a picture of what is really going on, versus just putting the information that I think is important at the time. If during my exam of a trauma patient I only find injury to the left arm, I will note that injury, but I will also note that all other extremities are without injury. This leaves no question as to whether or not a thorough assessment of the patient was performed. This is just an example, of course, but you get the picture. To be brief, in my opinion, leaves too much to be determined by the reader. Any opinions?
