Who can refuse medical treatment in a hospital?
Which one of the following patients who refuse treatment must be transported to the hospital? A) A homeless man in his 50s who is dirty and disheveled and has a body-wide rash B) Alert and oriented 57-year-old male who is having chest pain and is diaphoretic
When getting a refusal from a patient who does not want EMS?
"If you change your mind and want to be transported to the hospital, call 911." ... Which one of the following patients who refuse treatment must be transported to the hospital? 29-year-old female who attempted to cut her wrists earlier but now states it was an accident and she is not suisidal.
What is an example of a right to refuse care?
1. Prehospital personnel must advise the patient of the risks and consequences that may result from refusal of treatment or transportation including the possible risk of death or disability from any undiagnosed condition being untreated. 2. If the patient still refuses, prehospital personnel must obtain the patient’s or
What are the questions to ask when refusing to provide treatment?
The average time to arrival was 4.2 minutes and average time spent on scene by paramedics was 18.4 minutes. Of the patients, 72% were judged to have minimal need, 25% were felt to have a moderate need, and 3% were felt to definitely need transport to a hospital for further evaluation and/or treatment.
What is included in the US Department of Transportation minimum data set?
The Model Minimum Uniform Crash Criteria Guideline (MMUCC) is a minimum, standardized data set for describing motor vehicle crashes and the vehicles, persons and environment involved.Aug 22, 2017
Which statement shows an accurate understanding of the legal aspects of the Prehospital Care Report PCR )? Group of answer choices?
Which statement shows an accurate understanding of the legal aspects of the prehospital care report (PCR)? "The PCR may be subpoenaed even if the lawsuit centers on alleged negligence that occurred in the emergency department." What would be considered an objective patient assessment finding?
What clinical patient information is included in the Minimum data Set on a PCR?
MINIMUM DATA SET: two separate types of data that are recorded,PATIENT INFORMATION: chief complaint, the initial assessment, vital signs, and. patient demographics.ADMINISTRATIVE INFORMATION: the time the incident was reported, the time the responding unit was notified, the time of arrival at the patient,
What is one design feature of neonatal Isolettes that permit them to be transported in the rear of an ambulance?
What is one design feature of neonatal isolettes that permit them to be transported in the rear of an ambulance? They are designed to engage into the typical stretcher mounts in the ambulance.
What should you do if a patient refuses treatment or transport EMT?
If the patient refuses medical help and/or transportation after having been informed of the risks of not receiving emergency medical care and refuses to sign the release, clearly document the patient's refusal to sign the report.
Which of the following is not an appropriate way of dealing with a patient who does not speak the same language as you do?
Which of the following is NOT an appropriate way of dealing with a patient who does not speak the same language as you do? Avoid communicating with the patient so there is no misunderstanding of your intentions.
When you encounter a patient who refuses treatment you should?
When you encounter a patient who refuses treatment, you should: inform the patient of the consequences of that decision.
What should be in a patient care report?
There are seven elements (at a minimum) that we have identified as essential components to documenting a well written and complete narrative.Dispatch & Response Summary. ... Scene Summary. ... HPI/Physical Exam. ... Interventions. ... Status Change. ... Safety Summary. ... Disposition.Oct 24, 2017
Which of the following is the most important information about the patient that an emergency medical responder should give when transferring care?
Which of the following is the most important information about the patient that an emergency medical responder should give when transferring care? Chief complaint. Your patient care report may be called into a civil or criminal court due to the fact that: It is considered a legal document.
Which of the following must be avoided when lifting?
Do not attempt to lift by bending forward. Bend your hips and knees to squat down to your load, keep it close to your body, and straighten your legs to lift. Never lift a heavy object above shoulder level. Avoid turning or twisting your body while lifting or holding a heavy object.
Which of the following is used to immobilize a patient with a suspected spinal injury?
The traditional ATLS teaching for adequate spinal immobilization of a patient in a major trauma situation is a well fitted hard collar with blocks and tape to secure the cervical spine in addition to a backboard to protect the rest of the spine. other devices currently in use are scoop stretcher and vacuum splint.Oct 9, 2021
Which of the following is the most appropriate device to use when immobilizing a patient with suspected spinal injury?
