This training course provides EMS professionals with clear, practical guidance on how to properly document refusals, treatment-no-transport (TNT), and patient assists. These encounters are among the most frequent — and most legally risky — situations in EMS. Poor or incomplete documentation is cited in up to 20% of malpractice lawsuits and accounts for millions of dollars in denied insurance claims each year.
Participants will learn:
- How to identify a “patient” in every encounter
- The essential elements of a legally valid refusal
- Documentation standards for TNT and assists to ensure compliance and billing accuracy
- Best practices for explaining risks/benefits and obtaining informed signatures
- How to protect patients, providers, and the organization from liability through thorough charting
By the end of this training, attendees will understand the medical, legal, and financial importance of accurate documentation and leave with practical strategies to apply immediately in the field.