mycrofft
Still crazy but elsewhere
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I'm with Bossy, although I'm not as good. But LE is needed.
If the pt is not competent and is on the street, then she is "danger to self and others" and needs a "5150" determination as well call 'em here. If the pt gets aggressive you need someone else to be the "hands-on" bad guy and assist you. If the pt loses consciousness, implied consent is in order, but will they wake up in your unit?
Also...even if unilateral CNS signs present (yes, even in a kid), and you cannot communicate with the pt, how can you be sure they are not a longstanding affect from a birth defect, old CVA or brain injury, etc.?
In my practice, many pts are incompetent because they are ignorant. Once they understand then accept the rationale for care or it's witholding, then many are at least compliant and can be worked with. Some folks just never CAN understand...
If the pt is not competent and is on the street, then she is "danger to self and others" and needs a "5150" determination as well call 'em here. If the pt gets aggressive you need someone else to be the "hands-on" bad guy and assist you. If the pt loses consciousness, implied consent is in order, but will they wake up in your unit?
Also...even if unilateral CNS signs present (yes, even in a kid), and you cannot communicate with the pt, how can you be sure they are not a longstanding affect from a birth defect, old CVA or brain injury, etc.?
In my practice, many pts are incompetent because they are ignorant. Once they understand then accept the rationale for care or it's witholding, then many are at least compliant and can be worked with. Some folks just never CAN understand...