A rigid spine board and cervical collar are the currently recommended devices to immobilize the spine until spinal injury can be excluded [23].Sep 17, 2014
After a patient, who is short of breath, signs a refusal of service, which one of the following statements would be appropriate prior to leaving the residence? A) "Try taking an aspirin and get a good night's rest; you will probably feel better." B) "If you change your mind and want to be transported to the hospital, call 911." C) "We will leave this oxygen for you; call us when you feel better." D) "Call our dispatch in the morning to let us know how you made out."
B) "If you change your mind and want to be transported to the hospital, call 911.
Which one of the following statements shows an accurate understanding of the legal aspects of the prehospital care report (PCR)? A) "A PCR can be used in a lawsuit only if that lawsuit is filed within six months." B) "A copy of the PCR should be forwarded to the police any time law enforcement is involved in the call." C) "The PCR may be subpoenaed even if the case centers around alleged negligence that occurred in the emergency department." D) "The PCR is considered a legal document only when it describes a crime or act of violence."
C) "The PCR may be subpoenaed even if the case centers around alleged negligence that occurred in the emergency department."
Last week, on a computer generated report, you accidentally documented that a patient suffered from hypertension when, in fact, he did not. Unfortunately, the report has been locked by the computer and cannot be changed; however, it can be printed. Your first action would be to: A) retype the entire report and include the change. B) notify the medical director so that she can fix the error. C) print the report and draw a line through the error. D) contact the hospital and have them change it in the patient's medical record.
C) print the report and draw a line through the error.
A pertinent negative would be illustrated by: A) "nausea without vomiting." B) "hypertension and taking medication." C) "dizziness for three days without notifying the doctor." D) "short of breath with history of lung problems."
A) "nausea without vomiting."
Consider the following narrative from a patient care report: "pt. restrained passenger involved in 2 car MVC; c/o left lower leg pain rated 2/10; LOC A/O to person, place, time, and event; BBS clear; abd. Soft with tenderness LLQ; hx of NIDDM with am glucose level of 133 mg/dL." Which of the following is true? A) The patient's abdomen appears uninjured. B) The patient is being tested for diabetes. C) The patient is confused following the accident. D) The patient's lungs sounds are clear and equal.
D) The patient's lungs sounds are clear and equal.
A patient with asthma is using his inhaler tid and prn. You would recognize that: A) the patient is suffering asthmatic attacks three times a week. B) the patient is only prescribed his inhaler three times a day. C) the patient uses his inhaler only when the symptoms are bad. D) the patient uses an inhaler at least three times a day.
D) the patient uses an inhaler at least three times a day.
When writing a prehospital care report, you accidentally document that a laceration was on the left side of a patient's face when it was actually on the right side of the face. How would you correct this mistake? A) Carefully use White-Out to cover the term "left" but nothing else in the narrative. B) Color over the term "left" with black ink and write the word "right" next to it. C) Draw a single line through the term "left" and write the word "right" next to it. D) Start the entire prehospital care report over from the beginning.
C) Draw a single line through the term "left" and write the word "right" next to it.
Your partner states that he is the "world's worst speller" and has great difficulty using medical terms. Which one of the following statements is appropriate? A) "Do not document information that requires medical terms you are unsure of." B) "Consider abbreviating medical terms that you are unsure how to spell." C) "Ask the emergency physician or nurse how to spell the words of which you are unsure." D) "Use plain English if you are unsure of how to apply or spell a medical term."
D) "Use plain English if you are unsure of how to apply or spell a medical term."
A nauseated patient with fever and abdominal pain states that he has not vomited. Which one of the following describes how that fact should be documented? A) As a subjective finding B) This fact would not be documented. C) As a pertinent negative D) As a treatment finding
C) As a pertinent negative
What is the best way for a patient to indicate the right to refuse treatment?
Advance Directives. The best way for a patient to indicate the right to refuse treatment is to have an advance directive, also known as a living will. Most patients who have had any treatments at a hospital have an advance directive or living will.
