"Quick Look" – A patient may NOT refuse treatment if:

• UNCONSCIOUS
• CONFUSED (to person, place, time, OR situation)
• INTOXICATED, exhibiting S/Sx of ILLNESS or INJURY
• A MINOR CHILD, exhibiting S/Sx of ILLNESS or INJURY
• DEVELOPMENTALLY or PSYCHOLOGICALLY DISABLED,
  exhibiting S/Sx of ILLNESS or INJURY
• HOSTILE or THREATENING of Others (Verbally or Physically),
  exhibiting S/Sx of ILLNESS or INJURY
• SUICIDAL (either verbally threatening or actively gesturing)

RESTRAINT DOCUMENTATION GUIDELINES:

1. That an EMERGENCY existed & the NEED FOR Tx was EXPLAINED to the Pt.
2. That the PT. REFUSED or was UNABLE to CONSENT to Tx (unconscious?).
3. EVIDENCE of the patient's INCOMPETENCE (or inability) to refuse treatment.
4. LESS RESTRICTIVE METHODS of RESTRAINT attempted.
5. ASSISTANCE of LAW ENFORCEMENT OFFICIALS with restraint,
   and/or ORDERS from MEDICAL CONTROL to restrain,
   and/or ADHERENCE to SERVICE RESTRAINT PROTOCOLS.
6. That the Tx and RESTRAINT was for the PT's BENEFIT and SAFETY.
7. That REASONS for RESTRAINT were EXPLAINED to the PT.
8. The TYPEs of RESTRAINT EMPLOYED (soft, leather, mechanical).
9. The LIMBs RESTRAINED (right wrist, bilateral wrists, "four points").
10. Any INJURIES THAT OCCURRED DURING or AFTER RESTRAINT.
11. CIRCULATION CHECKS every 15 (or fewer) MINUTES.
12. BEHAVIOR and/or MENTAL STATUS of PT AFTER RESTRAINT.

Print ONLY Page ONE of this Web Site "Page." HIGHLIGHT the numbers 2, 3, 5, 8, 9, 10, 11, and 12. Take it to a Copier (Kinkos) &have it REDUCED IN SIZE. CUT OUT the two lists of Restraint Criteria. LAMINATE IT! And, then put it somewhere that will be HANDY for your on-scene and post-scene reference!

I suggest that folkz attach one of these cards to EVERY "Jump" kit
("Ready-Up" kit ... the kit that goes on EVERY CALL).
That way, everyone on the service will have a card available to them.

Email Charly at: c-d-miller@neb.rr.com
Those are hyphens/dashes between the "c" and "d" and "miller"