You have been called to the house of a patient with altered mental status. You encounter a 41-year-old male who exhibits slurred speech, an unsteady gait, and an odor resembling that of alcohol on his breath. His wife states that he is an alcoholic and needs help to get better. When documenting this information, which statement would be best?

Emergency Medical Services (EMS) documentation is important for patient care and legal matters. Documentation can include the patient's demographics, vital signs, assessment, and interventions performed. The documentation serves as a data repository that can be used to create bills, facilitate communication, and guide quality initiatives.