You have just finished an ambulance run where a 45-year-old man had run his SUV into a utility pole. The driver was found slumped over the steering wheel, unconscious. A large electrical wire was lying across the hood of the vehicle. After securing scene safety, you were able to approach the patient and complete a primary assessment, in which you found a 6" laceration across his forehead. The patient regained responsiveness, was alert and oriented, and refused care. Should an EMT document this call, even though the patient refused care?
A. No. You only need to document when you have actually provided care.
B. No. This was not a billable run.
C. Yes. It is best signed by the patient as "refusal of care."
D. Both A and B.
Answer: C. Yes. It is best signed by the patient as "refusal of care."
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