Create a Prioritized Care Plan

Screenshot 2015-03-16 18.14.46

This concept has completely changed and revolutionized the way I think about medicine and treating casualties.  Before this my thoughts were rather chaotic, attempting to “put out fires,”  handling emergencies as they occurred.  This is an unorganized and stressful way to handle a crisis.  A care plan for your critically ill or injured patient will be one of the most important things you can possibly do in order to keep your sanity and share your plan with your team.  It will allow you to systematically organize your thoughts by reviewing your patient’s injuries and interventions you find during your detailed head-to-toe exam once in a fixed facility such as a team house or aid station.  I’ve talked about this before in the course of the documentation lecture, but I feel that it is important enough to reiterate it here with it’s own post.

Don’t disregard the TCCC casualty card, especially if you weren’t the one who recorded it in the field.  Be sure to investigate each injury annotated on the card and each intervention such as tourniquets or needle Ds that will require further attention. Once this is done and the head to toe exam completed, move on to a more detailed flowsheet such as those offered below.

Screenshot 2015-03-16 18.10.15


Use a systematic approach such as going head to toe and record each and every injury and intervention.

Screenshot 2015-03-16 18.14.35

At this point you can now start writing down the most important treatments for each of the injuries, being sure to highlight things that must get done in a certain amount of time such as reducing a tourniquet to a pressure dressing.

Screenshot 2015-03-16 18.14.46


On the last page of the 6-page flowsheet is another section that allows you to further prioritize your planned treatments in order into a checklist.

Screenshot 2015-03-16 18.14.50

This is done the same as before but can also serve as a second iteration once the primary interventions have been completed.

Screenshot 2015-03-16 18.14.52

Unlike before, this sheet allows you to reorganize your treatments by order of importance.  Once all of your planned treatments are transferred over to the checklist by priority, you simply start working your way down the list unless another emergency arises.  Multiple copies of this sheet can be printed out allowing you to update your team with your evolving priorities every few hours or as you see fit.

Screenshot 2015-03-16 18.15.10


Download this presentation as a slide show below in order to help explain the concept to your team in training:

Create a Care Plan Slide Show


The comprehensive 6-page flowsheet below can be printed out in it’s entirety and laminated together as we intended,with the additional option of making multiple copies of individual pages to augment the laminated version.

“Justin’s” 6 Page PFC FLowchart

How to use the 6 Page PFC FLowchart with Explanations


The single page PFC casualty card allows for the first iteration of a care plan on the front side while allowing trending of vital signs on the back side:

PFC Casualty Card version 15

How to use the PFC Casualty Card v15 With Care Plan Priorities Page

4 thoughts on “Create a Prioritized Care Plan

Post a comment and add to the discussion

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s