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Declining an Ambulance No Easy Task (ABQ FD rules - can't just say no)
The Albuquerque Journal ^ | July 15, 2011 | Jeff Proctor

Posted on 07/15/2011 10:46:44 AM PDT by CedarDave

Declining an ambulance ride is more complicated than just saying you don’t want one, according to the Albuquerque Fire Department protocols.

Patients must meet a variety of standards before they are allowed to decline ambulance transport including alertness, ability to maintain coherent thought and speech, judgment that is not clouded by alcohol or drug use, normal vital signs and a neurologic exam that includes “coordination and gait that is normal or consistent with their past medical history.”

A patient also must be “able to reference time/date/place/situation.”

If all the criteria are met, the patient must sign a form indicating he or she has declined transport by ambulance.

“Our protocols were established by the Medical Control Board, and they are very stringent,” said Deputy Fire Chief Tige Watson. “For someone to be transported to the hospital, they have to meet all of those very comprehensive criteria.”

(Excerpt) Read more at abqjournal.com ...


TOPICS: Constitution/Conservatism; Government; US: New Mexico
KEYWORDS: albuquerque; ambulance
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This all arose following a crash by the wife of the ABQ public safety director (who oversees APD and AFD). He transported his wife to the hospital for treatment but records are sealed as to whether he did so in contravention of the AFD policy. There were prescription drugs found at the scene so the question is whether she was under the influence. There is now at least one investigation underway as to whether his actions may have been unethical if not criminal.

The broader question is whether an injured patient can be forced to take an ambulance if family members are on scene. Later in the article Watson says in extreme cases, they will put patients in restraints and transport them involuntarily. There would seem to be constitutional issues here about unlawful restraint, especially for adults who make such a decision against the advice of EMS personnel or whose family members make that decision for them.

1 posted on 07/15/2011 10:46:50 AM PDT by CedarDave
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To: LegendHasIt; Rogle; leapfrog0202; Santa Fe_Conservative; DesertDreamer; OneWingedShark; ...

NM list PING! Click on the flag to go to the Free Republic New Mexico message page.

(The NM list is available on my FR homepage for anyone to use. Let me know if you wish to be added or removed from the list. For ABQ Journal articles requiring a subscription, scroll down to the bottom of the page to view the article for free after watching a short video commercial.)

2 posted on 07/15/2011 10:49:49 AM PDT by CedarDave
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To: CedarDave
A friend of mine was involved in an accident, her 3 year old child was hurt but she wasn't. An ambulance took the child to the emergency room and uninjured mother rode along in the ambulance. Guess the rest of this story.
3 posted on 07/15/2011 10:54:17 AM PDT by Graybeard58
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To: CedarDave

Evidently the message is . . .

“VEE HAF OUR VAYS! YOU VILL COMPLY!”


4 posted on 07/15/2011 10:55:28 AM PDT by Quix (Times are a changin' INSURE you have believed in your heart & confessed Jesus as Lord Come NtheFlesh)
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To: CedarDave

There’s bad blood between Darren White and the police and firefighter’s unions.

He was a good Sheriff IMO.


5 posted on 07/15/2011 10:55:59 AM PDT by Tijeras_Slim
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To: CedarDave

Sorry I don’t pay to read the rest of the story


6 posted on 07/15/2011 10:56:23 AM PDT by EBH ( Whether you eat your bread or see it vanish into a looter's stomach, is an absolute.)
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To: CedarDave

“You searched for Attorneys in Albuquerque, NM: 1-30 of 1535”

http://www.yellowpages.com/albuquerque-nm/attorneys?g=Albuquerque%2C+NM&q=Attorneys

Just sayin’.....


7 posted on 07/15/2011 10:57:04 AM PDT by Uncle Ike (Rope is cheap, and there are lots of trees...)
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To: CedarDave
Just a guess here:

If we go back far enough and look for the reasons behind the policy we will probably find a lawsuit. Someone refused an ambulance, they later died or otherwise the injury was more serious then thought, the predictable lawsuit followed, the case was was won and the policy enacted.

Personal responsibility died somewhere between Nov. 1932 and March of 1933.

8 posted on 07/15/2011 10:57:12 AM PDT by Michael.SF. (When you hear hooves, think horses, not zebras.)
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To: CedarDave

Why doesn’t the APD and the AFD just mind their own f’n business?


