Legal Ethics Flashcards

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1
Q

Define expressed consent

A

Verbal, non-verbal or written communication that a patient wants care, as just discussed…

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2
Q

Define implied consent

A

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

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3
Q

Define indirect discrimination

A

when conditions or requirements are set out that exclude members of an Equality Target Group - in relation to jobs or services.

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4
Q

Define direct discrimination

A

◦is where a person is treated less favourably purely because of their sex, race, sexual orientation, religion or belief or disability

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5
Q

Define positive discrimination

A

where one person is favoured over another because they are from an under-represented

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6
Q

What are the role and functions of PHECC

A

Education and training
Examination and registration

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7
Q

How many administrative areas are in the hse

A

4

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8
Q

How many areas do NAs operate under

A

3

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9
Q

What does NEOC stand for

A

National emergency operations centre

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10
Q

How many patient contacts per year are required per cpc

A

12

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11
Q

What is the recommended retention period for an adult

A

8 years

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12
Q

What is the recommended retention period for maternity

A

25 years after birth of last child

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13
Q

What is the recommended retention period for child/ young adult

A

Until 25th birthday or 26th birthday if young adult is 17 or the conclusion of treatment or 8 years after death

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14
Q

What is the recommended retention period for homicide/ serious incident

A

30 years

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15
Q

What is the recommended retention period for dead

A

8 years after death

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16
Q

What is the recommended retention period for clinical audit records

A

5 years

17
Q

What is the recommended retention period for record of destruction of individual patient records

A

Permanently

18
Q

What is cumulative stress

A

pile-up of unresolved general stress; it is abnormal and destructive
•It is sometimes called “burnout

19
Q

What is critical incident stress

A

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

20
Q

What is ptsd

A

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

21
Q

What are the stages of the grieving process

A

Denial
•Anger
•Bargaining
•Depression
•Acceptance

22
Q

How do you calm violence

A

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

23
Q

How to manage an aggressive patient

A

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

24
Q

How do you report a violent or aggressive incident

A

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

25
Q

What are preterm babies

A

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

26
Q

What are the physical characteristics of a preterm baby

A

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

27
Q

What are health characteristics of a preterm baby

A

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

28
Q

What Is the function of a incubator

A

Control temperature

Supply oxygen at a controlled rate
•Maintain humidity at 60 % - 65 %
•Reduce risk of infection
•Reduce unnecessary handling
•Provide for ventilation

29
Q

How do you manage premature babies

A

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

30
Q

Duties of ambulance staff when dealing with premature babies

A

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