Bargaining - -OK, but first let me...
Depression -- OK, but I haven't...
Denial -- Why me?
Duty to Act
Scope of Practice
Quality of Care
Patient must be of legal age
Patient must be informed of the procedures and all MAJOR risks associated with performing them
It must be obtained from every conscious, mentally competent adult prior to giving any assessment or treatment
The patient may not refuse treatment once a procedure has begun
The patient doesn't need to sign a release form, as long as you obtain witnesses names and contact information
The patient must be informed of all major risks prior to terminating care
Try again to persuade the patient to go to the hospital, even if it might agitate the patient.
Ensure the patient is able to make a rational, informed decision.
Inform the patient why he should go and what may happen to him if he does not.
Let the patient know that this is the last chance to get ambulance transport, and if he wants to go to the hospital at a later time, he must find his own transportation.
The patient didn't refuse care, any loss of function after the injury/illness occurred in the crew's time with the patient, and other EMTs on scene suggested alternative treatments
The EMT performed a physical assessment after the patient refused to grant permission, psychological damages were caused by it, and protocols were not followed as precisely as written
The provider had a duty to act, breached that duty, and actual physical or psychological damages were caused by the provider
Holes in clothing should not be cut or torn through
All evidence must be protected at all costs, including witholding patient care until the evidence is gathered
The crew members should exit the scene through a way other than they entered, so all footprints can be cleanly taken into evidence
" Why" questions