Elderly patient declines hospital transport with minor injury, Kissimmee FL
An elderly patient at a memory care facility had a minor elbow injury but did not want to go to the hospital. The patient was alert, stable, and experiencing no significant pain. Medical staff were advised to monitor the patient and document the refusal of transport.
Audio|Source: Osceola County Public Safety
02:56
Transcript:
00:00
Rescue 72 to Michael Director, are you copy?
00:06
This is Permanic Pagogy.
00:08
I'm contacting you to request permission to obtain refusal.
00:13
I've contacted some regarding this patient in the past.
00:16
We are familiar with patients.
00:18
This is a solicit-style call.
00:21
However, there is an injury to the elbow which can't be in nature approximately a core size in diameter.
00:33
Chief Control is been bandaged.
00:35
The patient is by nature not able to have capacity refuse.
00:40
He is in a memory care facility.
00:42
He is 80 times 3, GPSS15.
00:46
He does not want to go to the hospital.
00:48
His bottles are swallowed.
00:49
Heart rate of 103,
00:50
S-2-95,
00:52
full pressure 154 over 107.
00:54
There are no other injuries, no other pain.
00:57
The patient is alert at this time.
01:00
Do you have permission to obtain refusal in a space? the two points of contact are not responding to phone call.
01:07
That is my reason for calling it.
01:11
Are you able to fully range and move the elbow?
01:15
I'm sorry, can you feed your last traffic?
01:18
Are you able to fully range and move the elbow?
01:23
Yes, ma'am.
01:24
In fact, the patient was not aware of the skin care until we mentioned.
01:30
And also upon physical assessment relayed no pain, he has been able to stand on his own following our assistance.
01:38
and has no complaints for us.
01:42
Okay, that's fine.
01:46
Who's there with you if there's no family? This is just a staff member for where he lives.
01:53
My apologies, I didn't hear entirely what he said.
01:56
However, we're at the Windsor.
01:58
He's at the memory care side.
02:00
His normal point of contact is his adult son, who is a physician.
02:05
In the past, his adult son has strongly requested that we not transport him unless required.
02:13
The second point of contact is the adult daughter, who I have never spoken to, but did not answer it as well.
02:21
Okay, that's fine.
02:24
Can someone at the facility just keep an eye on him and sign his refusal?
02:30
I'm just saying I'll make contact with someone at the facility and relay that message.
02:37
Thank you.
02:39
Yeah, thank you.
02:42
That one to dispatch.
02:45
This is the dispatch.
02:47
Can you have the audio? To the call, please.
02:52
Alright, it says. Here's that time.
02:55
Thank you.
Disclaimer:
This transcript was automatically generated and may contain inaccuracies. Please verify the information independently.
Location mentioned:
John Young Pkwy, Kissimmee, FL 34741
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