Legal Ethics Flashcards
Define expressed consent
Verbal, non-verbal or written communication that a patient wants care, as just discussed…
Define implied consent
Inferred by a person’s actions and the facts and circumstances of a particular situation
•Or with unconscious patients or adults who are too ill or injured to consent to emergency lifesaving treatment, their consent to treatment is implied
Define indirect discrimination
when conditions or requirements are set out that exclude members of an Equality Target Group - in relation to jobs or services.
Define direct discrimination
◦is where a person is treated less favourably purely because of their sex, race, sexual orientation, religion or belief or disability
Define positive discrimination
where one person is favoured over another because they are from an under-represented
What are the role and functions of PHECC
Education and training
Examination and registration
How many administrative areas are in the hse
4
How many areas do NAs operate under
3
What does NEOC stand for
National emergency operations centre
How many patient contacts per year are required per cpc
12
What is the recommended retention period for an adult
8 years
What is the recommended retention period for maternity
25 years after birth of last child
What is the recommended retention period for child/ young adult
Until 25th birthday or 26th birthday if young adult is 17 or the conclusion of treatment or 8 years after death
What is the recommended retention period for homicide/ serious incident
30 years
What is the recommended retention period for dead
8 years after death
What is the recommended retention period for clinical audit records
5 years
What is the recommended retention period for record of destruction of individual patient records
Permanently
What is cumulative stress
pile-up of unresolved general stress; it is abnormal and destructive
•It is sometimes called “burnout
What is critical incident stress
Sometimes called ‘traumatic stress’, it is caused by exposure to frightening/ grotesque/overwhelming/ threatening events
•It is a normal, but painful, response of normal healthy people to an abnormal event
What is ptsd
Caused by extreme or unresolved Critical Incident Stress
•PTSD is abnormal. While about 10% of the general population develop it over their lifetime, 15% of EMS develop it in their careers
What are the stages of the grieving process
Denial
•Anger
•Bargaining
•Depression
•Acceptance
How do you calm violence
Concentrate on remaining calm and maintain self control
•Always identify yourself as ambulance staff
And that You are there to help
•Encourage the patient to talk, then listen to them
How to manage an aggressive patient
An important way of managing an aggressive patient is by winning their confidence and thereby obtaining their compliance
•Always Be:
◦Calm and confident
◦Polite but firm
◦Respectful
◦Professional
How do you report a violent or aggressive incident
Inform CAC, who will send a Duty Manager and Gardaí if requested, to assist you on scene should you be involved in a violent incident, either verbal, physical or a combination of both
What are preterm babies
pre-term’ is a general term given to babies who are:
•Born before the 37 weeks gestation
•Small, weighing less than 2.5 kg (5) lbs at birth
What are the physical characteristics of a preterm baby
Skull bones will be soft and may be widely separated or overlapped
•Head may seem unduly large in proportion to the body
•Body length of under 44 cm (17 in)
•Skin - dull, wrinkly and covered with downy hair. In very early babies it is shiny and thin with prominent veins
•Nails not grown to ends of nail beds
•Tends to be feeble drowsy and not able to suck well
What are health characteristics of a preterm baby
Respiratory centre and muscles not fully developed
•Heat regulating centre not fully developed + no subcutaneous fat = inadequate heat production
•Poor sucking and swallowing reflexes, increase risk of bronchopneumonia
•Greater risk from respiratory and gastrointestinal
What Is the function of a incubator
Control temperature
Supply oxygen at a controlled rate
•Maintain humidity at 60 % - 65 %
•Reduce risk of infection
•Reduce unnecessary handling
•Provide for ventilation
How do you manage premature babies
normally done by the SCBU nurse/team who will accompany the patient
•This team often comprises of an anaesthetist, midwife, nurse or paediatrician
•If transporting pre-term baby, follow the instruction and advice of the staff escort, they are the experts who are aware of the infant’s current medical status
Duties of ambulance staff when dealing with premature babies
Incubator is properly secured
•Any connections from the incubator to the vehicle are correctly done - are plugs, voltages, etc. correct
•All persons travelling with the patient are on board and using safety belts
•Progressive, safe driving especially if the use of blue lights & sirens or Garda escort has been approved
•Work with the escort team
