Podcast
Questions and Answers
What is the purpose of the refusal of care procedure?
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?
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?
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?
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?
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?
In what situations should the refusal of care procedure be utilized?
What should be done if the patient refuses the complete physical assessment?
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?
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 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?
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?
When should patients be left in the care of family, friends, or responsible parties?
What should be carefully documented after a patient refuses treatment?
What should be carefully documented after a patient refuses treatment?
Under what conditions can a person refuse medical care and/or transport?
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?
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?
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?
Under what circumstances should contact with Medical Direction be considered for consultation?
What is the purpose of the refusal of care procedure?
What is the purpose of the refusal of care procedure?
If there is no authorized adult present, what should be done?
If there is no authorized adult present, what should be done?
What is implied consent in the context of medical care?
What is implied consent in the context of medical care?
Under what circumstances should high risk refusals be referred to Medical Direction?
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 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 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?
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?
Under what conditions should contact with Medical Direction be considered for consultation?
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
- Implied consent exists when a patient cannot give informed consent due to a life-threatening condition or altered mental status.
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Description
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.