What are the rights of a patient who refuses treatment?
In addition, there are some patients who do not have the legal ability to say no to treatment. Most of these patients cannot refuse medical treatment, even if it is a non-life-threatening illness or injury: 1 Altered mental status: Patients may not have the right to refuse treatment if they have an altered mental status due to alcohol and drugs, brain injury, or psychiatric illness. 6 2 Children: A parent or guardian cannot refuse life-sustaining treatment or deny medical care from a child. This includes those with religious beliefs that discourage certain medical treatments. Parents cannot invoke their right to religious freedom to refuse treatment for a child. 7 3 A threat to the community: A patient's refusal of medical treatment cannot pose a threat to the community. Communicable diseases, for instance, would require treatment or isolation to prevent the spread to the general public. A mentally ill patient who poses a physical threat to himself or others is another example.
What is the end of life refusal?
End-of-Life-Care Refusal. Choosing to refuse treatment at the end of life addresses life-extending or life-saving treatment. The 1991 passage of the federal Patient Self-Determination Act (PSDA) guaranteed that Americans could choose to refuse life-sustaining treatment at the end of life. 9 .
How can a patient's wishes be honored?
Another way for a patient's wishes to be honored is for the patient to have a medical power of attorney. This designates a person to make decisions on behalf of the patient in the event they are mentally incompetent or incapable of making the decision for themselves.
What must a physician do before a course of treatment?
Before a physician can begin any course of treatment, the physician must make the patient aware of what he plans to do . For any course of treatment that is above routine medical procedures, the physician must disclose as much information as possible so you may make an informed decision about your care.
What are the four goals of medical treatment?
There are four goals of medical treatment —preventive, curative, management, and palliative. 2 When you are asked to decide whether to be treated or to choose from among several treatment options, you are choosing what you consider to be the best outcome from among those choices. Unfortunately, sometimes the choices you have won't yield ...
Why do patients make this decision?
Patients make this decision when they believe treatment is beyond their means. They decide to forgo treatment instead of draining their bank accounts. Those who live in a country with a for-profit healthcare system may be forced to choose between their financial health and their physical health.
Who must refuse medical treatment?
For one, the person refusing to provide medical treatment to the patient must be someone who is employed by the hospital. In addition, that person must also possess the authority to decide which patients can or cannot receive treatment. In most cases, this generally will include any hospital staff that is in charge of the treatment and care ...
What happens if a patient arrives in critical condition and fails to treat them?
For instance, if a patient arrives in critical condition and failing to treat them will result in severe injuries or possibly death, then the hospital will be held responsible for turning away a patient who needs immediate medical attention.
What happens if a doctor refuses to admit a patient?
On the other hand, if a doctor refuses to admit or treat a patient without ever considering the patient’s current medical condition, then some courts will find that the hospital should be held liable for refusing to admit or treat the patient.
What does it mean when a hospital is short on resources?
If the hospital is short on resources (e.g., not enough beds, staff, medicine, overcrowded, etc.); When the hospital believes that the patient would receive better treatment at a different facility; and/or. If the hospital lacks the appropriate equipment or type of medical personnel required to properly treat a patient’s injury or illness.
Can hospitals refuse to admit patients?
Hospitals can refuse to admit or treat certain patients without incurring liability. Although hospitals cannot deny treatment to individuals for discriminatory purposes (e.g., race, gender, sex, etc.), they can do so for other reasons, such as: If the hospital is short on resources (e.g., not enough beds, staff, medicine, overcrowded, etc.);
Can a hospital refuse a patient's medical treatment?
According to the terms of the Emergency Medical Treatment and Active Labor Act (“EMTALA”), a hospital cannot refuse a patient medical treatment if it is an emergency, regardless of whether the patient is insured or not. Thus, if a patient requires immediate medical attention or is in active labor, then a hospital can be held liable ...
Can a hospital be held liable for refusing to admit a patient?
As discussed above, there are certain situations where a hospital can be held liable for refusing to admit or treat patients, such as if the hospital is denying treatment based on discriminatory reasons. Another example of when a hospital may be held liable for refusing treatment is during an emergency situation.