b. Block 13. Document the appropriate comments by the date and time of
observation. An illustration of block 13 of the Field Medical Card is shown in figure 7-13.
DATE/TIME
13. CLINICAL COMMENTS/DIAGNOSIS
DATE/HEURE
L'INFORMATION MEDICALE/DIAGNOSTIOUES
14. ORDERS/ANTIBIOTICS (Specify)/TETANUS/IV FLUIDS
DIRECTIVES MEDICALES/ANTIBIOTIQUES ((Specifier))/TETANOS/IV FLUIDE
Figure 7-13. Blocks 13 and 14 of the FMC.
c. Block 14. Document the provider's orders by date and time. Record the
dose of tetanus administered and the time it was administered. Record the type and
dose of antibiotic administered and the date (YY/MM/DD) and time (military) it was
administered. An illustration of block 14 of the Field Medical Card is shown in figure
7-13.
d. Block 15. The medical officer or provider at the treatment facility signs and
dates block 15. The date is entered in YY/MM/DD format; the time is entered in military
format. An illustration of block 15 of the Field Medical Card is shown in figure 7-14.
15. PROVIDER / OFFICIER MEDICALE
DATE/DATE (YYMMDD)
Figure 7-14. Block 15 of the FMC.
IS0871
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