Re: pt. consent

["RONALD JOHNSON" <rjohnson_fn@msn.com>]

I also think that with some states laws as well as the new HIPPA regs that
go in to effect on March 14th unless the family has a durable power of
attorney for health care they don't have much say unless the family member
is a spouse.  This is especially more so in an emergency situation as life
comes before different opinions that inevitably come from family members.

As do all the protocols I've worked with in the past say take the patient to
the closest appropriate medical facility.  All allowed family input if
appropriate.

In the example it was pretty simple. You had a Level 1 trauma patient. With
equal distance they go to the level 1 hospital.

I would just make sure your protocols are well written and that you medical
director will back you up.

RJ



----- Original Message -----
From: "jason heck" <jason_heck25@yahoo.com>
To: <flightmed@flightweb.com>
Sent: Saturday, March 01, 2003 8:58 PM
Subject: Re: pt. consent


> My opinion is no. I believe, that you have to do what
> is best for the patient, not what is best for the
> patients family...
> --- jffmedic46@netzero.com wrote:
> > 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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