8 Questions
When should patients presenting with illness or injury be approached?
With intent to transport
Who can sign an informed refusal for a minor?
Only a parent or legal guardian
Who can consent or refuse evaluation/treatment if they are under 18 years old?
Anyone with legal competency and mental capacity
When is adult consent required for a pregnant minor?
Unless the minor fits within specific exceptions
When is consent for treatment not required in potentially life-threatening emergency situations?
When the patient is unconscious
Who does substituted consent apply to?
Minors, incapacitated patients, incarcerated patients, and those deemed legally incompetent
When must a patient assessment and medical run report be generated?
For all patients, including those on public assist calls
What must patients do if they refuse care or treatment?
Sign the PCR acknowledging their understanding of the decision
Study Notes
Lake EMS System Protocol for Refusal of Treatment and Transport
- Patients presenting with illness or injury should be approached with intent to transport.
- A patient is any person with a complaint, request, or evidence of illness or injury.
- Informed refusal can be signed by a minor's parent, relative, or authorized adult with written consent.
- Patients under 18 years old with legal competency and mental capacity may consent or refuse evaluation/treatment.
- A pregnant minor must have adult consent unless she fits within specific exceptions.
- Decision-making capacity must be assessed and documented before a patient is deemed capable of providing an informed refusal.
- In potentially life-threatening emergency situations, consent for treatment is not required.
- Substituted consent applies to minors, incapacitated patients, incarcerated patients, and those deemed legally incompetent.
- A patient assessment and medical run report must be generated for a public assist call.
- Patients refusing further treatment or transport after a corrected hypoglycemic episode must meet specific criteria.
- Patients refusing care or treatment must sign the PCR acknowledging their understanding of the decision.
- In the event of rejection or inability to sign refusal paperwork, the EMS crew must reassess the capacity of the individual.
Think you know the Lake EMS System Protocol for Refusal of Treatment and Transport? Test your knowledge with this informative quiz! Learn about the requirements for patients who refuse treatment, the criteria for determining decision-making capacity, and more. Master the protocol and ensure the safety and well-being of patients under your care. Take the quiz now!
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