If you cannot document the necessary information for a patient refusal, what should you do?

In situations where necessary documentation for a patient refusal cannot be completed, the appropriate course of action is to contact the Base Hospital for a paramedic-level provider response. This involves seeking guidance from medical direction, which allows for clinical oversight and ensures that patient safety remains a priority.

When a patient refuses medical care, especially if they may not fully understand the implications of their choice, it's essential to consult with a higher-level medical authority. Doing so can facilitate a thorough assessment of the patient's decision-making capacity and ensure that the refusal is made in an informed manner. A paramedic-level provider can provide valuable insights and can help clarify the situation, advocate for the patient, and ensure that appropriate measures are taken.

Other options, while they might appear viable at first glance, do not adequately address the need for appropriate medical oversight and legal protection. Continuing without documentation can result in liability issues, advising the patient to seek their own medical assistance does not ensure that they receive the appropriate care and oversight needed, and waiting for the patient to regain competency may not be feasible, especially if immediate medical needs are present. Thus, contacting Base Hospital is the most responsible and safe action to take in such a scenario.