Re: pt. consent

["J.D. Phipps" <jdprn@hotmail.com>]

I am certainly no attorney and would like to hear an attorney's response to 
all of these answers.  My thought, if the pt is an adult and altered then 
implied consent allows you to due what is in the pt.'s best interest (the 
level 1).  Can the family make medical decisions for this pt prior to 
someone higher than us determining the pt. to be unable to make decisions 
for themselves?  I'm sure this probably happens all the time but where is 
the legal line drawn?

JD Phipps, RN






>From: jffmedic46@netzero.com
>Reply-To: flightmed@flightweb.com
>To: flightmed@flightweb.com
>Subject: pt. consent
>Date: Sat, 1 Mar 2003 22:22:31 GMT
>
>I have question for anyone that will answer. I had a elderly patient 
>involved in an MVC with +loc at scene, multiple extremity fractures, pelvic 
>fracture, head lac, Responsive to name only following prolonged 
>extracation. 30 minutes to only Level I trauma center around. EMS on scene 
>stated pt. family wants her taken to a Level III hospital same distance 
>away for they did not like how past family members where treated at Level I 
>in the past. Our guidelines state to take her to the Level I Trauma center 
>with the injuries that she had,which we did. Now family states their rights 
>were violated. The crew did not talk to the family at the scene, only the 
>EMS unit that called us. The EMS unit had told the family that we had to 
>take her to the most appropriate facility and left it at that. My question 
>is, "Was this patients rights violated?"
>
>J. Stone NREMT-P
>
>
>
>
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