Pt disposition

Question 1

. A child under the age of __years cannot be left alone even if he or she is not a patient.
If no responsible adult is present and the child is not a patient, contact law enforcement

Answer 1

10

Question 2

If a minor age 15 years or older and less than 18 years is not transported, attempt to
obtain consent by minor to contact___ to inform them of EMS call.

Answer 2

parents or responsible guardian

Question 3

Special Procedure for Consent and Refusal guidelines for minors above the age of __
years or older and less than 18 years (reflecting Oregon Statutes):

Answer 3

15

Question 4

Sustained abnormal vital signs:

Answer 4

1. Pulse greater than 120/min or less than 60/min without explanation.
2. Systolic BP greater than 200 mmHg or less than 90 mmHg.
3. Respirations greater than 30/min or less than 10/min.
4. SpO2 < 90%.

Question 5

EMS providers are required to contact OLMC for the following refusal situations:

Answer 5

1. Suspected impaired decision making capacity.
2. Suspected high risk medical conditions such as:
   a. Age younger than 3 months.
   b. Minor (age 17 years or younger) without a parent or guardian who is refusing care.
   c. Serious chief complaint (including but not limited to): chest pain/dysrhythmia,
   shortness of breath, first time seizure, poison/OD, suspected sepsis, suspected
   cervical spine injury, stroke/TIA.
   d. Significant mechanism of injury, or suspicion of injury
3. EMS provider believes patient should have an evaluation.
4. Conflict on scene regarding refusal of medical treatment.
5. Suspected abuse situation involving a minor, elderly person, or a person with a disability.
6. An unconscious or alter mental status (person or parent/guardian for a minor).