Happy Medic explains that in reviewing refusal of transport charts, he comes across this magical invocation repeatedly.
This is a phrase I see a lot in my line of work. There are a number of variations including another favorite “seizure, coma, death” that are designed to cover the hind quarters of the author in some half cracked attempt at documentation.
Even Sylvester Stallone correctly ridicules seizure, coma, death reasoning, so evil it must only be be spoken of in the most reverent terms.
Happy Medic has a question for those who use either
murder, death, kill seizure, coma, death or Up To, and Including, DEATH as a part of their documentation of a refusal for minor injuries.
I confess that I was trained to do this and it took me a while to realize how ridiculous it is.
Funny part is that this blanket statement calls into question the rest of your document most times. Do you really believe the hand abrasion will lead to death? In what fashion? If it is such a risk, why isn’t the patient being transported?
Please, explain how this laceration will lead to death.
This must be a death that would be prevented by immediately taking a magical trip to the ED (Emergency Department) by our
magic carpet ambulance.
In the ED, they are able to use stronger spells than seizure, coma, death.
What we are trying to state is I am not responsible.
This seems to be the motto of the least competent in EMS.
If I follow the protocol, I am not responsible for the harm I cause the patient.
If I follow medical command orders, I am not responsible for the harm I cause the patient.
If I follow orders, I am not responsible for the harm I cause.
Is that really what we aspire to?
If people enter EMS with this attitude, we should do our best to get rid of this attitude.
If people enter EMS without this attitude, we should do our best to get rid of those of us encouraging this attitude.
EMS is not magic. We are not magicians, sorcerers’ apprentices, or flying monkeys.
We are pretending that magic is a solution to ignorance and/or incompetence.
The I am not responsible attitude is dangerous to us and dangerous to our patients.
Please stop being dangerous.