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Why didn the crew ask for patients signature?

crew Patients signature
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Why didn the crew ask for patients signature?

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Ambulance crews are instructed to obtain the patient signature in every circumstance where it is possible and appropriate to do so. There are several circumstances where this proves impossible, including when the patient is unconscious or has an altered level of consciousness, when the patient is receiving aggressive and/or sensitive medical treatment, language barriers, operation barriers such as high ambulance call volume and other similar reasons.

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