1030 - Consent and Competancy Flashcards
Informed Consent
A mentally competent patient is considered to give imformed consent when any of the following occur:
- Patient gives verbal permission to treat
- Patient gives written permission to treat
- Patient does not object as you begin assessment
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In order to give informed consent, a patient must be legally allowed to act as an adult. This means that the patient must be:
• At least 18 years of age
OR
• Emancipated
• Less than 18 and married or legally released from custody of parent or guardian
- Exceptions
- An unmarried pregnant minor may give consent for medical problems related to pregnancy
- An unmarried minor mother may give consent for her child
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If a patient is incapacitated or otherwise not mentally competent, decisions regarding the patient’s medical treatment can be made by an agent with a ______________________.
durable power of attormey
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The agent must be a person who is 18 years of age or older, who must present JFRD with a notorized power of attorney document, signed by the patient and two witnesses.
True or false?
True
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The document must specifically state that the agent’s power of attorney: (2)
- includes all health care decisions on behalf of the patient; and
- is intended to be exercisable even if the patient is incapacitated
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An agent with a power of attorney may verbally revoke a Do Not Resuscitate Order (DNRO) and request that JFRD initiate or continue CPR on the patient, even if a DNRO exist.
True or false?
True
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An agent with a power of attorney MAY NOT verbally withhold consent for CPR in the absence of a DNRO.
True or false?
True
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Resuscitation may only be withheld or withdrawn upon presentation of a ___________________as described in JFRD Resuscitation Protocol 1130.
valid DNRO
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Any unusual circumstances, contact the
____________________________ for guidance.
Rescue District/Battalion Chief
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If there is any doubt as to the authenticity of a power of attorney document, JFRD members should provide ______________________ of the incapacitated or incompetent patient .
examination and treatment
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If medical personnel are concerned for the safety of a minor and the parent or legal guardian refuses treatment and transport, contact the:
Rescue District/Battalion Chief and law enforcement for assistance with the transport.
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A mentally competent adult patient may withhold consent to treat.
True or false?
True.
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A mentally competent parent may withhold consent to treat their child.
True or false?
True. (This shall be documented in the PCR)
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Mentally competent means:
- Awake, alert, and fully oriented to person, place, time and event
- No significant mental impairment (e.g., alcohol, drugs, head injury or significant illness)
- Not mentally incompetent, at risk to self-harm, suicide or homicide
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A PATIENT shall be defined as: a person who presents with subjective and/or objective signs and/or symptoms or a complaint which results in evaluation and/or treatment.
True or false?
True
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