Patient Refusals in Emergency Medical Services
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Questions and Answers

What must the EMT ensure is completed and signed by the patient when they refuse care?

  • The STJFD patient refusal form (correct)
  • The incident report form
  • The patient's medical history form
  • The patient feedback form
  • In the ImageTrend NEMSIS 3.5 system, what patient disposition should be selected by the ePCR report writer when a patient refuses care?

  • Accepted
  • Transported
  • Refusal (correct)
  • Pending
  • Where should the signed refusal form be uploaded after it is completed?

  • Into the ePCR in .pdf format (correct)
  • Into the STJFD central database
  • Into the ePCR in .doc format
  • Into the patient's medical record
  • What should be done if the report writer is unable to scan and upload the refusal form into the ePCR?

    <p>Deliver the form to the Chief Medical Officer within 48 hours</p> Signup and view all the answers

    Who is responsible for scanning and uploading the signed refusal form if the report writer cannot?

    <p>The Chief Medical Officer</p> Signup and view all the answers

    What additional information must the ePCR report writer document about the patient’s refusal?

    <p>The patient's orientation and education of refusal</p> Signup and view all the answers

    Study Notes

    Patient Refusals

    • STJFD responds to various medical incidents, from low acuity to cardiac arrest.
    • When a patient refuses care or transport, STJFD personnel must follow specific procedures.

    Procedures for Patient Refusals

    • The EMT must complete and obtain the patient's signature on the STJFD patient refusal form.
    • In the ImageTrend NEMSIS 3.5 system, the person completing the ePCR must select "refusal" as the patient disposition.
    • The ePCR report writer must document the patient's orientation and education of refusal in the designated tab.
    • The signed refusal form must be uploaded into the ePCR in .pdf format.

    Alternative Process for Refusal Form

    • If the report writer cannot scan and upload the refusal form, the original signed form must be placed in a sealed envelope addressed to the Chief Medical Officer.
    • The envelope must be delivered to headquarters within 48 hours of the incident.
    • The Chief Medical Officer will scan and upload the signed refusal form and attach it to the ePCR.

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    Description

    This quiz covers the Standard Operating Guideline for patient refusals in emergency medical services, including the procedures for EMTs to follow when a patient refuses care or transport.

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