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The problem is the College Kid who has failed to have all the ETOH enter the blood stream. Oe occasion remember in particular, the individual we were dealing with went from full complete sentences and and fully alert to incoherrent babble 20 minutes later followed by vomiting and all the other fun that comes along with alcohol posioning. I went through many events simlar between the college and working at a Casino.
I understand what people are saying about a few drinks, but my ability to accept a statement like that at face value has been ruined by experience. I guess in my mind, the question is are you really competent in those minutes before your BAC shoots through the roof.
If a person is providing appropriate answers to questions at the time of interview, they are competent. You can't just unilaterally declare somewhat unfit to refuse treatment just because you suspect that they might become altered an incompetent at a later time. If they are able to properly refuse treatment at the time of patient contact, the patient contact is then closed.