Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 I have a sincere request for the list. Please let me know your honest opinion about the following: Three shifts ago, I was dispatched via 911 for an elderly man with difficulty breathing. I and my partner arrive to find a 50+ male complaining of shortness of breath after just having woken up. Patients states he needs oxygen. On assessment, patient is hypoxic, SpO2 of 88%, BP 136/80, P 84, R 16, breath sounds dimminished lower lobes. I requested my partner to apply oxygen at 15 L/m via NRB and continue to assess the patient. He is a hemodialysis patient that is schedualed to get his treatment the next day. I explain to the patient that he is possibly suffering from fluid overload and needs to get dialysis. Patient agrees, and confirms that he has had more fluid then he is supposed to. I advise patient to let us take him to the local ER and be evaluated. Patient states that he now feels much better and does not wish to be transported. I explain that his condition, while right now seems better, could worsen and he should be seen by a doctor for evaluation. Patient refuses transport again and states if he feels bad later he will call 911 later. Patient signs refusal of transport form and we return to base. Forward to two shifts ago and my direct supervisor pulls me aside and tells me that he does not believe that I should have allowed that patient to refuse transport and that this call and PCR will be reviewed. Today, I am told that I am being given both a verbal and written reprimand for that call. I am told that the patient was contacted and he both validated that the events of the call went as I stated on his PCR and that he refused transport of his own free will. I am being reprimanded for both allowing this patient to refuse transport and for performing a treatment, I.e. Oxygen, before transporting this patient. I am told I should have advised the patient that it is officially against company policy to allow refusal of transport if patient calls 911, and that I should have with held the oxygen until the patient was on my stretcher in the back of my unit enroute to the ER. I refused to sign this written repremand and was immediatly suspended without pay, pending further review of this call and my actions. What did I do wrong? What could I have done different? What can I do now? I am standing firm that what I did was correct patient care, and that I cannot coerce or force a patient to be transported against their will. McGee, EMT-P Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 , Any patient has the right to refuse treatment, whether they called 911 themselves or not, given that they are of sound mind and judgement. Was your patient A&O, and not mentally compromised? It sounds like you said you explained the risks and benefits of treatment, as well as the alternatives to not seeking treatment and he/she made a conscious decision to refuse. I'm sorry...but I can't see what you did wrong. Regards, Sent via BlackBerry by AT&T Raw deal or not I have a sincere request for the list. Please let me know your honest opinion about the following: Three shifts ago, I was dispatched via 911 for an elderly man with difficulty breathing. I and my partner arrive to find a 50+ male complaining of shortness of breath after just having woken up. Patients states he needs oxygen. On assessment, patient is hypoxic, SpO2 of 88%, BP 136/80, P 84, R 16, breath sounds dimminished lower lobes. I requested my partner to apply oxygen at 15 L/m via NRB and continue to assess the patient. He is a hemodialysis patient that is schedualed to get his treatment the next day. I explain to the patient that he is possibly suffering from fluid overload and needs to get dialysis. Patient agrees, and confirms that he has had more fluid then he is supposed to. I advise patient to let us take him to the local ER and be evaluated. Patient states that he now feels much better and does not wish to be transported. I explain that his condition, while right now seems better, could worsen and he should be seen by a doctor for evaluation. Patient refuses transport again and states if he feels bad later he will call 911 later. Patient signs refusal of transport form and we return to base. Forward to two shifts ago and my direct supervisor pulls me aside and tells me that he does not believe that I should have allowed that patient to refuse transport and that this call and PCR will be reviewed. Today, I am told that I am being given both a verbal and written reprimand for that call. I am told that the patient was contacted and he both validated that the events of the call went as I stated on his PCR and that he refused transport of his own free will. I am being reprimanded for both allowing this patient to refuse transport and for performing a treatment, I.e. Oxygen, before transporting this patient. I am told I should have advised the patient that it is officially against company policy to allow refusal of transport if patient calls 911, and that I should have with held the oxygen until the patient was on my stretcher in the back of my unit enroute to the ER. I refused to sign this written repremand and was immediatly suspended without pay, pending further review of this call and my actions. What did I do wrong? What could I have done different? What can I do now? I