30 Questions
Who can refuse medical care and/or transport based on the given guidelines?
A competent adult
Which of the following individuals may be considered incompetent to refuse medical care and/or transportation?
A person with a medical condition preventing informed decision-making
Who is included in the definition of an 'adult' as per the given policy?
A competent emancipated minor
What should individuals be assessed for in the context of refusal of care?
Competency to make decisions affecting their medical care
Under what circumstances should the refusal of care procedure be utilized?
When a competent adult refuses evaluation, treatment, and/or transportation
What is the purpose of the refusal of care procedure?
To ensure proper evaluation, treatment, and transportation for all individuals
Who may be considered as a legal representative for the patient, according to the given policy?
A parent or guardian
What is the age criterion for being considered an adult as per the given policy?
Eighteen (18) years of age or older
What does the Refusal of Care & Transport policy emphasize regarding patient refusals?
The importance of documenting patient refusals and obtaining their signature on the refusal form
According to the guidelines, what should be consulted for further guidance on the transport destination?
The supervising officer
What is considered if there are concerns about the patient's safety or the safety of others, according to the policy?
Involvement of law enforcement
What does the policy provide guidance on in the context of patient refusal?
Assessing the patient's decision-making capacity and mental status
What is prohibited under the guidelines?
Refusal of medical care and transportation
What does the Refusal of Care & Transport policy emphasize regarding communication in complex cases?
The importance of communicating with medical control for guidance
What is considered if the patient refuses transport to the closest appropriate facility and insists on being taken to a different facility?
Refusing transport
What is outlined in the guidelines regarding refusal of care?
Specific situations where refusal of care is not allowed
What is the aim of the guidelines regarding refusal of care?
To ensure individuals receive necessary medical care
What does the policy emphasize regarding documenting interactions and decisions?
The importance of documenting all interactions and decisions related to refusal of care and transport
When may treatment and transportation proceed under 'implied consent' or as an incapacitated person?
When the patient is deemed incompetent
Under what circumstances should consultation with the physician at the destination facility or the agency’s Medical Director be considered?
When there are questions about the patient's competency or refusal of care
Under what conditions may diabetic patients sign a Patient Refusal Form?
When they have acceptable blood glucose levels
When is it permissible for persons in custody to refuse treatment by EMS?
Only if it is life-threatening
Under what circumstances should Medical Direction be contacted for guidance?
When there are questions about a patient's competency or refusal of care
What is the protocol regarding more than one refusal on a single EMS Run Report?
It is not allowed, except for cases where all parties deny injury
What measures should be taken to convince the patient to consent to care?
Enlisting the help of family or friends
What should be done if there is doubt about the refusal of care or transport of a minor?
Contact Medical Direction immediately
Under what circumstances may a patient be transported based on implied consent?
When the patient is deemed incompetent
What is the protocol for refusal of care and transport in high-risk circumstances?
Consultation with the physician at the destination facility or the agency’s Medical Director should be considered
What detailed procedures should be followed in the context of determining a patient's ability to refuse care or transport?
Physical assessment and documentation
Under what circumstances may a patient sign a Patient Refusal Form?
When the patient meets specific conditions including lucidity and acceptable blood glucose levels
Study Notes
Refusal of Care and Transport Protocol
- Medical Direction should be consulted if a patient refuses transportation and it poses a significant risk to the patient or the EMS system/agency.
- In cases of incompetence, treatment and transportation may proceed under "implied consent" or as an incapacitated person.
- If a patient is transported based on implied consent, reasonable measures should be taken to ensure safe transport to the closest appropriate facility.
- Consultation with the physician at the destination facility or the agency’s Medical Director should be considered in high-risk circumstances.
- High-risk circumstances include patients under 18, refusal of care posing significant risk, patients not their own legal guardian, refusal after IV medication, and custody cases.
- Persons in custody can refuse treatment by EMS unless it is life-threatening, but they will be transported to a medical facility under proper supervision.
- If there are questions about a patient's competency or refusal of care, contact Medical Direction for guidance.
- Diabetic patients may sign a Patient Refusal Form under specific conditions, including lucidity, acceptable blood glucose levels, and meeting refusal criteria.
- If there is doubt about the refusal of care or transport of a minor, contact Medical Direction immediately.
- The protocol does not allow more than one refusal on a single EMS Run Report, except for cases where all parties deny injury.
- All measures should be taken to convince the patient to consent, including enlisting the help of family or friends.
- Detailed procedures for determining a patient's ability to refuse care or transport, including documentation and physical assessment, should be followed.
Test your knowledge of the refusal of care and transport protocol in emergency medical services with this quiz. Covering topics such as implied consent, high-risk circumstances, refusal of care for minors, and procedures for determining patient competency, this quiz will challenge your understanding of the protocols and guidelines.
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