In the extreme case, does that mean that if a car with 4 belted occupants crashes into a motorcycle and throws the rider, you have to stick around on scene with the biker dying in the back of your ambulance while a second unit shows up to handle refusals lest you "abandon" the uninjured patients? Or is that ambulance allowed to go as long as there's a second one en route to handle the refusals?If they were involved in the incident that provoked the call for service in any way, legally they are then OUR patients. In this litigious society, yes, anyone who you make physical contact with gets a refusal signed if they don't want to go. If you do not do this, you've just committed abandonment of your patient.
Well, your duty is to stil check their B/P and vitals. Check head, neck,etc.
If they refuse treatment or a ride get an AMA never know when a call will bite ya back in the butt. Remember CYA!
It is a little absurd. It's ridiculous.
And Chance, I guess I'd have to ask you for the legal authority that supports your proposition that everyone at a crash scene is our patient. I've been around and researching this for a long time, and never have heard any such proposition. Remember your basic tort law - duty, breach of duty, damages, and causation. Your duty doesn't begin until the patient requests you to provide service. So, no duty, no tort (negligence, abandonment, etc.). In other words, I think that your statement is incorrect. If a person says "I'm not hurt and didn't request an ambulance" then end of discussion. If they've got an obvious injury, then further encouragement might be in order.
Why some feel that we have to force ourselves on everyone at a scene is beyond me......