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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A 3-year-old boy presents with an altered mental status. His parents state he wandered into the garage unattended. He presents lethargic, with a green substance around his mouth. You should first:
A) call for additional resources. B) attempt to identify the substance around his mouth. C) take a set of vital signs. D) administer oxygen.
What statutory regulations ensure that skilled nursing facilities and home health agencies meet minimum health and safety requirements?
1. The Joint Commission accreditation standards 2. Medicare provider certification program 3. State health agency regulations a. 2 and 3 only b. 1 and 2 only c. 3 only d. 1, 2, and 3