Happy Medic does not like the use of the term kidnapping for taking a person from one place, against the person’s wishes, to a place where Happy Medic believes the person will be better off. The person has the capacity to make informed decisions for himself, but Happy will not have that. Happy knows best.
Is this kidnapping? Maybe, technically, this does not meet all of the criteria to be convicted of kidnapping in a courtroom, but that does not even come close to meaning that abduction of people against their wishes, for purposes that the person believes to be nefarious, is not a crime.
If what is best for the person is that obvious, then why can’t Happy convince the person?
If the person does have the capacity to make informed decisions, then maybe it is Happy who lacks the capacity to make informed decisions for that person?
We are told not to disobey the patient and do what they say, take them where they want, and 95% of the time that works out just fine. Your stomach hurts? Sure we can goto St Farthest. Your leg itches again? Kaiser patient, not a problem. Trauma patient wants to goto St Farthest? Aren’t we supposed to be patient advocates and do everything we can for them?
That depends on what we mean by doing everything we can for them.
Why is it so difficult to get a person to agree that we are doing everything we can for them?
Why isn’t consent a part of doing everything we can for them?
In the pilot episode of Beyond the Lights & Sirens, I had a conversation with a regular named Val. She presented with chest pain, 10/10, radiating, with history, a mere 10 blocks from an appropriate facility. Her requested facility, 2 hospitals and 25 minutes away was on saturation divert, or no longer accepting patients by ambulance. I transported her, per chest pain protocol, to a hospital that was not her requested facility. No kidnapping charges were filed.
It isn’t a crime, as long as charges aren’t filed and the bosses don’t complain?
It isn’t wrong, as long as charges aren’t filed and the bosses don’t complain?
If this is right, why can’t you convince a person, who has the capacity to make informed decisions, that this is a good idea?
Perhaps we should spend less time worrying about vague definitions that don’t apply and spend more time in the airway lab?
Maybe we should improve our ability to explain to people what might be in their best interest and stop assuming that our patch entitles us to claim that we know more than the person knows about what that person would want if given all of the relevant information.
Almost all of us should also spend more time in the airway lab, but that has nothing to do with obtaining informed consent from a person who does have the capacity to make informed decisions for himself.
Of course, you need a blood-letting. I know what is best for you.
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