102 Flashcards
“What is the definition of an ““adult”” in bcehs P / P?”
Adults are 19 years or older
What is the definition of competent? How can you determine if a patient is not competent?
A competent person is an adult with the mental capacity to provide consent.Paramedics must assume a person is competent unless obviously incompetent.
What is the definition of consent?
”"”Consent”” means a competent adult’s voluntary consent, through words or conduct, to treatment, after being informed of his or her medical condition, the nature of the proposed treatment, the risks and benefits of receiving or not receiving treatment, and any other significant factors affecting his or her condition or the proposed treatment.”
What is the definition of a child in BCEHS?
Under 19 years old
Of the drugs carried by CCP:
Which are schedule 1 CTS medications?
Which are schedule 4 drugs?
Which does BCEHS treat as CTS, but they aren’t actually?
Morphine, Fentanyl, and Ketamine are schedule 1Midazolam and lorazopam are schedule 4Haldol and propafol are not technically CTS but they are treated as such by BCEHS
What is the BCEHS definition of a vulnerable adult?
A person over the age of 19 who receives assistance in performing ADLs and can’t provide for their own care
In BCEHS policy 6.7 (reporting gun shot wounds), what are two circmstances where a paramedic is not required to report a gunshot wound or stabwound?
1) If the patient is transported by ambulance to the hospital2) In regards to stab wounds only, if the paramedics believe it was accidental or self-inflicted
What are two circumstances where a paramedic is not legally obligated to provide treatment or transport of a patient in police custody?
1) if a competent patient in custody refuses treatment and/or transport after being warned of the risks
2) if the police refuse to allow the patient to be treated and or transported.
(If police transrport the patient this is documented as a refusal by paramedics)
Are patient in police custody considered vulnerable or not?
Yes, they are vulnerable because they are completely dependent on the police for necessities of life
What must paramedics do for patients in police custody if a competent patient refuses transport, the police refuse a patient to be transported or if the police decide to transport the patient themselves?
1) Notify EPOS as per guideliens
2) Document epcr and read aloud the refusal section
3) have PD and patient sign the form (PD to sign refusal if they are transporting or witness if patient is refusing)
4) complete occurrence report document reasons for refusal
5) notify PD to contact dispatch if patient condition worsens
What is the definition of a substitute decision maker?
A “substitute decision maker” is a person with the authority to consent to treatment on behalf of an incompetent adult and who is appointed as
(a) a committee or personal guardian by the court, or
(b) a personal representative in a representation agreement,but does not include a person having an incompetent adult’s Power of Attorney.
What are the two requirements in which a paramedic is not legally obligated to provide treatment to an incompetent adult?
1) If substitute decision maker refuses to consent
2) Substitute decision maker can provide a copy of representation agreement or a court order indicating that they are the substitute decision maker for the incompetent adult
What should paramedics do if an incompetent adult refuses treatment?
1) Request PD attend
2) Advise PD that patient is incompetent and refusal of treatment could endanger the patient
3) Request PD apprehend patient under mental health act
4) Request PD come with patient to hospital
What is the definition of a competent child?
A competent child is one who is mentally capable of giving or refusing consent
What factors much a paramedic consider when deciding whether a child is competent?
1) Age and maturity of the patient
2) Noticeable fear of the treatment
3) Parental, familiar influence
4) Ability to understand paramedic instructions
5) Discomfort pain or stress
6) other listed in other policies
