Which of the following is NOT a valid Base Hospital contact trigger during an AMA?

• A. For conditions indicated with a red asterisk (*) in Sections A, B or C.
• B. When indicated by the DHS Treatment Protocols.
• C. Whenever an audio recording of the patient's AMA refusal is desired, or RN/MD input is requested.
• D. Because the patient refuses to sign a consent form.

Answer: (D)

The situation hinges on what actually prompts medical oversight during an AMA. Base Hospital contact is triggered by specific clinical or documentation needs: conditions marked with a red asterisk in Sections A, B, or C; instructions from DHS Treatment Protocols; or situations where you want an audio recording of the AMA refusal or you need RN/MD input. These triggers ensure there’s professional medical direction and proper documentation for discharging a patient against medical advice.

Signing a consent form is an administrative action, not a clinical trigger for medical control. The patient’s decision not to sign does not by itself create new medical concerns or require physician or nurse input through Base Hospital. Therefore, this option is not a valid Base Hospital contact trigger during an AMA.