TEXAS RESCUE MED | CLINICAL EDUCATION
Patient Care Report (PCR)
Document your required clinical and field patient encounters using the Texas Rescue Med student reporting form below.
Before You Begin
One report per encounter: Complete a student PCR for each patient encounter requiring documentation under your assigned course and clinical instructions.
Accurate documentation: Record your assessment, relevant findings, interventions, and patient responses as applicable, using objective clinical language.
Review before submission: Check for accuracy, completeness, and confidentiality. Follow your instructor’s or preceptor’s documentation requirements.
OFFICIAL STUDENT CLINICAL REPORTING FORM
Submit Your Patient Care Report
Complete the form directly below. Additional fields may appear based on your responses. Do not include any patient-identifying information.
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Open the PCR form in a separate tab.
After Submitting Your PCR
Your submitted report may be reviewed by Texas Rescue Med faculty or authorized clinical education personnel to evaluate documented patient contacts, assessments, procedures, skills, clinical experiences, and program progression.
Submitting a PCR does not automatically verify a patient contact, skill, procedure, or competency. Documentation must meet the applicable program requirements and may require preceptor or instructor validation.
If you identify an error after submission, contact Texas Rescue Med for correction instructions. Do not submit a duplicate report unless directed to do so.
DOCUMENTATION STANDARDS
Writing a Complete, Accurate PCR
Effective clinical documentation should be complete enough to support educational review while remaining objective and appropriately de-identified.
01. Patient Assessment
Document the relevant presenting complaint, assessment findings, pertinent positives and negatives, and vital signs when required and appropriate to the encounter.
02. Treatment & Interventions
Record care and interventions actually performed or observed, as applicable. Do not claim to have performed a procedure or skill that you only witnessed.
03. Reassessment & Patient Response
Include relevant reassessments, changes in condition, and patient responses to interventions when available. Do not invent findings or responses that were not observed.
04. Objective Clinical Narrative
Use clear, accurate, professional language. Avoid unsupported conclusions, speculation, subjective characterizations, unnecessary identifiers, and information unrelated to the educational purpose of the report.
05. Accuracy & Confidentiality
Review every field before submission. Confirm the report reflects the actual encounter and contains no patient-identifying information or unauthorized confidential material.
RELATED CLINICAL DOCUMENTATION
Additional Clinical Forms
Use the appropriate evaluation or clinical education resource when required for your clinical or field experience.