A paramedic was asked by family members to take a patient complaining of chest pain to the local hospital. However, the patient is being taken to a hospital that is farther away and harder for the family to reach
The decision to take the patient to a different hospital is the result of which factor? 1. The patient does not have sufficient insurance.
2. The paramedic did not understand the request.
3. The emergency department at the local hospital would not accept the patient.
4. The patient was taken to the care center that provides the optimal care for the problem.
4
Rationale 1: The paramedic may or may not be aware of the type of insurance the patient has.
Rationale 2: There is no evidence that the family did not make their wishes known.
Rationale 3: Because of the Emergency Medical Transport and Active Labor Act, the local hospital would not refuse to see the patient.
Rationale 4: One of the Institute of Medicine recommendations for emergency care in the United States is to transport patients to the care center that can provide the optimal care for the patient.
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