am standing firm that what I did was correct patient care, and that I cannot coerce or force a patient to be transported against their will. McGee, EMT-P ------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 , Any patient has the right to refuse treatment, whether they called 911 themselves or not, given that they are of sound mind and judgement. Was your patient A&O, and not mentally compromised? It sounds like you said you explained the risks and benefits of treatment, as well as the alternatives to not seeking treatment and he/she made a conscious decision to refuse. I'm sorry...but I can't see what you did wrong. Regards, Sent via BlackBerry by AT&T Raw deal or not I have a sincere request for the list. Please let me know your honest opinion about the following: Three shifts ago, I was dispatched via 911 for an elderly man with difficulty breathing. I and my partner arrive to find a 50+ male complaining of shortness of breath after just having woken up. Patients states he needs oxygen. On assessment, patient is hypoxic, SpO2 of 88%, BP 136/80, P 84, R 16, breath sounds dimminished lower lobes. I requested my partner to apply oxygen at 15 L/m via NRB and continue to assess the patient. He is a hemodialysis patient that is schedualed to get his treatment the next day. I explain to the patient that he is possibly suffering from fluid overload and needs to get dialysis. Patient agrees, and confirms that he has had more fluid then he is supposed to. I advise patient to let us take him to the local ER and be evaluated. Patient states that he now feels much better and does not wish to be transported. I explain that his condition, while right now seems better, could worsen and he should be seen by a doctor for evaluation. Patient refuses transport again and states if he feels bad later he will call 911 later. Patient signs refusal of transport form and we return to base. Forward to two shifts ago and my direct supervisor pulls me aside and tells me that he does not believe that I should have allowed that patient to refuse transport and that this call and PCR will be reviewed. Today, I am told that I am being given both a verbal and written reprimand for that call. I am told that the patient was contacted and he both validated that the events of the call went as I stated on his PCR and that he refused transport of his own free will. I am being reprimanded for both allowing this patient to refuse transport and for performing a treatment, I.e. Oxygen, before transporting this patient. I am told I should have advised the patient that it is officially against company policy to allow refusal of transport if patient calls 911, and that I should have with held the oxygen until the patient was on my stretcher in the back of my unit enroute to the ER. I refused to sign this written repremand and was immediatly suspended without pay, pending further review of this call and my actions. What did I do wrong? What could I have done different? What can I do now? I am standing firm that what I did was correct patient care, and that I cannot coerce or force a patient to be transported against their will. McGee, EMT-P ------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 , Any patient has the right to refuse treatment, whether they called 911 themselves or not, given that they are of sound mind and judgement. Was your patient A&O, and not mentally compromised? It sounds like you said you explained the risks and benefits of treatment, as well as the alternatives to not seeking treatment and he/she made a conscious decision to refuse. I'm sorry...but I can't see what you did wrong. Regards, Sent via BlackBerry by AT&T Raw deal or not I have a sincere request for the list. Please let me know your honest opinion about the following: Three shifts ago, I was dispatched via 911 for an elderly man with difficulty breathing. I and my partner arrive to find a 50+ male complaining of shortness of breath after just having woken up. Patients states he needs oxygen. On assessment, patient is hypoxic, SpO2 of 88%, BP 136/80, P 84, R 16, breath sounds dimminished lower lobes. I requested my partner to apply oxygen at 15 L/m via NRB and continue to assess the patient. He is a hemodialysis patient that is schedualed to get his treatment the next day. I explain to the patient that he is possibly suffering from fluid overload and needs to get dialysis. Patient agrees, and confirms that he has had more fluid then he is supposed to. I advise patient to let us take him to the local ER and be evaluated. Patient states that he now feels much better and does not wish to be transported. I explain that his condition, while right now seems better, could worsen and he should be seen by a doctor for evaluation. Patient refuses transport again and states if he feels bad later he will call 911 later. Patient signs refusal of transport form and we return to base. Forward to two shifts ago and my direct supervisor pulls me aside and tells me that he does not believe that I should have allowed that patient to refuse transport and that this call and PCR will be reviewed. Today, I am told that I am being given both a verbal and written reprimand for that call. I am told that the patient was contacted and he both validated that the events of the call went as I stated on his PCR and that he refused transport of his own free