Consent And Refusal

Question 1

Informed Consent

Answer 1

permission granted with the knowledge of possible consequences

Question 2

Implied consent

Answer 2

Consent that is presumed

Question 3

Expressed consent

Answer 3

Verbal, nonverbal, or written communication by a patient who wishes to receive treatment. Act of calling EMS usually is considered this

Question 4

Involuntary consent

Answer 4

Consent for treatment granted by court order, usually with patients with mental health

Question 5

What to do if patient refuses service

Answer 5

Make reasonable efforts to inform pt or SDM that Tx is recommended, confirm pt has capacity, advise pt to call 911 if problem gets worse, obtain signatures

Question 6

When may the paramedic transport without consent

Answer 6

Pt does not have capacity, pt is suffering or at risk and Tx is administered promptly it will cause harm, delay required for consent will prolong suffering

Question 7

What is a corners inquest

Answer 7

Open and public hearing from coroner after a death, intended to make facts and circumstances of the death public

Question 8

What power does a coroner have

Answer 8

They can access info freely, investigate areas a death occurred without warrants, request documentation without subpoenas

Question 9

Medical TOR Tx

Answer 9

Greater than 16 years old, no arrest witnessed by EMS, no ROSC after 20 mins, no defib delivered

Question 10

Contraindications of Medical TOR

Answer 10

Known reversible cause, hypothermia, pregnancy assumed greater than 20 weeks, airway obstruction, non-opioid drug overdose

Question 11

Form 1

Answer 11

Under the MHA - signed by a physician

Question 12

Form 2

Answer 12

Signed by just of peace