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27 Cards in this Set

  • Front
  • Back
Proving negligence
components needed are: duty to act, breach of duty, injury/damages, and causation
Good Samaritan Law
will not protect the EMT in cases of gross negligence
You arrive at the scene of a motor vehicle versus pedestrian accident. The patient, a 13 year old male is unconscious and has multiple injuries. As you are treating the child, a law enforcement officer advises you that the child's parents will be at the scene in approximately 15 minutes. What should you do?
Transport the child immediately and have the parents meet you at the hospital
In order for a do not resuscitate (DNR) order to be valid, it must
clearly state the patient's medical problem
Which of the following scenarios most accurately depicts abandonment?
a paramedic transfers patient care to an EMT
Assault
acting in such a way as to make another person fear immediate bodily harm. ex restraining pt without consent
Consent
permission to render care
Refusing care
If a pt is conscious and rational. He or she has a legal right to refuse care
Actual or Expressed Consent
pt acknowledges he/she wants you to provide care or transport. Can be non-verbal
Informed consent
EMT explains treatment or the risks of no treatment
Implied Consent
applies to pts who are
1. unconscious, otherwise incapable of making informed decision
2. should never be used unless there is threat to life or limb
3. also known as the emergency doctrine
*attempt to get consent from family
Involuntary Consent
applies to pts who are
1. mentally ill,
2. behavioral crisis
3. developmentally delayed
**attempt to get consent from guardian
Minor consent
age defined and depends on state. Children in school allows school officials to give consent

if true emergency exist and no consent is available
1. treat pt
2. consent is implied
Comfort care Advanced directives
Specifies treatment should the patient become unconscious or unable to make decisions. Also known as a living will
HIPAA
health insurance portability and accountability of 1996. Improving portability and continuity of health insurance coverage. Mainly affects EMS is patient privacy
DNR
is an advanced directive "Do Not Resuscitate" does not mean "Do Not Treat'
1. clear statement of the pt's medical problem
2. signature of legal guardian
3. signature of doctor
4. depending on state (date of expiration)
Definite signs of death
1. decapitation
2. dependant lividity (blood setting)
3. rigor mortis (stiffening
4. decomposition (putrefaction)
Scope of practice
1. outlines the care you able to provide
2. usually defined by state law
3. Medical director can define down and limit but can not extend outside of the state of practice
standard of care
1. how you deliver that care
2. manner in which you must act or behave
3. established by local custom, statues, protocols, professional or institutional standards
Negligence
failure to provide same care that person with similar training would provide in same or similar situation. Deviation from the standard of care that may result in further injury
4 elements of negligence
duty, breach of duty, damages, causation
Abandonment
unilateral termination of care by EMT without
1. pt consent
2. no provision for continuing care
Battery
providing care without consent
kidnapping
transport against will
Defamation
communication of false information that damages reputation of a person.
libel-if writeen
slander-if spoken
Maintaining the chain of evidence at the scene of a crime should include:
not cutting through holes in clothing that were caused by weapons
Notifying ME
1. pt is DOA/DOS
2. death without previous medical care
3. suicide
4. violent death
5. poisoning
6. death of accidents
7. suspicion of criminal act