Refusal of Care Policy Quiz

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Questions and Answers

What is the purpose of the refusal of care procedure?

To restrict evaluation and treatment for certain individuals

To avoid dealing with patients who refuse care

To ensure all individuals receive proper evaluation, treatment, and transportation to the appropriate medical facility (correct)

To limit transportation options for potential patients

Under what conditions can a person refuse medical care and/or transport?

If they are competent and understand the risks and lack of potential benefits of their actions (correct)

If they have a legal representative present

If they are under the age of 18

If they are not willing to cooperate with pre-hospital personnel

Who is considered a competent adult patient?

Any self-sufficient minor

Any married individual

Any individual able to understand the risks and lack of potential benefits of refusing medical care and/or transport (correct)

Anyone over the age of 21

What should pre-hospital personnel assess before a person's refusal of care is accepted?

Their competency to make decisions affecting their medical care Signup and view all the answers

Who can serve as a legal representative for the patient in the context of refusal of care?

Their parent, guardian, or health care surrogate Signup and view all the answers

In what situations should the refusal of care procedure be utilized?

When patients refuse evaluation, treatment, and/or transportation by pre-hospital personnel Signup and view all the answers

What should be done if the patient refuses the complete physical assessment?

Inform the patient about the risks and benefits of refusing treatment Signup and view all the answers

When can the patient or responsible party sign a 'Refusal of Care' form?

After informing the patient of the risks of refusal Signup and view all the answers

What should be done if the patient or responsible party refuses to sign the 'Refusal of Care' form?

Document this refusal on the EMS Run Report Signup and view all the answers

What should be provided to the patient after signing a 'Refusal of Care' form?

Informing them that EMS should be requested again if necessary or desired Signup and view all the answers

When should patients be left in the care of family, friends, or responsible parties?

When possible Signup and view all the answers

What should be carefully documented after a patient refuses treatment?

The assessment and vital signs, including all issues and circumstances indicated Signup and view all the answers

Under what conditions can a person refuse medical care and/or transport?

When the patient has verbalized a suicide threat Signup and view all the answers

Who can serve as a legal representative for the patient in the context of refusal of care?

Any adult present at the scene Signup and view all the answers

What should pre-hospital personnel assess before a person's refusal of care is accepted?

The patient's level of consciousness Signup and view all the answers

Under what circumstances should contact with Medical Direction be considered for consultation?

When a minor is involved in a refusal of care situation Signup and view all the answers

What is the purpose of the refusal of care procedure?

To convince the patient to consent to treatment Signup and view all the answers

If there is no authorized adult present, what should be done?

The minor must be transported to the appropriate hospital Signup and view all the answers

What is implied consent in the context of medical care?

'Implied consent' refers to treating and transporting an incompetent person Signup and view all the answers

Under what circumstances should high risk refusals be referred to Medical Direction?

When a diabetic patient refuses further treatment after blood glucose levels have returned to acceptable levels Signup and view all the answers

What should be documented in the electronic patient care report (ePCR) for minors refusing care or transport?

'Patient Refusal Form' details and interactions Signup and view all the answers

What should be done if a person under 18 years of age refuses transport?

They must be transported to the closest appropriate facility Signup and view all the answers

What should pre-hospital personnel do when a person's refusal of care represents a significant risk?

Consult with Medical Direction immediately Signup and view all the answers

Under what conditions should contact with Medical Direction be considered for consultation?

When a minor is involved in a refusal of care situation Signup and view all the answers

Study Notes

Refusal of Care Procedure

Purpose: to ensure that patients or their legal representatives understand the risks and consequences of refusing medical care and/or transport.

Conditions for Refusing Medical Care and/or Transport

A person can refuse medical care and/or transport if they are a competent adult (18 years or older) with decision-making capacity.
Refusal can be made by the patient or their legal representative (such as a family member, friend, or authorized healthcare proxy).

