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56 Cards in this Set
- Front
- Back
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A basic principle of the emergency care is to do no? |
No further harm |
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What is the scope of practice? |
An outline of the care you are able to provide the patient |
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Who gives legal authorization to provide patient care? |
Medical Director |
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What defines the scope of practice? |
State law and medical Director. The medical Director gives you the legal authorization to or provide patient care through telephone,radio, or standing orders. |
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Define standard of care |
Written, accepted levels of emergency care expected by reason of training and profession, written by legal or professional organizations sold that patients are not exposed to unreasonable risk for harm. |
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The “standard of care” is how a “blank””blank”person with similar training and experience with act under similar circumstances equipment in place |
reasonably. prudent |
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Standard of care is established many ways among them… |
Local custom,statutes, ordinances, administrative regulations, and case law. |
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Violating standards, imposed by law, they said to create is called presumptive |
Negligence |
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Are EMT B’s regarded as medical professionals? |
Not always. In some states they are exempt from the medical practices act. |
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Defined the practice of medicine: |
The diagnosis and treatment of disease or illness. |
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Define duty to act |
Medicolegal term relating to certain personnel, who, either by state statue or by function, have a responsibility to provide care |
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Define negligence |
The failure to provide the same care that a person with similar training would provide. |
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Negligence is determined by the following factors |
Duty breach of duty damages cause All four elements must be present for the legal doctrine of negligence to apply. |
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Define abandonment |
Termination of care without the patient’s consent, and without provisions for continuing care. |
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Transfer of care must be to a medical professional with? |
The same or higher level of training once care started, you have assumed to duty they must not stop until a fully confident person assumes responsibility |
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A person receiving care must give blank for treatment |
Consent |
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Abandonment is legally and ethically a serious matter. They can result in both blank and blank actions against an EMT. |
Civil and criminal charges |
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What are two types of consent? |
Implied an actual (expressed) |
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What is expressed consent? |
Type of consent in which the patient’s speaks or acknowledges that he wants care or transport. It must be informed consent. |
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What is informed consent? |
Means that the patient has been told of the potential risks and benefits and alternatives to treatment and has given consent. |
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Legal basis for this doctrine rest on the assumption that the patient has? |
A right to determine what is to be done with his, or her body must be of legal age and able to make rational decisions |
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Informed consent is valid if given? |
Orally, however it may be difficult to prove. Get a signature and a witness. |
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Define implied consent |
Person is unconscious and unable to give consent, or when a serious threat to life exist. Law assumes the patient would consent. |
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Who is the candidate to give implied consent? |
Unconscious, delusional and unresponsive as a result of drug or alcohol use or otherwise physically, unable to give expressed consent |
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A term that relates to medical juris, prudence, law, or forensics medicine, and most instances, the law allows the spouse a close relative or negative going to give consent for an injured person who is unable to give consent |
Medicolegal |
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Can a minor give valid consent? |
No, the law requires that a parent or legal guardian give consent for treatment or transport. |
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What if a true emergency exist and the parent or legal guardian can’t be reached? |
The consent to treat the minors implied. You must never withhold, life-saving care. |
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Can someone who is mentally incompetent give informed consent? |
No |
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When can you legally restrain the patient? |
If patient will injure themselves or others |
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What is assault? |
Unlawfully causing person to fear bodily harm |
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What is battery? |
Unlawfully touching. This includes providing emergency care without consent.. |
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Blank blank adults have the right to refuse treatment anytime |
Mentally competent |
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If the patient refused treatment or transport, you must make sure that he or she understands or is informed about? |
Potential risks and benefits, treatments and alternatives to treatment. You must also fully inform the patient about the consequences of refusing treatment. |
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If a patient refuses treatment attain a witness signature preferably: |
From a family member and person refusing |
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When in doubt, it is always best to proceed with treatment. It is a much more defensible position, and failing to treat a patient which can be considered? |
Negligence |
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Define good Samaritan laws |
Based on common law principle that when you reasonably help another person, you should not be liable for errors or omissions that are made, and giving good faith care |
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The good Samaritan laws protect you from lawsuits? |
Good Samaritan laws provide an affirmative defense if you are sued for rendering care, but they do not protect you from liability or for failure to provide proper care, nor do they pertain to acts outside the scope of care these laws do not contact anyone from wonton gross or willful negligence |
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What is an advanced directive? |
A written document that specifies medical treatment for a copy patient should he or she become unable to make decisions |
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In advance directive is also called? |
Living will |
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What are the requirements of a DNR? |
State patient’s medical problems signed by patient or legal guardian signed by physician. May have expiration date dated within 12 months. |
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In the presence of a DNR order, you’re still obligated to provide supportive measures, including |
Oxygen, pain, relief, and comfort |
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Confidential information includes |
Patient history assessment, findings, and treatment provided |
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HIPAA is an acronym for? |
Health insurance, portability and accountability act 1996 |
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What is the purpose of HIPAA? |
Aims to improve the portability and continuity of health insurance, coverage and combating, waste of fraud in health insurance. Applicable to EMS it strengthen the laws for protection of the privacy and healthcare information and a safeguard patient confidentiality. |
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Experts believe that an important safeguard against legal complications is |
A complete and accurate record of an emergency medical incident |
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What are two rules of thumb regarding rent reports |
If action or procedure is not recorded, it was not performed incomplete or untidy report as evidence of incomplete or an expert emergency medical care |
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What types of incidence may an EMT have an obligation to report? |
Injury during commission of a felony, drug related injury, childbirth abuse of children, older persons, and others |
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A general rule is, if the body is still warm and intact initiate medical care what is an exception to this rule? |
Cold temperature, hypothermia emergencies |
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At 86°F the brain can survive without perfusion for how long? |
10 minutes |
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What are presumptive signs of death? |
No carotid pulse No breathing No response to pain stimuli No eye-movement No blood pressure Lower body temperature No tendon or corneal reflex |
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What are definitive signs of death? |
Obvious mortal damage Dependent lividity Rigor mortis Putrefaction decomposition |
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What cases should be handled by the medical examiner? |
DOA Death without previous medical care Suicide Violent death Poisoning Accidental death Suspicious Death |
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When does rigor begin? |
2 to 12 hours starts in the jaw |
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The rate of onset of rigor mortis is affected by the body’s ability to? |
Lose heat to its surroundings. A thin body loses heat faster than a fat body. A body on a tile floor will lose heat faster than a body wrapped up in a blanket. |
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When does putrefaction begin? |
40 To 96 hours |
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What cases should be handled by the medical examiner? |
DOA Death without previous medical care Suicide Violent, suspicious, or accidental death Poisoning |
