Guest guest Posted March 28, 1999 Report Share Posted March 28, 1999 Lets weigh the risk benefits of the decision.. If the patient refuses transport to the local facility and in return refuses your transport how has the patient benefited??? Lets keep our priorities straight and lets take care of our patients and transport them where they want to go. How are you gonna explain to your medical director when the family sues because they had to be transported POV (because you would not transport acording to their wishes) and died and now they are blaming you for abandonment. Now on the flip side if the patient is critical of course take them to the closest facility. Jeff Murray EMT-P Captain Canyon Lake Fire/EMS > >Reply-To: egroups >To: " EMS List Server " <egroups> >Subject: [texasems-L] What do you think >Date: Sun, 28 Mar 1999 15:00:05 -0600 >MIME-Version: 1.0 >From -return-3655-clems_1508 Sun Mar 28 13:08:21 1999 >Received: from [207.138.41.138] by hotmail.com (1.5) with SMTP id MHotMailB8C7E53A0176D820B64FCF8A298A16B617; Sun Mar 28 13:08:21 1999 >Received: from [127.0.0.1] by mc. with NNFMP; 28 Mar 1999 21:04:42 -0000 >Mailing-List: contact -owneregroups >X-Mailing-List: egroups >X-URL: /list// >Delivered-To: listsaver-egroups-egroups >Received: (qmail 5172 invoked by uid 7770); 28 Mar 1999 21:04:40 -0000 >Received: from odin.wf.net (HELO wf.net) (208.129.168.4)by vault. with SMTP; 28 Mar 1999 21:04:40 -0000 >Received: (qmail 5626 invoked from network); 28 Mar 1999 15:04:39 -0600 >Received: from mw-pm5-7.wf.net (HELO CordCoyle) (12.5.164.37)by odin.wf.net with SMTP; 28 Mar 1999 15:04:39 -0600 >Message-ID: <005001be795d$f524c660$25a4050c@CordCoyle> >X-Priority: 3 >X-MSMail-Priority: Normal >X-Mailer: Microsoft Outlook Express 4.72.3110.1 >X-Mimeole: Produced By Microsoft MimeOLE V4.72.3110.3 > >You work for a small home town EMS at a small home town hospital. You routinely transfer patients to other hospitals in larger communities on the order of a physician. These hospitals are about 1 hour away. One sunny afternoon you are dispatched to a residence where you find a elderly man with a chief complaint of rectal bleeding. Patient is in no obvious distress. Vitals, b/p 130/80 p.80, chest clear, SAO2-98%. Patient is walking around. The patient's spouse says that they need to go to another hospital in larger town and for us to hurry because this is an emergency. We try to explain to the spouse that we would be glad to transport him to any other hospital after he has been checked out by the physicians at our local ED. The spouse was getting upset with us because we would not hurry. She stated that they were waiting on us at the other hospital. When we ask the " patient " where he wanted to go, his answer was were ever my wife wants me to go. The family had several friends that were offering advice to the patient and spouse on how and where to go as well. > >After talking to the patient and spouse they refused to go with us and decided to go POV, to the larger hospital. > >Do other services transport patients to other hospitals from home before they are evaluated at the local ED? > >Where is the liability if any? > >Gene? > > > > >Cord Coyle EMT/P >Director, >Graham / Young County EMS > >coyle@... > >http://server1.hypermart.net/gghems/ >www.fire-ems.net/firedept/view/Graham2TX > > > >------------------------------------------------------------------------ > Quote Link to comment Share on other sites More sharing options...
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