How does your hospital address patients who refuse all care

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The patient who does not want any vitals, labs, tests, or even an IV but they demand to be treated. Does it matter if it is a private, state, or single payer system?

Specializes in Critical Care.
On 5/17/2020 at 10:49 AM, Emergent said:

I, personally, don't see anything wrong with a student asking what happens at different hospitals. So what if this is a homework question? What better place to come to find out what is done in various facilities and settings.

Especially under these pandemic restrictions, when no one can go anywhere or talk to anybody. This should be an educational, helping forum where inexperienced people can ask questions.

I agree with this post. At the end of the day, it is a public nursing forum, if you don't feel like answering a question...then don't.

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Specializes in Surgical, quality,management.

If the patient is competent and refusing care and refusing to be discharged as the NM I speak with head of unit and go in as a combined force. If they still refuse to leave the CMO, CAHO and EDON review the process. If they agree then the pt is provided with a letter from the executive asking them to leave. If they don't leave then security escort them out. They will be provided with outpatient appointments. If they chose not to come to that appointment then they are discharged back to GP care.

Competence is the key assessment, mental health and occupational therapy MOCA vs PTA.

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