will. I am being reprimanded for both allowing this patient to refuse transport and for performing a treatment, I.e. Oxygen, before transporting this patient. I am told I should have advised the patient that it is officially against company policy to allow refusal of transport if patient calls 911, and that I should have with held the oxygen until the patient was on my stretcher in the back of my unit enroute to the ER. I refused to sign this written repremand and was immediatly suspended without pay, pending further review of this call and my actions. What did I do wrong? What could I have done different? What can I do now? I am standing firm that what I did was correct patient care, and that I cannot coerce or force a patient to be transported against their will. McGee, EMT-P ------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 was this a Medicare patient (as are most dialysis patients)? if so, this policy smacks of Medicare fraud, as well as a violation of patient autonomy. Might want to go talk to a good lawyer who does wage and hour work. ck In a message dated 4/26/2010 22:05:12 Central Daylight Time, summedic@... writes: Today, I am told that I am being given both a verbal and written reprimand for that call. I am told that the patient was contacted and he both validated that the events of the call went as I stated on his PCR and that he refused transport of his own free will. I am being reprimanded for both allowing this patient to refuse transport and for performing a treatment, I.e. Oxygen, before transporting this patient. I am told I should have advised the patient that it is officially against company policy to allow refusal of transport if patient calls 911, and that I should have with held the oxygen until the patient was on my stretcher in the back of my unit enroute to the ER. I refused to sign this written repremand and was immediatly suspended without pay, pending further review of this call and my actions. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 was this a Medicare patient (as are most dialysis patients)? if so, this policy smacks of Medicare fraud, as well as a violation of patient autonomy. Might want to go talk to a good lawyer who does wage and hour work. ck In a message dated 4/26/2010 22:05:12 Central Daylight Time, summedic@... writes: Today, I am told that I am being given both a verbal and written reprimand for that call. I am told that the patient was contacted and he both validated that the events of the call went as I stated on his PCR and that he refused transport of his own free will. I am being reprimanded for both allowing this patient to refuse transport and for performing a treatment, I.e. Oxygen, before transporting this patient. I am told I should have advised the patient that it is officially against company policy to allow refusal of transport if patient calls 911, and that I should have with held the oxygen until the patient was on my stretcher in the back of my unit enroute to the ER. I refused to sign this written repremand and was immediatly suspended without pay, pending further review of this call and my actions. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 was this a Medicare patient (as are most dialysis patients)? if so, this policy smacks of Medicare fraud, as well as a violation of patient autonomy. Might want to go talk to a good lawyer who does wage and hour work. ck In a message dated 4/26/2010 22:05:12 Central Daylight Time, summedic@... writes: Today, I am told that I am being given both a verbal and written reprimand for that call. I am told that the patient was contacted and he both validated that the events of the call went as I stated on his PCR and that he refused transport of his own free will. I am being reprimanded for both allowing this patient to refuse transport and for performing a treatment, I.e. Oxygen, before transporting this patient. I am told I should have advised the patient that it is officially against company policy to allow refusal of transport if patient calls 911, and that I should have with held the oxygen until the patient was on my stretcher in the back of my unit enroute to the ER. I refused to sign this written repremand and was immediatly suspended without pay, pending further review of this call and my actions. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 Yes the " officially against company policy to allow refusals " is in writting. Unfortunatly, the part about the oxygen is not. I kept a copy of the writeup even though I refused to sign it. Sent from my iPhone, McGee, EMT-P, EMT-T Is the statement that " it is officially against company policy to allow refusal of transport if patient calls 911, and that I should have with held the oxygen until the patient was on my stretcher in the back of my unit enroute to the ER. " In writing? If so I'd hang on to that. Since they are saying you don't accept refusals from persons who call 9-1-1 are they advocating violating a Patients right to refuse? As for witholding O2 from a Patient in extemis I'd call that criminal and I've fired BLS folks for not giving O2 in a timely manner. Louis N. Molino, Sr. CET FF/NREMT/FSI/EMSI Typed by my fingers on my iPhone. Please excuse any typos. (Cell) LNMolino@... > I am told I should have advised the patient that it is officially > against company policy to allow refusal of transport if patient > calls 911, and that I should have with held the oxygen until the > patient was on my stretcher in the back of my unit enroute to the ER. