Before completing a refusal for a patient younger than six months, what is necessary?

In situations involving a patient younger than six months, contacting medical control before completing a refusal is essential due to the heightened concern for the patient's safety and well-being. Infants at such a young age can have rapidly changing health conditions, and their inability to communicate their symptoms or needs necessitates a higher level of oversight. Medical control can provide guidance on the appropriate steps to take based on the patient's presented condition and the context of the refusal.

Obtaining parental consent, having an additional paramedic present, and documenting the refusal are all important aspects of patient care and legal processes, but they do not take precedence over securing medical advice when dealing with very young patients. Ensuring the safety of the infant and adhering to established protocols through medical direction is the most critical step to ensure the best possible care.