DCHEATR Method of patient reporting.

I developed this method of writing patient reporting years ago after I was tired of SOAPing and all the other mnemonic methods that didn't seem to have a good logical order to me. Feel free to use this as you see fit, change it, pass it on, help out our fellow providers. I also use this broad outline when giving verbal reports over the phone.

• D: Demographics
• Age, Gender
• C: Chief Complaint
• What are they complaining of?  Not to be confused with what do you think is wrong with them.
• H: Patient History
• Pertinent past medical history, surgeries, medications, allergies
• E: Events leading up to the 911 call
• What happened just before they called for help that contributed to the emergency
• A: Assessment
• Your physical assessment findings
• B/P, Pulse, Respirations, O2 SAT, Blood Glucose, EKG, 12-Lead, Lactate, and whatever other numbers are pertinent to the patients emergency.
• T: Treatment
• What did you do for the patient?
• R: Response to treatment
• How did the patient respond to your treatment plan?