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72 Cards in this Set
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- 3rd side (hint)
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Define
AUTONOMY |
Selfdependent; having the right to choose a course of treatment based on personal beliefs independent of the influence of others
pg. 44 top |
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Define
FUTILITY |
HAVING NO PRACTICAL RESULT: IN HEALTHCARE IT MAY MEAN ALL EFFORTS ARE FAILING OR THE INTERVENTION WILL NOT RESULT IN A POSITIVE OUTCOME pg. 44 top
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Define
ADVOCACY |
Active support, especially the act of pleading or arguing for patients who cannot plead or argue for themselves.
pg. 44 top |
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Stages of GAS
general adaptation syndrom |
1. Alarm
2. Resistance 3. Exhaustion pg. 37 box 2-1 |
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Define
BATTERY |
The touching of or contact with another person without that person's consent
pg. 67 |
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Define
ASSAULT |
Placing a patient in a position where he fears for his safety or perceives you mean to cause him some sort of injury or harm.
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ABANDONMENT
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Initiating patient care and then leaving the pt. before turning the pt. over to another medical professional cpable of continuing to render the appropriated level of care
pg. 63 |
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ETHICS
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personal or professional standards relating to character and what is right or wronf; the set of principles and standards that determine what is right and wrong conduct within the paramedic profession
pg. 42-56 |
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MORALS
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social standards; specifically how humans act (either good or bad), in a society
pg. 44, 59 |
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BIOETHICS
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the study of the ethical and moral implications of biological discoveries and biomedical advances, as in the fields of genetic engineering and drug research
pg. 44b |
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3 TYPES OF MEDICAL DIRECTION AND OVERSIGHT
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1. Prospective
2. Concurrent 3. Retrospective pg. 60 |
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PROSPECTIVE MEDICAL CONTROL
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includes the development of clinical practive standards such as training curricula, protocols, and other such clinical standards. They establish things in advance I.E. Prospective
pg. 60 |
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CONCURRENT MEDICAL DIRECTION OR CONTROL
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Occurs when a paramedic consults with a physician or other advanced health care professional via telephone, radio, or other electronic means, permitting the physician and paramedic to collaboratively decide on the best course of action in the delivery of pt. care.
pg. 60 |
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RETROSPECTIVE MEDICAL DIRECTION OR CONTROL
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Typically exercised through quality improvement mechanisms such as chart reviews, case reviews, and other methods after pt. care has been completed.
pg. 60 |
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4 COMPONENTS OF NEGLIGENCE
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1. Duty to Act
2. Breach of Duty 3. Damages 4. Proximate causation pg. 66 |
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PALLIATIVE CARE
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care measures meant to provide comfort to the pt. It allows for humane and compassionate treatment when lifesaving measures are not allowed.
pg. 64 "nice to know" |
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PT. SELFDETERMINATION
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same as pt. autonomy. The pt. is the primary decision-maker with regard to the medical care they receive if competant
pg. 61 |
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HIPPA
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Health Insurance Portability and Accountability Act
pg. 65 |
requires that all individually identifiable health information-commonly referred to as PHI or Protected Health Information-be safeguarded and used only for purposes specifically permitted by the regulations.
pg. 65 |
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CONSENT
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Informed permission given by a competent pt., or the pt's legally responsible decision-maker.
pg. 61 |
Expressed consent
or Implied consent |
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EXPRESSED CONSENT
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given directly by pt. or responsible decision-maker either verbally or through some physical action that the pt. desires Tx.
