I've been doing some research and have yet to find anything concrete on this issue. This may well be another gray area of the law. I know about pt. rights to refuse care. Where it gets cloudy is, who, if anyone, has a right to make that decision for them in a nursing home environment? Does the nursing home have a right to make the decision for them? Do the family with power of attorney have the right to? This is applying to a scenario of a mentally competent patient refusing transport to an ER. Medical history and symptoms have been noted. We know that part. If you've worked for a transport service, you've been in the situation where the nursing home calls because Joe's been coughing for 4 days. Joe does not want to go, but the nursing home wants him to. Or the home called Joe's daughter and she is two states away, but wants him to go because she has power of attorney (which I know doesnt apply). Any thoughts? Avoid the whole when-in-doubt-transport answer. I'm asking for a patients rights, not to cover my ass.