Preliminary Patient Care Record
(PPCR)
Foothills RETAC
PPCR
Where is the Trip Report?
It's an age-old problem.....

This issue has probably been talked about since
the first ambulances dropped off the first patients
within EMS. The "Trip Reports", now called
"PCRs", go missing.....

The Foothills RETAC is charged with trying to
make our EMTS systems better in many ways.
In an effort to address one of these issues, we
started a project about two years ago to identify
the issues related to the subject of missing PCRs.

We realized very quickly that there a multitude of
reasons why a PCR may not be with the patient
or chart. The agency may be changing over to
electronic charting, or the agency may get called
to another run before the PCR is complete. Maybe
the report got "lost" in limbo somewhere in the ED
or other areas of the facility. These are just a few
of the reasons.
The PPCR was developed:

The FRETAC Clinical Care Committee met with our Medical
Advisors to address the issue and get their opinions on this
important subject. Many options for improving the situation
were discussed. Everyone agreed that the PCR and the
information it contains is essential for good patient care. So
what could we do about it?

The Clinical Care Committee is comprised of many disciplines
within the EMTS community. There were private EMS
agencies, Fire EMS agencies, county EMS, and all sizes of
Health Care Facilities present for these discussions. Through a
long process of research, development, and networking within
the RETAC, a consensus was reached and the
PPCR was
produced in its final form.

The PPCR is a document that is intended for use by EMS
agencies when they
cannot leave the full PCR when a patient is
left at the facility. This does not always take care of the issue
of the missing PCR, but will give the physicians, nurses, and
staff at the receiving facility the basic information they need for
good patient care.

The
PPCR was intended to take less that 3 minutes of the
EMT's time to fill out. It has basic information that the EMT will
need for the full PCR, and can many times be filled out while
still transporting the patient. Some of our agencies that use
electronic charting say it has actually made their life easier
since they use the form en route as a cheat sheet.

You can download the form by clicking on the word
PPCR
anywhere on this page. That will give you an electronic copy.
All of the FRETAC facilities have tablets of the forms in the
EDs also. More tablets of 50 each are available through the
RETAC Coordinator if you would like those.

Please take a close look at the form, but also download the
Guidelines for Use on this page. It explains in more detail how
and when to use the form.

The RETAC will reevaluate the form in about 6 months. Please
send us any comments you have regarding their use. Tell us
what you liked or what didn't work for you.

For any questions regarding the form or its use, please contact
the
RETAC Coordinator.
PPCR
Form

Guidelines
for Use