What about 3rd party callers? Looky-Loo's who call in a cardiac arrest without even slowing down their air conditioned Lexus that turns out to be a napping sunbather in their yards? That has to be a refusal too?
Technically, yes, however if spoke to the person and they denied calling 911 and there was no complaint, i would probably fill out my chart as "service not needed, passer-by called 911 in error." and clear off that
Now if the police department gets there first and sees that it was called in error, and there is no request by the "patient" for medical attention, i can talk to the cop and get a cancel.
At MVCs i ask everyone if they are hurt or have pain, those that decline any pain or injury do not have to sign the RMA, because i am not recommending them to see higher care nor am i treating them as a patient
It is not a problem in the slightest. There are many, many places where the police respond to every 911 call no matter what the complaint is. In many places they don't need to be formally called if it is a fire or EMS call, they can add themselves to the incident if they believe it be necessary. It isn't like it is illegal for a police officer to enter onto private property, are they not allowed to get coffee either because they have no warrant to be on Dunkin Donut's property either?
In my home town where we do get cops, they take the patients name, dob, address, and phone, sometimes a SS#.
A request by a SNF for an ambulance is an indicator of some form of medical emergency, whether or not you and i know it generally isnt "Emergent", this request for emergency resources is sufficient enough to give the police department probable cause to enter a residence. There may be a life safety issue at hand.