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Intermediate Technical IVT

AWOL

Pronunciation: AY-wol

Also written as: AWOL — Absent Without Leave

Patient who leaves the hospital against medical advice without proper discharge procedures.

Full Definition

AWOL (Absent Without Leave) refers to psychiatric patients who leave the hospital without authorization or proper discharge planning. This situation creates clinical and legal concerns, particularly for patients on involuntary holds or those at risk of harm. Emergency psychiatry protocols must address AWOL procedures including notification of authorities, documentation requirements, and re-engagement strategies. AWOL incidents require immediate risk assessment and may trigger wellness checks or police involvement depending on patient status and local regulations.

Usage

Usage note: Distinguish from AMA (Against Medical Advice), which involves informed refusal of care.

In Context

  • "The patient went AWOL during shift change, triggering the emergency response protocol." — incident report
  • "AWOL procedures include immediate notification of the attending physician and security." — hospital policy

Also known as

elopement unauthorized leave

Contrasted with

proper discharge AMA with consent

Don't confuse with

AMA discharge planning

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