I am wondering if there is a certain protocol that is to be followed when an obviously confused and disoriented elderly patient is taken to the ER by ambulance from home where the family has called 911 after finding her in this state along with obvious signs of internal bleeding (incontinence of black diarhhea). To begin with, 1 of the 1st responders was a neighbor who knew the woman and specifically offered to ride with the woman to the hospital. A thorough history was taken from a daughter by the ambulance personnel before leaving. They were informed that she was one of Jehovah's Witnesses and had a DPOA and that the daughter would find the document and bring it in her car but that the designated agent would be waiting at the ER with his copy of the document. Upon arrival, the agent and daughter who called 911 went to the ER admitting window and stated that their Mother had just arrived via ambulance but that she was completely incapacitated mentally and showed copies of the document and stated he was the agent and would like to be allowed in with her because she was unable to express her wishes about treatment but was also frightened and they felt they could assist with her behavior. (The day before, she had driven herself to attend the meeting at the Kingdom Hall and was completely normal.) They were told they would have to wait until it was there turn to be spoken to. After approximately 10 minutes of insisting to be heard, a very hostile employee came out and stated, "WHAT IS THE PROBLEM?" The agent stated he was her DPOA and had vital information to communicate regarding her treatment. The employee became verbally hostile and stated in the packed ER that his mother had come in "head to toe covered in poop and blood" and it took 3 personnel to restrain and sedate her, etc. Finally after a number of statements like this and the family explaining they needed to be with her and had a legal right to be, she allowed the agent in but not the daughter who had found her even though the agent stated that she needed to be present as she was more in touch with the patient on a daily basis and could undoubtedly assist in calming her. I won't even go into the gory details of what they had done to her but my question is whether they can refuse to allow the DPOA agent in under any circumstances - let alone, when the patient was in this kind of condition and one of the ambulance personnel even attended her to the ER to try to insure a smooth transition so he had already explained the family relationship. Also, what immediate action can be taken if this happens to anyone else? Thank you so much.