Chap 4 Flashcards
Scope of work (practice)
defines the scope, or extents and limits
Standard of care
expected care provided by and EMT with similar training in a similar situation
consent
permission from a patient for care or other action by the EMT
expressed consent
consent given by adult who is of legal age, mentally competent to make a rational decision in regard to their medical well being
Implied consent
A unconscious, physically or mentally incapacitated patient would consent to care if they were conscious
in loco parentis
“in place of a parent”
someone who may give consent for care of a child when parents aren’t around
Emancipated minors
- married minors
- minor in military
- minor with a child
Involuntary transport
transport against their will due to threat of harm to himself or others. Decision made by police or mental health worker
Requirements for refusal for care
- legally old enough or emancipated minor
- Must be awake and oriented
- Must be fully informed
- asked to sign a release form
liability
held legally responsible
assault
placing a person in fear of bodily harm
battery
causing bodily harm to or restraining a person
DNR
“Do not resuscitate” order
advance directive
a DNR order
POLST
Physician Order for Life-Sustaining Treatment
Negligence requirements
- EMT had a duty to act
- EMT failed to provide the standard of care or breach of care
- Proximate causation- result of action or inaction caused damage
tort
a civil, not a criminal offense caused by negligence
res ipsa loquitur
“the thing speaks for itself”
duty to act
obligation to provide emergency care to a patient
abandonment
leaves patient without turning over care to a equal or greater level of medical training
moral
regarding personal standards or principles of right and wrong
ethical
social system or social or professional expectations for applying principles of right and wrong
Good Samaritan law
grants immunity from liability if a rescuer acts in good faith to provide care to the level of his training and to the best of his ability
HIPPA
Health Insurance Portability and Accountability Act
-keep patients confidentiality
libel
false injurious information in written form
slander
false injurious information stated verbally
safe haven law
a law that permits drop off of an infant or child at a police, fire, public safety personnel or EMS station
Considerations at a Crime scene
- Condition of the scene
- the patient
- fingerprint and footprints
- microscopic evidence
- remember what you touch
- minimize impact on the scene
- work with police
Special reporting requirements
required reporting of certain incidents like child, elder or domestic abuse. Violence or sexual assault
2 most common lawsuits against EMTs
- patient refusal
- ambulance collisions
4 alert and oriented questions
Name
Date
Place
What happened
Emancipated minors
- minor serving in military
- minor with child
- minor married
requirements to refuse care
- legally of age or emancipated minor
- Awake and oriented
- Must be fully informed of potential consequences
- Sign a “release” form
