The patient who absconds

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Question 1 of 3

1. Question
According to RCEM guidance, which of the following is most appropriate immediate action?
- Advise that the patient is free to leave as there is a long wait to be seen in your ED
- Assess the patient’s mental capacity
- Call security to restrain the patient
- Telephone the patient’s next-of-kin to persuade them to await assessment
- Tell the patient that the police will be called to bring them back to your ED if they leave
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Question 2 of 3

2. Question
Select the most appropriate statement.

RCEM guidance defines “absconding” as a patient who…
- experiences abuse at home and may be at an increased risk of harm if they seek outside help.
- lacks mental capacity and is unable to understand the risks of leaving the ED before being seen.
- leaves the ED unexpectedly, without informing clinical staff and there remains a potential risk of harm to self or others.
- self-discharges before being assessed without informing clinical staff.
- self-discharges before their treatment without informing clinical staff.
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Question 3 of 3

3. Question
Patients who abscond from the ED cause considerable concern to Emergency Physicians with how far their ‘duty of care’ extends & the legal basis of decision making.

In the ED, this “duty of care” begins….
- upon providing the management plan to the patient.
- when a clinician assesses the patient.
- when the patient books into the ED.
- when the patient consents to disclosing their condition to a clinician.
- when the patient is triaged in the ED.
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The patient who absconds

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