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Document DOJ-OGR-00027343

AI Analysis

Summary: The document is a review form assessing the medical care provided during an emergency, including the presence of a DNR order and Advance Directive/Living Will. It evaluates the timeliness and appropriateness of the response by various medical personnel. The summary section has been redacted.
Significance: This document appears to be a review of medical emergency care provided to a patient, potentially in relation to a death investigation or quality control review.
Key Topics: Emergency Medical Care Review DNR (Do Not Resuscitate) Order Advance Directive/Living Will
Key People:
  • Not specified - Medical personnel involved in emergency response (Physician, Physician Assistant, Nurse Practitioner, Nurse(s), Emergency Medical Techs)

Full Text

DNR order ___Yes Date ___No ___Yes Date ___No Advance Directive / Living Will REVIEW OF EMERGENCY MEDICAL CARE: Was death related to a medical emergency ___Yes ___No Response to medical emergency notification timely ___Yes ___No ___NA Physician ___Yes ___No ___NA Physician Assistant ___Yes ___No ___NA Nurse Practitioner ___Yes ___No ___NA Nurse(s) ___Yes ___No ___NA Emergency Medical Techs ___Yes ___No ___NA Others ___Yes CPR ___Yes ___No ___NA ACLS List protocol (s) used (if appropriate) By EMS. ___Yes ___No ___NA Problems encountered during medical emergency, e.g., equipment, communications, transportation. Describe briefly: ___Yes ___No ___NA Providers responding maintain current certification / credentials in BCLS, ACLS (if required) ___Yes ___No ___NA SUMMARY REVIEW: [redacted] [redacted] PDF Prescribed by P6013 DOJ-OGR-00027343