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 Yes the " officially against company policy to allow refusals " is in writting. Unfortunatly, the part about the oxygen is not. I kept a copy of the writeup even though I refused to sign it. Sent from my iPhone, McGee, EMT-P, EMT-T Is the statement that " it is officially against company policy to allow refusal of transport if patient calls 911, and that I should have with held the oxygen until the patient was on my stretcher in the back of my unit enroute to the ER. " In writing? If so I'd hang on to that. Since they are saying you don't accept refusals from persons who call 9-1-1 are they advocating violating a Patients right to refuse? As for witholding O2 from a Patient in extemis I'd call that criminal and I've fired BLS folks for not giving O2 in a timely manner. Louis N. Molino, Sr. CET FF/NREMT/FSI/EMSI Typed by my fingers on my iPhone. Please excuse any typos. (Cell) LNMolino@... > I am told I should have advised the patient that it is officially > against company policy to allow refusal of transport if patient > calls 911, and that I should have with held the oxygen until the > patient was on my stretcher in the back of my unit enroute to the ER. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 Yes the " officially against company policy to allow refusals " is in writting. Unfortunatly, the part about the oxygen is not. I kept a copy of the writeup even though I refused to sign it. Sent from my iPhone, McGee, EMT-P, EMT-T Is the statement that " it is officially against company policy to allow refusal of transport if patient calls 911, and that I should have with held the oxygen until the patient was on my stretcher in the back of my unit enroute to the ER. " In writing? If so I'd hang on to that. Since they are saying you don't accept refusals from persons who call 9-1-1 are they advocating violating a Patients right to refuse? As for witholding O2 from a Patient in extemis I'd call that criminal and I've fired BLS folks for not giving O2 in a timely manner. Louis N. Molino, Sr. CET FF/NREMT/FSI/EMSI Typed by my fingers on my iPhone. Please excuse any typos. (Cell) LNMolino@... > I am told I should have advised the patient that it is officially > against company policy to allow refusal of transport if patient > calls 911, and that I should have with held the oxygen until the > patient was on my stretcher in the back of my unit enroute to the ER. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 " I am told I should have advised the patient that it is officially against company policy to allow refusal of transport if patient calls 911 " ?? What last I checked that referred to as kidnapping. ANY patient with decision making capability can refuse treatment and/or transport. Your company might want to check the enforceability of there so called policies. Jim< Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 Jim beat me to it. I would love nothing more than for someone to tell me as a patient that I do not have the ability to refuse transport because it is against their company policy. Hatfield " The main part of intellectual education is not the acquisition of facts but learning how to make facts live. " - Oliver Wendell Holmes Subject: RE: Raw deal or not To: texasems-l Date: Monday, April 26, 2010, 10:59 PM  " I am told I should have advised the patient that it is officially against company policy to allow refusal of transport if patient calls 911 " ?? What last I checked that referred to as kidnapping. ANY patient with decision making capability can refuse treatment and/or transport. Your company might want to check the enforceability of there so called policies. Jim< Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 Jim beat me to it. I would love nothing more than for someone to tell me as a patient that I do not have the ability to refuse transport because it is against their company policy. Hatfield " The main part of intellectual education is not the acquisition of facts but learning how to make facts live. " - Oliver Wendell Holmes Subject: RE: Raw deal or not To: texasems-l Date: Monday, April 26, 2010, 10:59 PM  " I am told I should have advised the patient that it is officially against company policy to allow refusal of transport if patient calls 911 " ?? What last I checked that referred to as kidnapping. ANY patient with decision making capability can refuse treatment and/or transport. Your company might want to check the enforceability of there so called policies. Jim< Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 Jim beat me to it. I would love nothing more than for someone to tell me as a patient that I do not have the ability to refuse transport because it is against their company policy. Hatfield " The main part of intellectual education is not the acquisition of facts but learning how to make facts live. " - Oliver Wendell Holmes Subject: RE: Raw deal or not To: texasems-l Date: Monday, April 26, 2010, 10:59 PM  " I am told I should have advised the patient that it is officially against company policy to allow refusal of transport if patient calls 911 " ?? What last I checked that referred to as kidnapping. ANY patient