What should be done when a patient requiring transport refuses ALS assessment, treatment, and transport?

In situations where a patient refuses advanced life support (ALS) assessment, treatment, and transport, the appropriate course of action is to contact base. This is crucial because when a patient refuses care, it is important to verify their capacity to make that decision and to ensure that all protocols and legal requirements are followed. Contacting base allows medical control to assist in evaluating the situation and provides additional guidance on how to proceed with the patient's care. This step is vital to protect both the patient’s well-being and the healthcare provider’s legal and ethical responsibilities.

Opting to transport without consent could expose the provider to legal implications, as consent is necessary for treatment and transport. Documenting the refusal is important but should be done in conjunction with contacting base; documentation alone does not address the immediate need for guidance in the face of a refusal. Providing additional treatment without the patient's consent goes against the principles of informed consent and can lead to serious consequences for the provider and the patient's legal rights. Thus, contacting base is the proper action to ensure a responsible and medically sound approach to the patient's refusal of care.