Ch: 4 Med,leg,& Ethical Issues

Front 1

Abandonment

Back 1

Leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical training.

Front 2

Advanced Directive

Back 2

instruction written in advanced of an event

Example: a DNR order

Front 3

Assault

Back 3

Placing a person in fear of bodily harm.

Front 4

Confidentiality

Back 4

The obligation not to reveal info obtained about a patient, except to other health care providers involved in the patients care, or under subpoena, in a court of law or when the patient has signed a release of confidentiality.

Front 5

Consent

Back 5

Permission from the patient for care or other action by the E.M.T.

Front 6

Crime scene

Back 6

Location where a crime has been committed or any place that evidence relating to a crime me be found.

Front 7

DNR

Back 7

A legal document, usually signed by the patient and his physician. Which states that the patient has a terminal illness and dose not wish to prolong life through resuscitative efforts.

Front 8

Duty to act

Back 8

An obligation to provide care to a patient.

Front 9

Ethical

Back 9

Regarding a social system or social/ professional expectations for applying principles of right and wrong.

Front 10

Expressed consent

Back 10

Adult, legal age, mentally competent to make a rational decision for their medical well being.

Front 11

Good Samaritan Laws

Back 11

A series of laws varying in Each state, designed to provide limited legal protection for citizens and some health care personnel when they are administering emergency care.

Front 12

HIPAA

Back 12

Health Insurance Portability and Accountability Act.

Federal law protecting the privacy of patient specific health care info and providing patient with control over how that information is used and distributed.

Front 13

Implied consent

Back 13

Consent is presumed if patient or patient guardian would give if they could give it.

Example: unconscious patient = implied consent.

Front 14

In loco parentis

Back 14

A person who may give consent for care of a child when parents are not present or able to give consent.

Front 15

Liability

Back 15

Being held legally responsible.

Front 16

Lible

Back 16

False or injurious info in written form.

Front 17

Moral

Back 17

Regarding personal standards or principles of right and wrong.

Front 18

Negligence

Back 18

A finding of failure to act properly in a situation where there was a duty to act, that needed care as would reasonable expected of the EMT was not provided, and that harm was done to the patient as a result.

Front 19

Organ Donar

Back 19

A person who has completed a legal document that allows donation of organs and tissues in the event of death.

Front 20

Res ipsa loquitur

Back 20

Latin for "the thing speaks for it self"

Front 21

Safe haven law

Back 21

Law that permits a person to drop off a child at a police, fire or E.M.S. Station or to deliver the infant or child to protect kids who would otherwise be abandoned or harmed.

Front 22

Scope of practice

Back 22

A set of regulations and ethical considerations that define the scope, or extend the limits of the E.m.ts job.

Front 23

Scope of practice

Back 23

A set of regulations and ethical considerations that define the scope, or extend the limits of the E.m.ts job.

Front 24

Slander

Back 24

False or injurious information stated verbally.

Front 25

Standard of care

Back 25

For an e.m.t. Providing care for a specific patient in a specific situation.

The care that would be provided by e.m. T. In a similar situation.

Front 26

Tort

Back 26

A civil, not criminal offense and action or injury caused by negligence from which a lawsuit would arise.

Front 27

The actions and care that are legally allowed for the EMT are called the:

Back 27

Scope of practice

Front 28

Laws that have been developed by states to minimize the risk of individuals being held liable for providing emergency care to victims of illness or injury are called:

Back 28

Good Samaritan laws

Front 29

What is the term for placing a person in fear of bodily harm?

Back 29

Assault

Front 30

Which term means "in place of the parents"?

Back 30

In loco parentis

Front 31

The best defense for lawsuits relating to the care that has been provided to a patient is to:

Back 31

Keep your patient's best interest in mind when rendering care.

Front 32

You have been under a lot of family stress lately, and you have not been sleeping well. When you go to work this morning, you realize that you have forgotten to place your badge on your uniform shirt. You tell your partner you cannot seem to think clearly. Your partner tells you that he is concerned about your well-being. After hearing this you know that your duty as an EMT is to:

Back 32

Take off work until you can straighten out your family problem and make sure that you are mentally prepared to work.

Front 33

An EMT who demonstrates ideal conduct when treating patients is displaying good:

Back 33

Ethics.

Front 34

A legal document allowing the healthcare provider to withhold resuscitation from a chronically or terminally ill patient is known as the:

Back 34

Advance directive.

Front 35

While providing patient care at a secured crime scene, you should:

Back 35

Not cut through holes in clothing that might have been caused by bullets or stabbing. Cut at least 6 inches from these holes.

Front 36

If an EMT were to release information about how intoxicated a patient was onto a social networking site, this could be considered:

Back 36

Libel. A k a false or injurious information in written form

Front 37

You and your partner have arrived on the scene of a person injured as a result of a gunshot wound during the burglary. It is unclear whether the shooter is still on the scene. You should:

Back 37

Request law-enforcement immediately.

Front 38

Documents signed by a patient that communicates his or her wishes regarding medical care are called:

Back 38

Advance directives.

Front 39

If they discovered that a seriously injured patient is an organ donor, the emergency care providers should:

Back 39

Treat the patient the same as a non-donor.

Front 40

What may interfere with an ENT's ability to care for a patient at a crime scene?

Back 40

The police want to interview the patient.

Front 41

You are transporting a victim from a motor vehicle collision, and the patient's current condition is deteriorating rapidly, from your experience you do not think this patient will survive transport. You notice on the patient's a drivers license the patient is in Organ donor. You can help to facilitate the patient's wishes by:

Back 41

Notify medical direction of the patient's organ donor status.

