HIPPA+Ethics Flashcards
Week1
What is “Duty to act”?
While on-duty, EMTs are required by law to
care for a patient who requires and consents
to it.
Do you have a duty to act if you are off duty? What is you are wearing SBVAC associated clothing?
If you are off duty and do not identify
yourself, then you do not have a duty to act.
If you are wearing anything related to SBVAC, you do have a duty to act as an idenified member of the company
What is “Scope of Practice”?
A set of regulations and
ethical considerations that
define the scope, or extent
and limits of what a provider
can do at her or his level of
practice.
The level of treatment that any
provider with the same level
of training and scope would
be expected to provide in a
similar circumstance.
What are the 4 types of consent?
- Types of Consent:
- Informed
- Implied
- Expressed
- Involuntary
How soon into treatment should consent be established?
•Consent MUST be obtained from every patient
BEFORE treatment can begin.
What is Informed Consent?
Explain to the patient what you
are going to do, and they allow
you to do it.
• Applies only if they patient is of
sound body and mind.
• Patient must be of legal age.
What is Implied Consent?
• Consent that is automatically
assumed from a patient that is unable
to make their own rational decisions.
• Based on the assumption that if the
patient was A&O, they would want
live saving treatments.
• Unconscious patients
• Patients that have an altered mental
status.
• Treatment of minors.
What is Expressed Consent?
• The patient explicitly states that
they want to be treated,
transported, or both as long as
the patient is of sound body and
mind.
• Universal choking sign.
• Cries for help.
What is Involuntary Consent?
• Applies to patients who:
• Are mentally challenged
• The Mental Hygiene Law
permits police officers to remove
any person who is at risk of
serious harm to himself or
others
What are some exceptions to consenting minors?
• For a child under the age of 18,
consent must be obtained from the
parent or legal guardian.
• When an emergency situation exists,
and parents are unavailable to
consent, emergency treatment
should be rendered based on
implied consent.
• Exceptions = Emancipation:
• Military, marriage, legally
emancipated, pregnant, has a child
or is seeking treatment for AIDS or
other sexually transmitted diseases
What is a “Refusal of medical attention (RMA)”?
• Any patient who is 18
years or older, and of
sound body and mind,
has the right to refuse
medical treatment,
transport, or both.
• Refusal of Medical Attention (RMA):
• Patient can choose to withdraw
treatment at any time
• Must advise patient of all
risks/consequences associated with
refusal of treatment/transport, and
patient must sign form.
• Contact medical control prior to
RMA-ing the patient
• Must make every effort to convince
patient to go to the hospital
Define MOLSTS, DNR, DNI, and DNH
•MOLSTS – Medical Orders for Life Sustaining
Treatment
•DNR – Do Not Resuscitate
•DNI – Do Not Intubate
•DNH – Do Not Hospitalize
Which of the 4 types of Advanced Directives does SBVAC not honor?
SBVAC does not honor a “Do Not Hospitalize” (DNH)
What are some liabilities of providing care without proper consent?
• Battery: physically touching patient.
• Assault: verbal threats
• Kidnapping: transport against will
• Slander: Spoken word about
reputation
• Libel: published word about
reputation
Identify the differences between Misfeasance, Nonfeasance, and Malfeasance
•Misfeasance: accidentally
causing harm
•Nonfeasance: not
providing care another
equally trained provider
would
•Malfeasance: purposely
causing harm
this isnt a question i just love this image
pls do not abuse your child in uno
