What should a CNA do if a patient expresses a desire to leave the facility against medical advice?

When a patient expresses a desire to leave the facility against medical advice, the appropriate course of action is to inform the nurse and document the patient's wishes. This ensures that the nursing staff is aware of the patient's intentions and can properly assess the situation, discuss the potential risks with the patient, and provide the necessary care and support.

Documenting the patient's wishes is crucial as it creates a record of the patient's decision, ensuring that their autonomy is respected while also protecting the facility and the healthcare team legally. It allows for continuity of care and informs subsequent healthcare decisions. This steps underscore the importance of communication within the healthcare team and safeguarding the patient's rights in the care process.

Engaging family members or attempting to persuade the patient to stay might not address the patient’s autonomy and could lead to potential conflicts, while ignoring the patient’s statement is not acceptable as it disregards their expressed wishes and may increase their distress.