If you read my previous post on drunk people then you will notice the relation between these two posts.
This is the official checklist you would use when assessing if the patient can make an informed decision on refusing an ambulance.
AID TO CAPACITY EVALUATION
1. Patient verbalizes/communicates understanding of clinical situation [ ] Yes [ ] No
(ie - What is wrong with you)
2. Patient verbalizes/communicates appreciation of applicable risks [ ] Yes [ ] No
(ie - What could happen if I don't help you)
3. Patient verbalizes/communicates ability to make alt. plans of care [ ] Yes [ ] No
(ie - What will you do once I leave)
4. Responsible adult on scene [ ] Yes [ ] No
So if any of the above are check boxed "No," then you can't give them a refusal of service (ambulance).
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