Refusal of care formWhen to use:
  •  When a patient or their caretaker refuses any form of clinical care as recommended by the doctor

Definitions:
  1. Adult (anyone over the age of 18)
  2. Minor (anyone less than the age of age of 18)
  3. Impaired decisional capacity (an adult, as defined above, with impaired decisional capacity means that at the time a decision needs to be made he or she is unable, temporarily or permanently and irrespective of the cause – to make the decision for him- or herself on the matter in question; or to communicate his or her decision on that matter)

Instruction of use:
  1. Ask the clinic nurse to download the form from the knowledge base
  2. Ask the sister to ask for a witness if the patient or person refusing care is alone
  3. The nurse fills in the form as required
  4. The nurse, patient or  the person refusing care and a witness should all sign the form
  5. The nurse should take a pic and upload it to the patient's record
  6. The doctor confirms upload and checks all signatures on the form