Assessment Before Accepting Refusal

Pre-hospital personnel must assess the patient's decision-making capacity, understanding of the risks and consequences, and the presence of any coercion or undue influence.

Legal Representative

A legal representative can be a family member, friend, or authorized healthcare proxy who can make decisions on behalf of the patient.

Situations for Refusal of Care Procedure

When a patient refuses medical care and/or transport.
When a patient or responsible party refuses to sign the 'Refusal of Care' form.

Refusal of Complete Physical Assessment

If the patient refuses a complete physical assessment, pre-hospital personnel should try to gather as much information as possible and document the refusal.

Signing a 'Refusal of Care' Form

The patient or responsible party can sign the form if they understand the risks and consequences of refusal.
The form should be signed in the presence of pre-hospital personnel.

Refusal to Sign the 'Refusal of Care' Form

If the patient or responsible party refuses to sign the form, pre-hospital personnel should continue to provide care and transport as necessary.

After Signing the 'Refusal of Care' Form

The patient should be provided with written information about the risks and consequences of refusal.

Leaving Patients in Care of Others

Patients can be left in the care of family, friends, or responsible parties if they are deemed competent and able to make decisions.

Documenting Refusal of Care

Pre-hospital personnel should carefully document the patient's refusal of care, including the assessment, the risks and consequences, and any consultations with Medical Direction.

Contacting Medical Direction

Contact with Medical Direction should be considered for consultation in high-risk refusal situations or when in doubt about the patient's decision-making capacity.

Minors Refusing Care or Transport

If a person under 18 years of age refuses transport, pre-hospital personnel should try to gather as much information as possible and document the refusal.
Minors refusing care or transport should be referred to Medical Direction for consultation.

Implied consent exists when a patient cannot give informed consent due to a life-threatening condition or altered mental status.

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Test your knowledge about the refusal of care procedure for patients who refuse evaluation, treatment, and/or transportation to medical facilities. Learn about the proper protocol for handling such situations.

Refusal of Care Policy Quiz

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Podcast

Questions and Answers

What is the purpose of the refusal of care procedure?

Under what conditions can a person refuse medical care and/or transport?

Who is considered a competent adult patient?

What should pre-hospital personnel assess before a person's refusal of care is accepted?

Who can serve as a legal representative for the patient in the context of refusal of care?

In what situations should the refusal of care procedure be utilized?

What should be done if the patient refuses the complete physical assessment?

When can the patient or responsible party sign a 'Refusal of Care' form?

What should be done if the patient or responsible party refuses to sign the 'Refusal of Care' form?

What should be provided to the patient after signing a 'Refusal of Care' form?

When should patients be left in the care of family, friends, or responsible parties?

What should be carefully documented after a patient refuses treatment?

Under what conditions can a person refuse medical care and/or transport?

Who can serve as a legal representative for the patient in the context of refusal of care?

What should pre-hospital personnel assess before a person's refusal of care is accepted?

Under what circumstances should contact with Medical Direction be considered for consultation?

What is the purpose of the refusal of care procedure?

If there is no authorized adult present, what should be done?

What is implied consent in the context of medical care?

Under what circumstances should high risk refusals be referred to Medical Direction?

What should be documented in the electronic patient care report (ePCR) for minors refusing care or transport?

What should be done if a person under 18 years of age refuses transport?

What should pre-hospital personnel do when a person's refusal of care represents a significant risk?

Under what conditions should contact with Medical Direction be considered for consultation?

Study Notes

Refusal of Care Procedure

Conditions for Refusing Medical Care and/or Transport

Assessment Before Accepting Refusal

Legal Representative

Situations for Refusal of Care Procedure

Refusal of Complete Physical Assessment

Signing a 'Refusal of Care' Form

Refusal to Sign the 'Refusal of Care' Form

After Signing the 'Refusal of Care' Form

Leaving Patients in Care of Others

Documenting Refusal of Care

Contacting Medical Direction

Minors Refusing Care or Transport

Implied Consent

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Description

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