In a scenario where a middle-aged woman with chest discomfort insists on being taken to a hospital 15 miles away, which action is NOT appropriate?

In emergency medical situations, particularly regarding chest discomfort, ensuring the safety and stability of the patient is the top priority. Allowing a middle-aged woman with chest discomfort to walk to the ambulance is not appropriate because walking could exacerbate her condition.

Chest discomfort can be a sign of serious underlying issues, such as a cardiac event, and the patient may not be physically stable enough to walk. Movement might increase her heart rate and oxygen demand, potentially leading to worsening symptoms or even a more critical situation.

Additionally, arranging for the patient to be transported directly and safely into the ambulance maximizes her safety. Proper protocols usually dictate that patients with chest pain should be transported in a supine or semi-supine position when possible, particularly if they are in distress or could potentially have a life-threatening condition.

Considering the other actions, providing oxygen via nasal cannula is an important measure if the patient is hypoxic; contacting her physician could provide valuable insights and treatment advice; and taking her to her preferred hospital, while not always the best clinical decision, may respect her autonomy unless it compromises her immediate care.