Chapter 3: Medical, Legal, and Ethical Issues Flashcards
What phrase or word matches this definition?
A federal law enacted to combat the practice of patient dumping and that pays particular attention to the practice of sending women in labor to distant hospitals; prevents emergency department staff from denying medical screening or stabilizing treatment, or inappropriately transferring a patient whose condition is not stable to another hospital.
Emergency Medical Treatment and Active Labor Act (EMTALA)
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Unilateral termination of care by the EMT without the patient’s consent and without making provisions for transferring care to another medical professional with the skills and training necessary to meet the needs of the patient.
Abandonment
What is the AEMT’s obligation in reporting abuse?
Most states require AEMTs to report abuse and protect them from liability for libel, slander, or defamation of character.
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Written documentation that specifies medical treatment for a competent patient should the patient become unable to make decisions; also a living will or health care directive.
Advance Directive
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Cooling of the body after death until it matches the ambient temperature.
Algor Mortis
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An action instituted by the government against a person for violation of criminal law.
Criminal Prosecution
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An established process to determine the qualifications necessary to be allowed to practice a particular profession, or to function as an organization.
Credentialing
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An unauthorized act committed outside the scope of medical practice defined by law.
Malfeasance
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The manner in which principles of ethics are incorporated into professional conduct.
Applied Ethics
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Appropriate act performed in an improper manner, such as a medication administered at the wrong dose.
Misfeasance
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Unlawfully placing a patient in fear of bodily harm.
Assault
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Basing current action on lessons, rules, or guidelines derived from previous similar experiences.
Precedence
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Unlawfully touching a patient or providing emergency care without consent.
Battery
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The study of ethics related to issues that arise in health care.
Bioethics
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Disclosure of information without proper authorization.
Breach of Confidentiality
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Compensation for injury; awarded by a court.
Damages
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Damages awarded in a civil lawsuit that are intended to restore the plantiff to the same condition that he, she, or they was in prior to the incident.
Compensatory Damages
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Able to make rational decisions about personal well-being.
Competent
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Permission to render care.
Consent
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A legal defense that may be raised when the defendant thinks that the conduct of the plaintiff somehow contributed to any injuries or damages that were sustained by the plaintiff.
Contributory Negligence
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Ability to understand and process information and make a choice regarding appropriate medical care.
Decision-Making Capacity
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The communication of false information about a person that is damaging to that person’s reputation or standing in the community.
Defamation
What are the definitive signs of death?
- Obvious mortal damage (i.e. decapitation)
- Dependent Lividity
- Rigor Mortis
- Algor Mortis
- Putrefaction
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Blood settling to the lowest point of the body, causing discoloration of the skin; a definitive sign of death.
Dependent Lividity
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Oral questions asked of parties and witnesses under oath.
Depositions
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The phase of a civil lawsuit where the plaintiff and defense obtain information from each other that will enable the attorneys to have a better understanding of the case and which will assist in negotiating a possible settlement or in preparing for trial. Includes depositions, interrogatories, and demands for production of records.
Discovery
What does the acronym mean?
DNR
Do Not Resuscitate
What requirements must be met in order for DNR orders to be valid?
- Clear statement of the patient’s medical problem(s)
- Signature of patient or legal guardian
- Signature of one or more physicians or other licensed health care provider
- DNR orders that contain expiration dates must be dated in the preceding 12 months (some states only).
What phrase or word matches this definition?
Written documentation by a physician giving permission to medical personnel not to attempt resuscitation in the event of cardiac arrest.
Do Not Resuscitate (DNR) Order
What is the AEMT’s obligation in reporting drug-related injuries?
Some states have established confidentiality for these cases and excuse certain specified people from reporting drug cases if, in the opinion of those people, withholding reporting is necessary for the proper treatment of the patient.
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A type of advance directive executed by a competent adult that appoints another individual to make a decision on their behalf, in the event that the person making the appointment loses decision-making capacity.
Durable Power of Attorney for Health Care
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A medicolegal term relating to certain personnel who either by statute or by function have a responsibility to provide care.
Duty to Act
The AEMT has an obligation to provide care when on the job and to do so in a manner that is consistent with teh standard of care established by training and local protocls.
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A person who is under the legal age in a given state but, because of other circumstances, is legally considered an adult.
Emancipated Minor
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A serious situation, such as injury or illness that threatens the life or welfare of a person or group of people and requires immediate intervention.
Emergency
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The principle of law that permits a health care provider to treat a patient in an emergency situation when the patient is incapable of granting consent because of an altered level of consciousness, disability, the effects of drugs or alcohol, or the patient’s age.
Emergency Doctrine
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Immediate care or treatment.
Emergency Medical Care
What roles and responsibilities do AEMTs have in court?
- When subpoenaed, immediately notify the director of your service and legal counsel.
- Remain neutral.
- Provide the facts as you observed them.
- Do not take sides.
- Review your run report prior to your court appearance.