Decision making for refusals of treatment—a framework to consider
Jones, Steven Williams, Barry Monteith, Paul
Jones, Steven
Williams, Barry
Monteith, Paul
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Abstract
Abstract published with permission.
Challenges to practice are encountered on a daily basis by paramedics that often
share many common recurring themes around consent or refusal to treatment.
The benefits of training and open debate acknowledge the often complex
decisions relating to consent and mental capacity and reduce opportunities
for future legal challenge. How the law should be integrated into everyday
decision making will be examined and a framework proposed to assist practice
for defendable decision making. This article was inspired following joint training
undertaken with paramedics and local critical incident managers from the police,
which highlighted a need for a practical decision-making framework to be
available for application during incidents and for use as an analytical tool to aid
post-decision reflection and learning at debrief.