You arrive at a rural accident scene to transport a critically injured unconscious adult patient. Family members on the scene are visibly distressed and begin to direct you to provide certain treatments. What is the most appropriate action to take?
Refuse to transport the patient until formal consent is obtained from a legal representative.
Obtain direct permission from the family members before administering any care.
Transfer decision-making authority to the family members on the scene as they are next of kin.
Transport the patient while providing necessary emergency care based on your protocols and medical control guidance.
The correct answer is 'Transport the patient while providing necessary emergency care based on your protocols and medical control guidance.' In emergency situations where the patient is unable to give consent and no legal documents are available, the flight team should follow established protocols and consult medical control if possible. Family members can provide insight into the patient's medical history but do not have legal authority to direct treatment without appropriate documentation.
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BCEN CFRN
General Principles of Flight Transport Nursing Practice
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