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 Does that mean that the PIFT paramedic can refuse to transport a patient?


Yes, the final call for transport using the PIFT parameters and scope of practice falls to the PIFT paramedic. The PIFT paramedic has the safety of the patient as his/her first priority. Maine EMS and the MDPB support the paramedic’s clinical judgment in these cases since the paramedic has the best understanding of his or her scope of practice, personal limitations, and comfort level after a hands-on assessment of the patient at the time of transport.

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