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19 Cards in this Set
- Front
- Back
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What are the primary responsibilities of the EMT / EMS?
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Respond to request for medical assistance
Provide life saving or stabilizing treatment Transport patients to definitive medical care |
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What professional behaviour is expected of an EMT?
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Be prepared by having a good background in medical knowledge
Demonstrate a caring well skilled approach to patient care Lead a balanced lifestyle to protect yourself from stress levels Understand your scope of practice Know your limitations Maintain patient confidentiality |
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What are ethics and morals and how do they differ?
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Ethics and morals are closely related concepts but distinctly seperate
Morals: Are the social, religious or personal standards or right and wrong Ethics: The rules or standards that govern the behaviour of a particular group or profession |
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Making ethical decisions?
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Ethical relativism suggests that each person must decide how to behave and whatever decision that person makes is okay
Just do what is right Values and beliefs vary from person to person What is good and right for one person may be entirely different to another Reason must be used and emotion excluded as much as possible |
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What are Codes of Ethics?
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Many organizations have developed a code of ethics over the years for their members
Most codes of ethics address broad humanitarian concerns and professional etiquette Very few provide solid guidance on the kind of ethical problems commonly faced by practitioners |
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How should an EMT maintain the respect of colleagues?
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It is vital that the individual EMT exemplify the principles and values of their profession
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What is the national code of ethics?
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Developed by PAC in order to
- Define and clarify ethical principles - Identify basic moral commitments of pre-hospital emergency medical providers - Serve as a source of education and reflection - Serve as a tool for self evaluation and peer review |
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What are Ethical Problems?
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Ethical violations occur when practitioners neglect or fail to meet their moral obligations to their patients.
Ethical dilemmas arise when ethical reasons both for and against a particular course of action are present and one option must be selected. Ethical distress occurs when practitioners experience the imposition of practice that provokes feelings of guilt concern or distaste. |
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What is the most important question an EMT must answer when faced with an ethical challenge?
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What is in the patients best interest
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What are the fundamental principles of ethics?
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Beneficence: The principle of doing good for the patient
Nonmaleficence: The obligation not to harm the patient Autonomy: A competent adult patients right to determine what happens to his or her own body Justice: Refers to the obligation to treat all patients fairly |
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What about ethics and confidentiality?
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It is unethical and / or illegal to:
- make a statement to a patient about a fellow health care workers perceived faults - solicit a patient for a date - give an attorneys business card to the victim of a motor vehicle accident - discourage a patient from going to hospital due to lack of insurance - fail to maintain patient confidentiality |
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What are some ethical issues in contemporary practice?
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Resuscitation attempts
Confidentiality Consent Allocation of resources Obligation to provide care Teaching Professional Relations Research |
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What are some guidelines with resuscitation attempts?
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DNR's come in various forms
Reflect the patients wishes as to whether resuscitation should be attempted and what it includes Must be seen and verified Applies only to resuscitation scenarios and not living patients Local policies may give guidance around futile resus efforts When in doubt resuscitate |
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What are the ethics of confidentiality?
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Your obligation to every patient is to maintain as confidential the information you obtained as a result of your participation in the medical situation.
Reporting certain information such as child neglect or elder abuse are exceptions |
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What are ways in which care can be allocated?
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All patients could receive the same amount of attention
Patients could receive resources based on need Patients could receive what someone else has determined they've earned Triage is a common field activity that demonstrates one method of allocating scarce resources |
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What is the EMT's obligation to provide care?
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The EMT.....
-has a responsibility to help others -Is obligated to provide care without regard to the ability to pay or other criteria -Has a strong ethical obligation to help others even while off duty |
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Who does an EMT answer to?
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The patient
The public The Medical Director Their employer |
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When conflict arises what should decisions be based on?
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The patients best interests
Decisions should be defendable |
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How should research be dealt with in EMS?
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EMS research is in its infancy but is essential to the advancement of EMS
Strict rules and guidelines must be followed when conducting patient care-related studies Gaining the patients consent is paramount |
