- 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?
Thursday, March 8, 2012
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.