AEMCA Practice Exam

If a patient makes an informed refusal of service and is hypoglycemic, what is required before departure?

1. Final set of vitals and BGL

2. Signature from a family member

3. Consultation with a physician

4. A follow-up from a nurse

The correct answer is: Final set of vitals and BGL

When a patient who is hypoglycemic makes an informed refusal of service, it is critical to assess their current clinical state before allowing them to leave. Obtaining a final set of vital signs and blood glucose level (BGL) is essential in this situation for several reasons. First, measuring vital signs helps to establish the patient's overall condition, which is especially important in hypoglycemia, where vital signs might indicate instability. A blood glucose level check directly addresses the hypoglycemic issue and provides concrete data to determine if the patient is at a safe level. This is crucial in ensuring the patient is not at imminent risk of severe complications such as loss of consciousness or seizures, which can occur if their blood sugar levels remain dangerously low. By documenting these metrics before departure, you not only ensure the patient's safety but also protect yourself legally, as the data can be vital if the patient's condition changes after leaving or if they decide to pursue further assistance later. This practice upholds the standards of care and supports the ethical obligation to ensure patient well-being, even when they refuse services.