ah2388
Forum Lieutenant
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Hello All,
I am hoping to open a discussion on pt refusal and how refusal is handle'd in various systems. I am hoping that this discussion does not become about the fundamental issues the US faces in terms of healthcare and EMS, but instead focuses on pt refusal.
In a system I am familiar with for example, pt's who do not wish to be transported, are treated for any minor injury, advised of risks for non transport as well as options for non emergent follow up care, and a refusal signature is obtained from the pt if possible.
While I believe this approach to be reasonable, we have recently encountered situations, specifically at assisted living or skilled facilities where pt's of sound mind and body do not wish to be transported, but are persuaded to be transported by a caretaker(which is fine) or a refusal is obtained. Recently, feedback is being obtained from these facilities in which they described that the crews arent doing an adequate job of trying to convince these pt's to be transported.
Finally, while acknowledging that this may be a legitimate issue of laziness etc, and close monitoring/retraining may be necessary, does anyone have suggestions on how better to tackle this issue with these facilities? I feel as though part of the problem is a lack of understanding with regard to pt rights and the way the system works.
All discussion/feedback is welcome.
I am hoping to open a discussion on pt refusal and how refusal is handle'd in various systems. I am hoping that this discussion does not become about the fundamental issues the US faces in terms of healthcare and EMS, but instead focuses on pt refusal.
In a system I am familiar with for example, pt's who do not wish to be transported, are treated for any minor injury, advised of risks for non transport as well as options for non emergent follow up care, and a refusal signature is obtained from the pt if possible.
While I believe this approach to be reasonable, we have recently encountered situations, specifically at assisted living or skilled facilities where pt's of sound mind and body do not wish to be transported, but are persuaded to be transported by a caretaker(which is fine) or a refusal is obtained. Recently, feedback is being obtained from these facilities in which they described that the crews arent doing an adequate job of trying to convince these pt's to be transported.
Finally, while acknowledging that this may be a legitimate issue of laziness etc, and close monitoring/retraining may be necessary, does anyone have suggestions on how better to tackle this issue with these facilities? I feel as though part of the problem is a lack of understanding with regard to pt rights and the way the system works.
All discussion/feedback is welcome.