How should you handle a subject who refuses decontamination or medical evaluation?

• A. Explain importance, offer assistance, document refusal, and provide medical referral if symptoms persist; ensure safety.
• B. Ignore the refusal and proceed with decontamination anyway.
• C. Force decontamination immediately.
• D. Leave the subject to decide later without documentation.

Answer: (B)

When someone has been exposed to OC spray and refuses decontamination or medical evaluation, safety and the person’s autonomy both matter. Decontamination helps reduce lingering irritation and the chance of delayed reactions, and medical evaluation can catch signs of trouble the subject can’t recognize or describe. The best approach is to talk calmly, explain why decontamination and medical evaluation can be beneficial, and offer to assist with the decontamination process and with arranging a medical evaluation if they’re willing. If they still refuse, document the refusal clearly—including what was explained, the time, and any symptoms you observed—and ensure they have access to medical care if symptoms develop or persist. Continue to monitor the subject and keep the scene safe for everyone. Do not force decontamination or medical treatment against a person’s stated wishes; forcing procedures can escalate risk and undermine trust. If the person’s condition worsens, becomes unable to consent, or requires urgent care, call for medical assistance per your protocol.