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IMPLIED CONSENT
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It is presumed that a pt. who is ill or injured and for any reason is unable to give consent (unconscious, incapacitated, minors, etc.) would consent to the delivery of emergency health care necessitated by the condition
pg. 61-62 |
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abduction
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to move away from
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adduction
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to move toward
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anterior
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at the front of the body or surface
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apex
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the tip or top
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base
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the bottom or lower part
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caudal
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toward the feet ro tail
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cephalic
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toward the head
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circumduction
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movement in a circular motion
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deep
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away from the surface
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distal
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away from the center of the body or point of origin
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dorsal
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at the back of the body or surface
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dorsiflexion
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bending a body part backward
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epigastric
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immediately above the stomach
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eversion
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turning outward
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extension
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straightening a limb
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flexion
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bending a limb
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hypogastric
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immediately below the umbilicus
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inferior
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below or directed downward
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inversion
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turning inward
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lateral
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situated to the side
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medial
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at or near the middle
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posterior
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at the back of the body
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pronation
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turning the palm downward
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prone
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lying face down
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protraction
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moving a body part forward
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proximal
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near the center of the body or point of origin
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retraction
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moving a body part backward
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rotation
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movement of a body part around a point
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superficial
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near the surface
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superior
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above another structure
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supination
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turning the palm upward
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supine
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lying face up
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ventral
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at or toward the front of the body
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Heuristics
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any strategy or technique that helps direct attention and focus while thinking
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1.Representativeness heuristic
2. Availability heuristic 3. anchoring heuristic |
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Representativeness Heuristic
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the situation provides enough information for the paramedic to believe that the current signs and symptoms represent a particular disease
pg. 78 |
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Availability Heuristic
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Making judgments based upon the frequency of similar situations occurring.
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when a flu epidemic occurs. If every pt. that the EMS service transports has the same S\S and the hospital diagnosis is consistently the same, then the chances are good that the next pt. you encounter with those same S/S has the flu
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ANCHORING HEURISTIC
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problem-solving strategy that begins with the most likely cause as the anchor, and then assessment begins for the S/S needed to confirm that cause
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BIAS
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A tendency or prejudice
pg. 80-81 |
1. Hindsight
2. Focalism 3. Fundamental attribution error 4. Confirmation bias 5. Self-serving bias |
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Hindsight Bias
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The tendency to see past events as bing predictive of future outcomes
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The paramedic "knows" the pt. is going to have a seizure because every time she responds to that address it is for a seizure. May result in tunnel vision
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Focalism Bias
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Tendency to place too much importance on one aspect of an event that causes an error in accurately predicting a future outcome
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To focused on the appearance of a mangled Fx upper extremity in the driver of an MVA and you don't notice that eh windshield has a "spiderweb" appearance and the the pt. is not responding to questions appropriately. Distracting you from another, more serious injury
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Fundamental attribution error: Bias
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The tendency for a paramedic to overemphasize personality-based explanations for behaviors in others while underemphasizing the role of the situation on the same behavior.
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You think a pt. is overly dramatic in complaining about the pain while starting an IV. You assume this is due to the pt.'s ethnic background because you know this particular group tends to be dramatic when injured. However, you fail to notice the IV slipped out of the vein and is infiltratiing.
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Confirmation Bias
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The tendency to search for and interpret information in a way that confirms your preconceptions.
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You know most calls received between 2 &4am are from people driving home from a night of partying. When the team is called for an MVA crash at 3am and the pt. is "acting bizarre" and "smelling of alcohol," she is Tx for the trauma and the Dr. in the ED is told she is intoxicated. Later it's revealed the Pt. had a diabetic emergency
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Self-serving bias
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The tendency to claim more responsibility for successes than failures.
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Walking away with undue credit for the natural progression of a disease running its course
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year 911 was designated national emergency telephone number
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1968
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by AT&T
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NAS-NRC Report (the "White Paper")
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1966
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National Highway Safety Act
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1966
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Nation assoc. of EMTs formed
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1975
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Dr. Peter Safar
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taught volunteers to perform mouth-to-mouth ventilation he is referred to as the "Father of Resuscitation
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Mid 1950's
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The Highway Safety Act
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Combined the National Highway Traffic Safety Agency and the National Traffic Safety Agency to form the HIGHWAY SAFETY BUREAU within the Federal Highway Administration of the Department of Transportation
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1966
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The White Paper
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Trauma was officially recognized and classified as a disease process for the first time in a report entitled "Accidental Death and Disability"
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1966
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15 components of an EMS system described in the EMSS Act
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1. Manpower
2. Training 3. Communications 4. Transportation 5. Facilities 6. Critical care units 7. Use of public safety agencies 8. Consumer participation 9. Accessibility of care 10. Transfer of pt. 11. Standardized medical record keeping 12. Consumer information and ed 13. Independent review and evaluation 14. Disaster linkage 15. Mutual aid agreements |
1973
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