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Once an EMT has begun care of a patient, the care can only be transferred to someone with higher medical authority than the EMT. This can be to someone with a higher level of skill, but still within the ranks of EMT (an EMT-Basic transferring care to an EMT-Paramedic), or from EMT to a hospital. As a doctor is the highest medical authority, the doctor is also the only one who can release a patient back into their own care. This is why EMTs must obtain a physician's consent prior to releasing a patient into their own care with an SOR.

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Q: Who is the person who assumes the ultimate responsibility for patient care rendered by the emt?
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