Front 42

If a patient feels that he received harmful care bye EMT, he would need to prove that:

Back 42

The EMT had a duty to act.

negligence is a TORT in which there is no intent to do harm to the patient but in which a breach in the duty to act occurs.

The plaintiff has to prove four elements: the EMT had a duty to act, he breached that duty, there was an injury, and there was probably proximate cause.

Hint 42

negligence is a TORT in which there is no intent to do harm to the patient but in which a breach in the duty to act occurs.

The plaintiff has to prove four elements: the EMT had a duty to act, he breached that duty, there was an injury, and there was probably proximate cause

Front 43

What is an EMT's primary ethical consideration?

Back 43

Making patient care and the patient's well-being a priority.

Front 44

You document on your run sheet that your patient with altered mental status is "just another drunk" this would likely be considered:

Back 44

Libel.

Front 45

You proceed to treat a patient who has consented to care, but you have not explained the risks and benefits of what you're going to do. This is most likely a violation of:

Back 45

Informed consent.

Front 46

Who is responsible for overseeing HIPAA issues at an EMS agency?

Back 46

The privacy officer

Front 47

Wheeling a nonemergency patient into the hospital emergency department, placing him in a bed, and leaving him without transferring care directly to emergency department staff constitute:

Back 47

As abandonment

Front 48

You have just arrived at the station to start your shift, and you notice that your partner is asleep in a chair. You proceed to check out your ambulance. Your partner comes in drinking a cup of coffee, and you notice that she has a strong alcohol smell on her breath. Your duty as an EMT is to:

Back 48

Notify dispatch that you're out of service and have your supervisor come to meet you.

Front 49

A patient is injured but refuses to be transported by ambulance. He is competent to make decisions, and you have exhausted all avenues to convince him to be transported, so you have him sign a refusal of treatment form. You're demonstrating the ethical principle of:

Back 49

A patient's right of self determination.

Front 50

The health insurance portability and accountability act a.k.a. HIPAA:

Back 50

Allows you to discuss patient specific information only with individuals with whom it is medically necessary to do so.

Front 51

When you unexpectedly find yourself at a crime scene you should :

Back 51

Request law enforcement

Front 52

You're on the scene of a motor vehicle collision or a patient's car struck a utility pole. Witnesses reported to you that the patient was unconscious after the impact. However, the patient is not conscious, alert and oriented, and refusing care and transport. You should:

Back 52

Inform the patient of your concern and try to persuade her to go to the emergency department and receive treatment.

Front 53

If you stop providing care to a patient without ensuring that equivalent or better care will be provided. You will be legally liable for:

Back 53

Abandonment.

If you stop treatment of a patient without transferring the care to another competent professional of an equal or higher level of training and certification or licensure, it will be considered abandonment

Front 54

Your partners telling others that you are having sexual relations with another person of the same sex. You are not. You could bring your partner up on charges of:

Back 54

Slander, because he is spreading false or injurious verbal statement.

Front 55

Designated to make healthcare decisions for the patient if the patient is unable to do so is called:

Back 55

A Health care Proxy.

Front 56

You suspect That a pediatric patient is being abused. You decide not to report this to the appropriate authorities because the parent is very upset and remorseful. This is:

Back 56

A violation of Professional ethics and possibly a crime.

Front 57

You are on the scene Of a cardiac arrest. You have begun resuscitation as family members arrive and present you with a valid DNR order. You should:

Back 57

Follow your local protocols and contact medical direction if unsure on how to proceed.

Front 58

As you enter a hectic possible crime scene, you find that a coffee table is blocking your axis to the patient. What is the best way to manage the situation?

Back 58

Move the table as little as possible, wear gloves; notify the police on the scene; and document your actions precisely in your patient care report.

Front 59

When a patient is unable to make a rational decision about consenting to emergency care, that EMT may care for the patient on the basis of:

Back 59

Implied consent.

Front 60

The scope of practice is governed by

Back 60

The state in which the EMT is providing care.

Front 61

Applying the principles of right and wrong to your role as EMT is known as:

Back 61

Professional ethics

Front 62

You have just returned to the station after completing a call in which you transported in elderly female patient to the hospital for nausea and vomiting. Upon exiting the ambulance, you are approached by an adult male who indicates that the patient you just transported was his mother and he wants to know the details of the run. You should:

Back 62

Advise him that you can take his information and pass it along to the Privacy Officer at your department, who will contact him with instructions for accessing the information he requests.

Front 63

You were on the scene of a patient with obvious signs of traumatic death Your duty as an EMT is to notify:

Back 63

Law-enforcement

Front 64

When an EMT takes the time to ask permission from a conscious adult to do an assessment and procedures, this is respecting the legal principle of:

Back 64

Expressed consent

Front 65

How's your quality improvement be practice?

Back 65

By maintaining the standards you wish to have provided for your family.

Front 66

What is likely to be inscribed on a medical alert bracelet?

Back 66

It may indicate a number of conditions, for example: allergies.

Front 67

Good Samaritan laws were enacted to do what?

Back 67

Protect individuals who try to help people in emergencies

Front 68

At a crime scene, what is the EMTs first priority?

Back 68

Patient care and transport

Front 69

Why does the EMTs scope of practice vary from state to state?

Back 69

Local legislation

Front 70

Good Samaritan laws are based on:

Back 70

Providing care in good faith.

Front 71

You're caring for a patient who was stabbed. During your assessment, you find a small knife in paled in one of the standards. You should:

Back 71

Treat the world as usual, but notify the police that you was transport the weapon with the patient.