with decision making capability can refuse treatment and/or transport. Your company might want to check the enforceability of there so called policies. Jim< Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 Yes, it was a raw deal. And your supervisors either have craniorectal inversion, or make mealy mouth excuses about patient care when their primary concern is actually money. And worship of money is just fine, but let's call it what it is. Don't pretend that it's a patient care issue. > > I have a sincere request for the list. Please let me know your honest > opinion about the following: > > Three shifts ago, I was dispatched via 911 for an elderly man with > difficulty breathing. I and my partner arrive to find a 50+ male > complaining of shortness of breath after just having woken up. > Patients states he needs oxygen. On assessment, patient is hypoxic, > SpO2 of 88%, BP 136/80, P 84, R 16, breath sounds dimminished lower > lobes. > I requested my partner to apply oxygen at 15 L/m > via NRB and continue to assess the patient. > He is a hemodialysis patient that is schedualed to get his treatment > the next day. I explain to the patient that he is possibly suffering > from fluid overload and needs to get dialysis. Patient agrees, and > confirms that he has had more fluid then he is supposed to. I advise > patient to let us take him to the local ER and be evaluated. Patient > states that he now feels much better and does not wish to be > transported. I explain that his condition, while right now seems > better, could worsen and he should be seen by a doctor for evaluation. > Patient refuses transport again and states if he feels bad later he > will call 911 later. Patient signs refusal of transport form and we > return to base. > > Forward to two shifts ago and my direct supervisor pulls me aside and > tells me that he does not believe that I should have allowed that > patient to refuse transport and that this call and PCR will be reviewed. > > Today, I am told that I am being given both a verbal and written > reprimand for that call. I am told that the patient was contacted and > he both validated that the events of the call went as I stated on his > PCR and that he refused transport of his own free will. > > I am being reprimanded for both allowing this patient to refuse > transport and for performing a treatment, I.e. Oxygen, before > transporting this patient. I am told I should have advised the patient > that it is officially against company policy to allow refusal of > transport if patient calls 911, and that I should have with held the > oxygen until the patient was on my stretcher in the back of my unit > enroute to the ER. > > I refused to sign this written repremand and was immediatly suspended > without pay, pending further review of this call and my actions. > > What did I do wrong? What could I have done different? What can I do now? > > I am standing firm that what I did was correct patient care, and that > I cannot coerce or force a patient to be transported against their will. > > McGee, EMT-P > > -- Grayson, CCEMT-P www.kellygrayson.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 Yes, it was a raw deal. And your supervisors either have craniorectal inversion, or make mealy mouth excuses about patient care when their primary concern is actually money. And worship of money is just fine, but let's call it what it is. Don't pretend that it's a patient care issue. > > I have a sincere request for the list. Please let me know your honest > opinion about the following: > > Three shifts ago, I was dispatched via 911 for an elderly man with > difficulty breathing. I and my partner arrive to find a 50+ male > complaining of shortness of breath after just having woken up. > Patients states he needs oxygen. On assessment, patient is hypoxic, > SpO2 of 88%, BP 136/80, P 84, R 16, breath sounds dimminished lower > lobes. > I requested my partner to apply oxygen at 15 L/m > via NRB and continue to assess the patient. > He is a hemodialysis patient that is schedualed to get his treatment > the next day. I explain to the patient that he is possibly suffering > from fluid overload and needs to get dialysis. Patient agrees, and > confirms that he has had more fluid then he is supposed to. I advise > patient to let us take him to the local ER and be evaluated. Patient > states that he now feels much better and does not wish to be > transported. I explain that his condition, while right now seems > better, could worsen and he should be seen by a doctor for evaluation. > Patient refuses transport again and states if he feels bad later he > will call 911 later. Patient signs refusal of transport form and we > return to base. > > Forward to two shifts ago and my direct supervisor pulls me aside and > tells me that he does not believe that I should have allowed that > patient to refuse transport and that this call and PCR will be reviewed. > > Today, I am told that I am being given both a verbal and written > reprimand for that call. I am told that the patient was contacted and > he both validated that the events of the call went as I stated on his > PCR and that he refused transport of his own free will. > > I am being reprimanded for both allowing this patient to refuse > transport and for performing a treatment, I.e. Oxygen, before > transporting this patient. I am told I should have advised the patient > that it is officially against company policy to allow refusal of > transport if patient calls 911, and that I should have with held the > oxygen until the patient was on my stretcher in the back of my unit > enroute to the ER. > > I refused to sign this written repremand and was immediatly suspended > without pay, pending further review of this call and my actions. > > What did I do wrong? What could I have done different? What can I do now? > > I am standing firm that what I did was correct patient care, and that > I cannot coerce or force a patient to be transported against their will. > > McGee, EMT-P > > -- Grayson, CCEMT-P www.kellygrayson.