Required steps for AMA documentation:

• A. Talk to Dr; tell patient about complication with tx
• B. Do nothing
• C. Notify security
• D. Write a generic note

Answer: (A)

When a patient wants to leave against medical advice, the first priority is to involve the treating physician and ensure the patient understands what could go wrong by not continuing treatment. Talking with the physician ensures you have a coordinated plan and that the patient receives clear information about the potential complications of refusing care. This approach supports informed decision-making, documents that information was provided, and keeps the physician in the loop to assess any safety concerns or alternatives. Simply doing nothing, alerting security, or writing a generic note fails to document informed risk discussions or involve the appropriate clinician, and does not protect the patient or the provider.