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. If the patient refuses to sign the refusal form:
A. Sign it yourself and state: "Patient refused to sign."
B. You cannot let the man leave the scene until he either goes with you or signs the form.
C. Have a credible witness sign the form testifying that he or she witnessed the patient's refusal of care.
D. If the patient refuses care, you don't have to document it.
Answer: C. Have a credible witness sign the form testifying that he or she witnessed the patient's refusal of care.
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