Podcast
Questions and Answers
Who can refuse medical care and/or transport based on the given guidelines?
Who can refuse medical care and/or transport based on the given guidelines?
- A competent adult (correct)
- A legal representative for the patient
- A minor in the military
- A self-sufficient minor
Which of the following individuals may be considered incompetent to refuse medical care and/or transportation?
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 (correct)
- A minor in the military
- A legal representative for the patient
- A married minor
Who is included in the definition of an 'adult' as per the given policy?
Who is included in the definition of an 'adult' as per the given policy?
- A married minor
- A self-sufficient minor
- A minor in the military
- A competent emancipated minor (correct)
What should individuals be assessed for in the context of refusal of care?
What should individuals be assessed for in the context of refusal of care?
Under what circumstances should the refusal of care procedure be utilized?
Under what circumstances should the refusal of care procedure be utilized?
What is the purpose of the refusal of care procedure?
What is the purpose of the refusal of care procedure?
Who may be considered as a legal representative for the patient, according to the given policy?
Who may be considered as a legal representative for the patient, according to the given policy?
What is the age criterion for being considered an adult as per the given policy?
What is the age criterion for being considered an adult as per the given policy?
What does the Refusal of Care & Transport policy emphasize regarding patient refusals?
What does the Refusal of Care & Transport policy emphasize regarding patient refusals?
According to the guidelines, what should be consulted for further guidance on the transport destination?
According to the guidelines, what should be consulted for further guidance on the transport destination?
What is considered if there are concerns about the patient's safety or the safety of others, according to the policy?
What is considered if there are concerns about the patient's safety or the safety of others, according to the policy?
What does the policy provide guidance on in the context of patient refusal?
What does the policy provide guidance on in the context of patient refusal?
What is prohibited under the guidelines?
What is prohibited under the guidelines?
What does the Refusal of Care & Transport policy emphasize regarding communication in complex cases?
What does the Refusal of Care & Transport policy emphasize regarding communication in complex cases?
What is considered if the patient refuses transport to the closest appropriate facility and insists on being taken to a different facility?
What is considered if the patient refuses transport to the closest appropriate facility and insists on being taken to a different facility?
What is outlined in the guidelines regarding refusal of care?
What is outlined in the guidelines regarding refusal of care?
What is the aim of the guidelines regarding refusal of care?
What is the aim of the guidelines regarding refusal of care?
What does the policy emphasize regarding documenting interactions and decisions?
What does the policy emphasize regarding documenting interactions and decisions?
When may treatment and transportation proceed under 'implied consent' or as an incapacitated person?
When may treatment and transportation proceed under 'implied consent' or as an incapacitated person?
Under what circumstances should consultation with the physician at the destination facility or the agency’s Medical Director be considered?
Under what circumstances should consultation with the physician at the destination facility or the agency’s Medical Director be considered?
Under what conditions may diabetic patients sign a Patient Refusal Form?
Under what conditions may diabetic patients sign a Patient Refusal Form?
When is it permissible for persons in custody to refuse treatment by EMS?
When is it permissible for persons in custody to refuse treatment by EMS?
Under what circumstances should Medical Direction be contacted for guidance?
Under what circumstances should Medical Direction be contacted for guidance?
What is the protocol regarding more than one refusal on a single EMS Run Report?
What is the protocol regarding more than one refusal on a single EMS Run Report?
What measures should be taken to convince the patient to consent to care?
What measures should be taken to convince the patient to consent to care?
What should be done if there is doubt about the refusal of care or transport of a minor?
What should be done if there is doubt about the refusal of care or transport of a minor?
Under what circumstances may a patient be transported based on implied consent?
Under what circumstances may a patient be transported based on implied consent?
What is the protocol for refusal of care and transport in high-risk circumstances?
What is the protocol for refusal of care and transport in high-risk circumstances?
What detailed procedures should be followed in the context of determining a patient's ability to refuse care or transport?
What detailed procedures should be followed in the context of determining a patient's ability to refuse care or transport?
Under what circumstances may a patient sign a Patient Refusal Form?
Under what circumstances may a patient sign a Patient Refusal Form?
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.
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Description
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.
