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39 Cards in this Set
- Front
- Back
"Expressed consent must be obtained from every ______________________." |
Conscious, mentally competent adult Ch. 4, pg. 80 |
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Three types of consent: |
-Expressed -Implied -Consent to treat minors or incompetent patients Ch. 4, pg. 80 |
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"Children and mentally incompetent adults are not legally allowed to ______________ or __________________." |
-Provide consent -Refuse medical care and transportation Ch. 4, pg. 81 |
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In order for a patient to refuse care or transport, a patient must be... |
-Legally able to consent -Awake and oriented -Fully informed -Asked to sign a "release" form Ch. 4, pg. 82 |
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Circumstances that must be proven in order to establish negligence: |
-Duty to act -Breach of duty -Proximate causation Ch. 4, pg. 88 |
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"Any information you obtain about a patient's history, condition, or treatment is considered __________ and ____________________." |
-Confidential -Must not be shared with anyone else. Ch. 4, pg. 90 |
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"Once police have made the scene safe, the EMT's priority at a crime scene is to ____________." |
Provide patient care Ch. 4, pg. 93 |
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Definition: abandonment |
Leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical training Ch. 4, pg. 95 |
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Definition: advance directive |
A DNR order; instructions written in advance of an event Ch. 4, pg. 95 |
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Definition: assault |
Placing a person in fear of bodily harm Ch. 4, pg. 95 |
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Definition: battery |
Causing bodily harm to or restraining a person Ch. 4, pg. 95 |
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Definition: confidentiality |
The obligation not to reveal information obtained about a patient except to other health care professionals involved in the patient's care or under subpoena or in a court of law or when the patient has signed a release of confidentiality Ch. 4, pg. 95 |
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Definition: consent |
Permission from the patient for or other action by the EMT Ch. 4, pg. 95 |
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Definition: crime scene |
The location where a crime has been committed or any place that evidence relating to a crime may be found Ch. 4, pg. 96 |
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Definition: do not resuscitate (DNR) order |
A legal document, usually signed by the patient and his physician, which states that the patient has a terminal illness and does not wish to prolong life through resuscitative efforts Ch. 4, pg. 96 |
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Definition: duty to act |
An obligation to provide care to a patient Ch. 4, pg. 96 |
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Definition: ethical |
Regarding a social system or social or professional expectations for applying principles of right and wrong. Ch. 4, pg. 96 |
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Definition: expressed consent |
Consent given by adults who are of legal age and mentally competent to make a rational decision in regard to their medical well-being Ch. 4, pg. 96 |
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Definition: Good Samaritan laws |
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. Ch. 4, pg. 96 |
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Definition: HIPAA |
The Health Insurance Portability and Accountability Act, a federal law protecting the privacy of patient-specific health care information and providing the patient with control over how this information is used and distributed. Ch. 4, pg. 96 |
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Definition: implied consent |
The consent it is presumed a patient or patient's parent or guardian would give if they could, such as for an unconscious patient or a parent who cannot be contacted when care is needed. Ch. 4, pg. 96 |
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Definition: in loco parentis |
In place of a parent, indicating a person who may give consent for care of a child when the parents are not present or able to give consent Ch. 4, pg. 96 |
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Definition: liability |
Being held legally responsible Ch. 4, pg. 96 |
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Definition: libel |
False injurious information in written form Ch. 4, pg. 96 |
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Definition: moral |
Regarding personal standards or principles of right and wrong Ch. 4, pg. 96 |
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Definition: negligence |
A finding of failure to act properly in a situation in which there was a duty to act, that needed care as would reasonably be expected of the EMT was not provided, and that harm was caused to the patient as a result Ch. 4, pg. 96 |
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Definition: organ donor |
A person who has completed a legal document that allows for donation of organs and tissues in the event of death Ch. 4, pg. 96 |
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Definition: Physician Order for Life-Sustaining Treatment (POLST) |
Physician orders that state not only the patient's wishes regarding resuscitation attempts but also the patient's wishes of artificial feeding, antibiotics, and other life-sustaining care if the person is unable to state his desires later. Ch. 4, pg. 96 |
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Definition: res ipsa loquitor |
A Latin term meaning "the thing speaks for itself." Ch. 4, pg. 96 |
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Definition: safe haven law |
A law that permits a person to drop off an infant or child at a police, fire, or EMS station or to deliver the infant or child to any available public safety personnel. The intent of the law is to protect children who may otherwise be abandoned or harmed Ch. 4, pg. 96 |
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Definition: scope of practice |
A set of regulations and ethical considerations that define the scope, or extent and limits, of the EMT's job. Ch. 4, pg. 96 |
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Definition: slander |
False injurious information stated verbally Ch. 4, pg. 96 |
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Definition: standard of care |
For an EMT providing care for a specific patient in a specific situation, the care that would be expected to be provided by an EMT with similar training when caring for a patient in a similar situation. Ch. 4, pg. 96 |
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Definition: tort |
A civil, not a criminal offense; an action or injury caused by negligence from which a lawsuit may arise. Ch. 4, pg. 96 |
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Practice Problem 4.1: Explain the difference between expressed and implied consent |
-A patient offering expressed consent is an adult who is mentally competent to make decisions, is informed of the risks associated with the care he is about to receive, and is conveying a conscious decision to receive the care. -In implied consent, patients are typically unconscious or incapacitated in some way such that you must assume they would agree to be treated if they were conscious. Ch. 4, pg. 96 |
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Practice Problem 4.2: What are the components required to prove negligence? |
-Duty to act -Breach of duty -Proximate causation Ch. 4, pg. 96 |
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Practice Problem 4.3: What is your first priority at a crime scene: preserving evidence or patient care? |
Patient care Ch. 4, pg. 96 |
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Practice Problem 4.4: You bring a patient to the hospital and the nurse tells you, "Put the patient in bed 5; I'll be right there." The nurse doesn't come over and you leave. Is this abandonment? |
Yes Ch. 4, pg. 96 |
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Practice Problem 4.5: You have a patient who weighs 400 pounds. You want other EMTs at your squad to know this so they can be prepared. Can you leave a copy of your run report on the bulletin board at the station to notify the others? |
No; it is a violation of HIPAA. Sharing the information with another caregiver involved with the continuing care of the patient is allowed, but tacking the report on the bulletin board is illegal Ch. 4, pg. 96 |