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 Yes, it was a raw deal. And your supervisors either have craniorectal inversion, or make mealy mouth excuses about patient care when their primary concern is actually money. And worship of money is just fine, but let's call it what it is. Don't pretend that it's a patient care issue. > > I have a sincere request for the list. Please let me know your honest > opinion about the following: > > Three shifts ago, I was dispatched via 911 for an elderly man with > difficulty breathing. I and my partner arrive to find a 50+ male > complaining of shortness of breath after just having woken up. > Patients states he needs oxygen. On assessment, patient is hypoxic, > SpO2 of 88%, BP 136/80, P 84, R 16, breath sounds dimminished lower > lobes. > I requested my partner to apply oxygen at 15 L/m > via NRB and continue to assess the patient. > He is a hemodialysis patient that is schedualed to get his treatment > the next day. I explain to the patient that he is possibly suffering > from fluid overload and needs to get dialysis. Patient agrees, and > confirms that he has had more fluid then he is supposed to. I advise > patient to let us take him to the local ER and be evaluated. Patient > states that he now feels much better and does not wish to be > transported. I explain that his condition, while right now seems > better, could worsen and he should be seen by a doctor for evaluation. > Patient refuses transport again and states if he feels bad later he > will call 911 later. Patient signs refusal of transport form and we > return to base. > > Forward to two shifts ago and my direct supervisor pulls me aside and > tells me that he does not believe that I should have allowed that > patient to refuse transport and that this call and PCR will be reviewed. > > Today, I am told that I am being given both a verbal and written > reprimand for that call. I am told that the patient was contacted and > he both validated that the events of the call went as I stated on his > PCR and that he refused transport of his own free will. > > I am being reprimanded for both allowing this patient to refuse > transport and for performing a treatment, I.e. Oxygen, before > transporting this patient. I am told I should have advised the patient > that it is officially against company policy to allow refusal of > transport if patient calls 911, and that I should have with held the > oxygen until the patient was on my stretcher in the back of my unit > enroute to the ER. > > I refused to sign this written repremand and was immediatly suspended > without pay, pending further review of this call and my actions. > > What did I do wrong? What could I have done different? What can I do now? > > I am standing firm that what I did was correct patient care, and that > I cannot coerce or force a patient to be transported against their will. > > McGee, EMT-P > > -- Grayson, CCEMT-P www.kellygrayson.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 You actually have a *written* policy that says, " Take the patient to the hospital, even if they are competent and it is against their wishes, " or words to that effect? WOW. Here's my advice: 1. Find a greedy lawyer. 2. Have a friend that these people don't know call for an ambulance. Have the " patient " refuse care when the ambulance arrives, say, right after the blood glucose check or a little nasal cannula oxygen. 3. Record the whole encounter on video tape, especially the part where the medics say the patient HAS to go to the hospital. 4. Contact said greedy lawyer, and sue their asses for wrongful imprisonment, coercion, assault and battery, and general asshole-ism. 5. Hire me as the Operations Manager of McGee Ambulance. There's a big difference between *discouraging* refusals, which is reasonable and prudent, and *forbidding* refusals, which is unethical, not to mention illegal. > > Yes the " officially against company policy to allow refusals " is in > writting. Unfortunatly, the part about the oxygen is not. I kept a > copy of the writeup even though I refused to sign it. > > Sent from my iPhone, > McGee, EMT-P, EMT-T > > On Apr 26, 2010, at 10:33 PM, " Louis N. Molino, Sr. " lnmolino@... > > wrote: > > Is the statement that " it is officially against company policy to > allow refusal of transport if patient calls 911, and that I should > have with held the oxygen until the patient was on my stretcher in the > back of my unit enroute to the ER. " > > In writing? If so I'd hang on to that. > > Since they are saying you don't accept refusals from persons who call > 9-1-1 are they advocating violating a Patients right to refuse? > > As for witholding O2 from a Patient in extemis I'd call that criminal > and I've fired BLS folks for not giving O2 in a timely manner. > > Louis N. Molino, Sr. CET > FF/NREMT/FSI/EMSI > Typed by my fingers on my iPhone. > Please excuse any typos. > (Cell) > LNMolino@... > > On Apr 26, 2010, at 22:04, " " summedic@... > > wrote: > > > I am told I should have advised the patient that it is officially > > against company policy to allow refusal of transport if patient > > calls 911, and that I should have with held the oxygen until the > > patient was on my stretcher in the back of my unit enroute to the ER. