What should an interpreter do if a clinician requests an interpreter but the patient refuses for privacy or trust reasons?

• A. Respect the patient’s choice, explain rights and options, document the refusal, and involve a supervisor to determine next steps.
• B. Ignore the refusal and proceed with interpretation.
• C. Ask the clinician to proceed with interpretation without patient consent.
• D. Leave the room and wait outside.

Answer: (A)

When a patient refuses an interpreter, the priority is to honor their privacy and autonomy while making sure they understand their options. Start by respecting the patient’s choice and not forcing interpretation. Clearly explain that they have the right to an interpreter if they change their mind, and describe how they can request services in the future. Document the refusal in the record with date, time, and a brief note of the patient’s stated reasons (privacy or trust), so there’s a clear record of what happened. Involve a supervisor or appropriate administrator to review the situation and determine next steps, which might include reoffering interpreter services later, or exploring any acceptable alternatives while still preserving patient rights. Do not proceed with interpretation without explicit consent, and do not leave the patient without addressing their need for privacy or trust concerns. If the patient later asks for interpretation, be ready to provide it promptly.