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Author Topic: Physician Certification Form  (Read 76 times)

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Physician Certification Form
« on: December 18, 2011, 02:42:58 pm »
The attached form is a copy of version 4 of the form A Code Status Attached checkbox was added to indicate that DNR paperwork was attached. An Other box and ALS/BLS check boxes have been added. The rules for using the form and previous versions of the form follow:
  • All fields must be filled out by the originating institution except for the EMS ID # which will be the Incident Number.
  • RN Signature is not needed if the physician prints their name and signs the form.
  • It is your responsibility to have the originating institution fill out all fields. Do not fill out any fields except for EMS ID #.
« Last Edit: December 19, 2011, 02:08:08 pm by Renaud, Ray »
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Re: Physician Certification Form
« Reply #1 on: December 18, 2011, 08:08:43 pm »
I was not aware of these "new rules" when the "errors" occured.  Maybe you should make us aware BEFORE you consider these errors.  This was definately not a policy before today.
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