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 You actually have a *written* policy that says, " Take the patient to the hospital, even if they are competent and it is against their wishes, " or words to that effect? WOW. Here's my advice: 1. Find a greedy lawyer. 2. Have a friend that these people don't know call for an ambulance. Have the " patient " refuse care when the ambulance arrives, say, right after the blood glucose check or a little nasal cannula oxygen. 3. Record the whole encounter on video tape, especially the part where the medics say the patient HAS to go to the hospital. 4. Contact said greedy lawyer, and sue their asses for wrongful imprisonment, coercion, assault and battery, and general asshole-ism. 5. Hire me as the Operations Manager of McGee Ambulance. There's a big difference between *discouraging* refusals, which is reasonable and prudent, and *forbidding* refusals, which is unethical, not to mention illegal. > > Yes the " officially against company policy to allow refusals " is in > writting. Unfortunatly, the part about the oxygen is not. I kept a > copy of the writeup even though I refused to sign it. > > Sent from my iPhone, > McGee, EMT-P, EMT-T > > On Apr 26, 2010, at 10:33 PM, " Louis N. Molino, Sr. " lnmolino@... > > wrote: > > Is the statement that " it is officially against company policy to > allow refusal of transport if patient calls 911, and that I should > have with held the oxygen until the patient was on my stretcher in the > back of my unit enroute to the ER. " > > In writing? If so I'd hang on to that. > > Since they are saying you don't accept refusals from persons who call > 9-1-1 are they advocating violating a Patients right to refuse? > > As for witholding O2 from a Patient in extemis I'd call that criminal > and I've fired BLS folks for not giving O2 in a timely manner. > > Louis N. Molino, Sr. CET > FF/NREMT/FSI/EMSI > Typed by my fingers on my iPhone. > Please excuse any typos. > (Cell) > LNMolino@... > > On Apr 26, 2010, at 22:04, " " summedic@... > > wrote: > > > I am told I should have advised the patient that it is officially > > against company policy to allow refusal of transport if patient > > calls 911, and that I should have with held the oxygen until the > > patient was on my stretcher in the back of my unit enroute to the ER. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2010 Report Share Posted April 26, 2010 You actually have a *written* policy that says, " Take the patient to the hospital, even if they are competent and it is against their wishes, " or words to that effect? WOW. Here's my advice: 1. Find a greedy lawyer. 2. Have a friend that these people don't know call for an ambulance. Have the " patient " refuse care when the ambulance arrives, say, right after the blood glucose check or a little nasal cannula oxygen. 3. Record the whole encounter on video tape, especially the part where the medics say the patient HAS to go to the hospital. 4. Contact said greedy lawyer, and sue their asses for wrongful imprisonment, coercion, assault and battery, and general asshole-ism. 5. Hire me as the Operations Manager of McGee Ambulance. There's a big difference between *discouraging* refusals, which is reasonable and prudent, and *forbidding* refusals, which is unethical, not to mention illegal. > > Yes the " officially against company policy to allow refusals " is in > writting. Unfortunatly, the part about the oxygen is not. I kept a > copy of the writeup even though I refused to sign it. > > Sent from my iPhone, > McGee, EMT-P, EMT-T > > On Apr 26, 2010, at 10:33 PM, " Louis N. Molino, Sr. " lnmolino@... > > wrote: > > Is the statement that " it is officially against company policy to > allow refusal of transport if patient calls 911, and that I should > have with held the oxygen until the patient was on my stretcher in the > back of my unit enroute to the ER. " > > In writing? If so I'd hang on to that. > > Since they are saying you don't accept refusals from persons who call > 9-1-1 are they advocating violating a Patients right to refuse? > > As for witholding O2 from a Patient in extemis I'd call that criminal > and I've fired BLS folks for not giving O2 in a timely manner. > > Louis N. Molino, Sr. CET > FF/NREMT/FSI/EMSI > Typed by my fingers on my iPhone. > Please excuse any typos. > (Cell) > LNMolino@... > > On Apr 26, 2010, at 22:04, " " summedic@... > > wrote: > > > I am told I should have advised the patient that it is officially > > against company policy to allow refusal of transport if patient > > calls 911, and that I should have with held the oxygen until the > > patient was on my stretcher in the back of my unit enroute to the ER. > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.