9 posted on 07/15/2011 10:57:28 AM PDT by donhunt (I am sick and tired of those bastards insulting and lying to me.)
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To: CedarDave

Good. Then when the bill comes send it on to the AFD/APD or mayor’s office.


10 posted on 07/15/2011 10:57:28 AM PDT by SkyDancer (You know, they invented wheelbarrows to teach FAA inspectors to walk on their hind legs.)
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To: CedarDave
This is crazy, White was on the scene for 30 minutes before he transported his wife.

The whole thing is a political mess and the dems will not quit until he resigns, the media has been more than complicit in helping the 4 dem council members in ginning up this mess.

I forget the name of the drug, I saw the bottle last night on the news and looked it up at pill finder.com , I should have kept it, but it is not a controlled substance and after extended use it can cause dizziness in some cases.

11 posted on 07/15/2011 10:58:15 AM PDT by Kakaze (Exterminate Islamofacism and apologize for nothing....except not doing it sooner!)
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To: CedarDave

Hell yes, they want you to take that ambulance ride. They can charge you and your insurance company at least five thousand bucks.


12 posted on 07/15/2011 11:01:17 AM PDT by E. Pluribus Unum ("A society of sheep must in time beget a government of wolves." - Bertrand de Jouvenel des Ursins)
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To: E. Pluribus Unum

Thats what it really boils down to.. more money from YOU. They can cry about a myriad of lawsuits, or magical invisible diseases that can kill you if you dont get checked out.. but in the long run.. its all about billing YOU or your insurance company.


13 posted on 07/15/2011 11:04:07 AM PDT by eXe (Si vis pacem, para bellum)
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To: EBH
Sorry I don’t pay to read the rest of the story

You don't need to pay -- read the instructions at the bottom of my NM PING.

14 posted on 07/15/2011 11:09:02 AM PDT by CedarDave
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To: CedarDave

An uninjured passenger can indeed refuse care and transport. EMTs can be guilty of assault and battery for forcing care and transport. Not me....the patient better clearly be in urgent need of care before I risk anything. That being said as an EMT I have held down a patient till they were secured and transported. Head injury due to a bike/car accident. Patient had no idea what he was doing. Witnesses stated there was LOC. Patient was unable to have a conversation with police or EMS...so he got the treatment. EMTs are not paid enough money in the world to take on all they do.


15 posted on 07/15/2011 11:09:07 AM PDT by tioga
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To: Michael.SF.
If we go back far enough and look for the reasons behind the policy we will probably find a lawsuit. Someone refused an ambulance, they later died or otherwise the injury was more serious then thought, the predictable lawsuit followed, the case was was won and the policy enacted.

Actually, more than likely, you'll find it's due to the fact they can bill the insurance company for the response/ride.

16 posted on 07/15/2011 11:17:16 AM PDT by IYAS9YAS (Rose, there's a Messerschmitt in the kitchen. Clean it up, will ya?)
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To: tioga

Several yrs ago my son lost his jobs & in between jobs. He had no insurance. He was snowboarding & took a hit. An hour later some friends thought that he might have been injured.. The paramedics came. He tried to resist & tell them that he was fine - basically tired. They hauled him off in a helicopter to a regional hospital. Again he refused to be treated but they went on with it. Found NOTHING wrong with him. Now guess what that bill was that had to be paid out of his own wallet.


17 posted on 07/15/2011 11:19:41 AM PDT by Digger (T)
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To: Digger
They hauled him off in a helicopter to a regional hospital. Again he refused to be treated but they went on with it. Found NOTHING wrong with him. Now guess what that bill was that had to be paid out of his own wallet.

I'd have gone after them for false imprisonment, and kidnapping. Drop the bill, I drop the charges.

18 posted on 07/15/2011 11:24:46 AM PDT by IYAS9YAS (Rose, there's a Messerschmitt in the kitchen. Clean it up, will ya?)
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To: SkyDancer

Yes, If you are being forced to use a service you don’t want, then the government should pay the bill. You should be able to sign a form stating your objection. The ambulance service turns it in to the government for payment.


19 posted on 07/15/2011 11:24:51 AM PDT by Boiling point (Cain / Palin 2012)
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To: Digger

He refused. He had no injury. It it assault and battery to force him to go anywhere against his will. Different story if they had found a serious injury. Did they force him, or talk him into it? Huge difference. Financial liabilities will come in if he in any way agreed.


20 posted on 07/15/2011 11:25:28 AM PDT by tioga
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