If a scene involves two patients who refuse help, you should

• A. Call for EMS assistance
• B. Triaging them for transport
• C. Carefully document refusal of care
• D. Advise them to seek care later

Answer: (C)

Respect for a patient’s autonomy means you only transport or treat if the patient is competent to make that decision. When a patient declines care, you must ensure they understand the consequences and document the refusal carefully. This includes confirming their ability to understand and appreciate the situation, explaining the risks of not receiving help, offering to stay with them or arrange transport, and recording everything clearly. For two patients, you would assess and document the refusal for each one individually, noting the conversation, the information provided, and the outcome. Maintaining thorough documentation protects both the patient’s rights and you as the responder if questions arise later.