Refusal of Transport

In: Social Issues

Submitted By jmach2
Words 624
Pages 3
Refusal of transport
Any individual has the right to refuse transport. To refuse transport is to indicate or show that one is not willing to accept the transportation from one place to another by means of vehicle, aircraft or ship. (White and Harber, 1992). Every adult has the right to make decisions regarding their health care; this also includes the decision to refuse transportation even when highly recommended by Paramedics. Even if the decision is regarded to be insensible or even irrational to other family members or health care providers so long as the patient has provided a valid refusal the decision must be respected.
When attending a patient who expressly refuses ambulance Treatment and/or transportation to hospital, the paramedic is required to conduct an assessment of the validity of that decision. This assessment is referred to as a VIRCA assessment. (Queensland Government, 2013)
A crew has been called by a relative to an elderly emaciated woman with a history of Type 1 diabetes. She presents as lethargic, too weak to sit up in bed, cool skin and is somewhat irritable. She is resistant to a full vital signs examination and repeatedly says she does not want to go to hospital, has a GCS of 13, though at no time does she open her eyes to respond to questions. The crew decides to leave her at home as she has refused assessment. A short time later a second ambulance crew is called. They are more assertive and find the patient to be significantly hypotensive and with a blood sugar too high to be recorded. They carry her to their stretcher and find she is restless and somewhat oppositional, but quite manageable. In ED she is found to have a pH of 6.9 and a blood sugar of 60 m/mol/L. Soon after she is transferred to intensive care, critically ill with ketoacidosis. (Steer, B. 2012).
Whilst the first crew respected the patient’s right to refuse transport…...

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