Disposition of Patients Refusing Treatment

DISPOSITION OF PATIENTS REFUSING TREATMENT PREPARATION: MOTIVATION: To ensure technicians are acting in the best interest of the patient and to reduce the number of potential lawsuits against the agency and the technicians. OBJECTIVE (SPO...


DISPOSITION OF PATIENTS REFUSING TREATMENT

PREPARATION:

MOTIVATION: To ensure technicians are acting in the best interest of the patient and to reduce the number of potential lawsuits against the agency and the technicians.

OBJECTIVE (SPO):

1. Given a patient scenario, the student shall describe the steps required to acquire information needed to perform an ample refusal interview that fulfills the N.O.T.O.S. method

   Enabling Objectives

      1-1-1 The technician will describe factors that affect patient interviews

      1-1-2 The technician shall describe gathering information from scene survey

      1-1-3 The technician will describe gathering information from subjective sources

      1-1-4 The technician will describe gathering information from objective sources

2. Given information included in (S.O.A.) of an appropriate S.O.A.P.E. note, the technician shall describe the steps of conducting a refusal interview required to fulfill the N.O.T.O.S. method.

    Enabling Objectives

      1-2-1 The technician will describe notifying a patient of the situation and possible outcomes if when

                refusing treatment.

       1-2-2 The technician will describe to a patient treatment per protocols and training and possible

                 outcomes of treatment.

       1-2-3 The technician will describe repeating possible outcomes to patients refusing treatment

       1-2-4 The technician will describe reading and explaining a refusal statement to a patient

3. Given the components of a refusal interview, the technician will be able to document a patient using the N.O.T.O.S method.

     Enabling Objectives

        1-3-1 The technician will describe how refusals are signed

        1-3-2 The technician will document a patient’s wishes to refuse

        1-3-3 The technician will document on health issues and possible outcomes on patients refusing

                  treatment

         1-3-4 The technician will document on treatment told to the patient and possible outcomes

         1-3-5 The technician will document the signing of a refusal

 

OVERVIEW: DISPOSITION OF PATIENTS REFUSING TREATMENT

   * Factors that affect interviews

   * Gathering information from scene survey

   * Gathering information from subjective source

   * Gathering information from objective sources

   * Notify patient of situation and possible outcomes to patient

   * Describing treatment per protocols and training and possible outcomes

   * Repeating possible outcomes to patients refusing treatment

   * Describing reading and explaining a refusal to the patient

   * Describing how refusals are signed

   * Documenting how refusals are signed

   * Documenting a patient’s wish to refuse

   * Documenting on notification of health issues and possible outcomes on patient’s refusing treatment

   * Documenting on treatment told to the patient and possible outcome

   * Documenting the signing of a refusal

 

I. GATHERING INFORMATION

A. Factors that affect interviews

    1. Personal appearance

    2. Attitude

    3. Language

B. Gathering information from scene survey

    1. Safety

    2. Environment

    3. Bystanders

C. Gathering information from subjective sources

    1. Bystanders

    2. Public safety officers

    3. Patient

D. Gathering information from objective sources

    1. Physical exam

    2. Scene

 

II. CONDUCTING A REFUSAL INTERVIEW

A. Notifying patient of situation and possible outcomes to patient

    1. Tell patient situation

    2. Tell patient possible health outcomes

B. Describing treatment per protocols and training and possible outcomes

    1.  Tell patient of planned treatment

    2. Tell patient possible outcomes

C.  Repeating possible outcomes to patients refusing treatments

    1. Give possible outcomes

    2. Give possible choice of treatments

D.  Reading and explaining refusals

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