Against Medical Advice (Ama)/ Release printable pdf download

Against Medical Advice (Ama)/ Release

POLICY/PROCEDURE:

NUMBER: 002

AMA / RELEASE

DATE: 03/08

Against Medical Advice (AMA)/ Release

Policy:

Any person who is identified as a patient should be properly assessed and

transported to the destination of their choice if possible. Should a person who

meets the criteria of a “patient” refuse assessment, treatment or transportation, the

EMT-B / EMT-P shall properly document the refusal. Patients, who refuse

specific care, shall have their refusal of care documented on the Prehospital

Patient Report and sign and AMA form.

Definitions

II.

A. Abnormal vital signs

Adult

 Pulse – Less than 50 bpm or greater than 100 bpm or any irregular

pulse that shows potential life threatening ectopy or heart block on

the EKG monitor.

 Respirations – Less than 10/minute or greater than 20/minute. Any

labored or ineffective respirations.

 Blood Pressure – Less than 100 systolic, or greater than 100

diastolic.

 Lung Sounds – Any diminished or abnormal lung sounds such as

wheezing, rales or rhonchi.

 Skin – Any patient with abnormally pale, cold or diaphoretic skin.

 Oxygen Saturation – Less than 95% on room air

Pediatric

 Pulse –

o Age 0 – 12 months less than 100 bpm or greater than 160 bpm

o Age 1 – 5 years less than 80 bpm or greater than 130 bpm

o Age 6 – 18 years less than 50 bpm or greater than 100 bpm

o Any irregular pulse that shows potential life threatening ectopy

or heart block on the EKG monitor.

• Respirations –

o Age 0 – 12 months less than 20/min or greater than 50/min

o Age 1 – 5 years less than 12/min or greater than 30/min

o Age 6 – 18 years less than 12/min or greater than 24/min

o Any labored or ineffective respirations

• Blood Pressure –

o Age 0 – 12 months less than 60 systolic

SAN DIEGO REGIONAL COOPERATIVE CARE PROGRAM

Against Medical Advice (Ama)/ Release