What action should you take when an alert adult refuses transport despite chest pain?

In situations where an alert adult is experiencing chest pain but refuses transport, it is critical to take appropriate actions that prioritize patient safety while respecting their autonomy. Involving family members in the discussion can be a crucial step. They may have influence or concern for the patient's well-being that might encourage the patient to reconsider their decision. Family members often understand the risks associated with refusing care and can be instrumental in persuading the patient to accept necessary medical attention.

In this scenario, documenting the refusal is essential, but it is equally important to ensure that the patient fully understands the situation they are in. Assessing understanding alone may not sufficiently address their immediate decision to refuse transport. Providing reassurance without taking further steps may leave the patient in a vulnerable state, especially considering the seriousness of chest pain. Therefore, enlisting the help of family members not only shows a comprehensive approach to patient care but also promotes a supportive environment that may change the patient’s mind concerning their refusal.