Podcast
Questions and Answers
When should patients presenting with illness or injury be approached?
When should patients presenting with illness or injury be approached?
- After a thorough assessment
- When they are deemed legally competent
- Only if they request treatment
- With intent to transport (correct)
Who can sign an informed refusal for a minor?
Who can sign an informed refusal for a minor?
- Any adult
- Only a parent or legal guardian (correct)
- The minor
- A friend or acquaintance
Who can consent or refuse evaluation/treatment if they are under 18 years old?
Who can consent or refuse evaluation/treatment if they are under 18 years old?
- Anyone with legal competency and mental capacity (correct)
- Only a physician
- Only their legal guardian
- No one, they must receive treatment
When is adult consent required for a pregnant minor?
When is adult consent required for a pregnant minor?
When is consent for treatment not required in potentially life-threatening emergency situations?
When is consent for treatment not required in potentially life-threatening emergency situations?
Who does substituted consent apply to?
Who does substituted consent apply to?
When must a patient assessment and medical run report be generated?
When must a patient assessment and medical run report be generated?
What must patients do if they refuse care or treatment?
What must patients do if they refuse care or treatment?
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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.
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