Question

You are on the scene with a patient complaining of chest pain. You have performed your initial​ assessment, vital​ signs, and have just administered aspirin to the patient. Your partner brings in the stretcher and the patient tells you she does NOT want to be transported to the ED. You should​ initally:

A.
have the patient sign the refusal form as they are alert and​ oriented; transporting the patient against her wishes could be considered kidnapping.
B.
explain to the patient that they cannot refuse since you have already begun treatment.
C.
tell the patient that she can refuse​ transport, but because you gave her a medication she has to see a doctor within 24 hours.
D.
contact medical direction for consult.

Answer 1

If a patient refuses transport after treatment, the healthcare professional should contact medical direction for consult to ensure proper handling of the situation, respecting both the patient's autonomy and the provider's duty to inform.

Step-by-step explanation:

Responding to Patient Refusal of Transport After Treatment

When a patient experiencing chest pain refuses to be transported to the emergency department (ED) after initial treatment, including the administration of aspirin, the healthcare professional should initially contact medical direction for a consult. It is important to communicate with medical authority before taking further action, as the patient's capacity to refuse service after receiving treatment may vary depending on the situation and local protocols. Moreover, explaining the risks associated with refusal and obtaining informed consent is vital for ethical and legal reasons. The patient's autonomy should be respected, but it is also the provider's duty to ensure the patient is making an informed decision regarding their own health and safety.