What must be done if a patient requests to change their destination after the ambulance is en route to an ED?

When a patient requests to change their destination after an ambulance is already en route to an emergency department (ED), it's crucial to prioritize the patient's wishes and assess their medical condition. If the new destination is a facility capable of providing the necessary care and is safe for the patient, the ambulance should be diverted to that location.

Diverting to the new location acknowledges the patient's autonomy and right to participate in decisions regarding their healthcare. It's essential to ensure that the new destination is appropriate for the patient's medical needs and that the change does not compromise their health or safety during transport. The paramedics should still follow any protocols or guidelines established by their EMS system when diverting, such as notifying dispatch and ensuring that resources are available at the new destination to meet the patient's needs.

Taking the time to advise the patient to wait or insisting on continuing to the originally intended ED without considering their request may not support their rights or preferences adequately. Additionally, calling for additional resources may not be necessary if the patient can be safely diverted to a different location that can still provide appropriate care. Therefore, the most patient-centered approach in this situation is to proceed to the new location as requested, assuming all safety and medical standards are met.