Medicolegal & Ethics Flashcards

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1
Q

Abandonment

A

Termination of care without assurance that an equal or greater level of care will continue.

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2
Q

DNR

A

Do Not Resuscitate

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3
Q

Definitive Care

A

Care that will improve, rather than simply stabilize, a patient’s condition.

(surgery or other care provided in a hospital).

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4
Q

Expressed Consent

A

1) Patient of legal age.

2) Patient must be informed.

3) Must be obtained from conscious, competent adults.

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5
Q

Implied Consent

A

Assumption that a patient would agree to medical care if able.

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6
Q

Medical Control — Off-line

A

Standing orders which allow the EMT’s to provide care without direct contact with a physician.

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7
Q

Medical Control — On-line

A

Direct order received from the physician to provide care.

May be requested at any time.

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8
Q

Medical Director

A

Physician who authorizes the EMT’s in the service to provide medical care in the field.

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9
Q

Negligence

A

The omission of the care that is usual under the circumstances.

4 elements necessary to prove negligence:

1) Duty to Act
2) Breach of the Duty
3) Injury or Damages Inflicted
4) Actions or Omissions Caused Damages

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10
Q

Scope of Practice

A

Defines the procedures, actions, and processes that are permitted for the licensed individual.

NOTE: You absolutely cannot do anything that is outside of your Scope of Practice.

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11
Q

Americans With Disabilities Act

(ADA)

A

Comprehensive legislation that is designed to protect people with disabilities against discrimination.

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12
Q

Certification

A

A process in which a person, an institution, or a program is evaluated and recognized as meeting certain predetermined standards to provide safe and ethical care.

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13
Q

Community Paramedicine

A

A healthcare model in which experienced paramedics receive advanced training to provide services in prehospital environments.

Services include:

— Health evaluations
— Monitoring of chronic illnesses / conditions
— Patient advocacy.

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14
Q

Continuous Quality Improvement

(CQI)

A

A system of internal and external review audits of all aspects of an EMS system aiming at improving outcomes.

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15
Q

Credentialing

A

And establish process to determine the qualifications necessary to be allowed to practice a particular profession, or to function as an organization.

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16
Q

Emergency Medical Dispatch

(EMD)

A

A system that assists dispatchers and selecting appropriate units to respond to a particular call for assistance, and provides callers with vital instructions until the arrival of EMS crews.

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17
Q

Emergency Medical Responder

(EMR)

A

A first trained professional, such as a police officer, fire fighter, lifeguard, or other rescuer, who may arrive first at the scene of an emergency to provide initial medical assistance.

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18
Q

Emergency Medical Services

(EMS)

A

A multidisciplinary system that represents the combined efforts of several professionals and agencies to provide prehospital emergency care to the sick and injured.

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19
Q

Emergency Medical Technician

(EMT)

A

An individual who has training in basic life support, including automated external defibrillation, use of a definitive airway adjunct, and assisting patients with certain medication.

20
Q

Advanced EMT

(AEMT)

A

An individual who has training in specific aspects of advanced life support, such as intravenous therapy, and the administration of certain emergency medications.

21
Q

Automated External Defibrillator

(AED)

A

A device that the text treatable life-threatening cardiac dysrhythmias (ventricular fibrillation and ventricular tachycardia), and delivers the appropriate electrical shock to a patient.

22
Q

Evidence-based Medicine

(EBM)

A

An approach to medicine where decisions are based on well-conducted research, classifying recommendations based on the strength of the scientific evidence; also called science-based medicine.

23
Q

Health Insurance Portability and Accountability Act

(HIPAA)

A

Federal legislation passed in 1996.

It’s main effect and EMS is in limiting availability of patients’ healthcare information and penalizing violations of patient privacy

24
Q

Licensure

A

The process whereby a competent authority, usually the state, allows people to perform a regulated act.

25
Q

Medical Control

A

Physician instructions given directly by radio or cell phone (on-line / direct) or indirectly by protocols / guidelines (off-line / indirect), as authorized by the medical Director of the service program.

26
Q

Medical Director

A

The physician who authorizes or delegates to the EMT the authority to provide medical care in the field.

27
Q

Mobile Integrated Health Care

(MIH)

A

A method of delivering healthcare that involves providing healthcare within the community rather than a physician’s office or hospital.

28
Q

National EMS Scope of Practice Model

A

A document created by the National Highway Traffic Safety Administration (NHTSA) that outlines the skills performed by various EMS providers.

29
Q

Paramedic

A

An individual who has extensive training in advance life support, including endotracheal intubation, emergency pharmacology, cardiac monitoring, and other advanced assessment and treatment skills.

30
Q

Primary Prevention

A

Efforts to prevent an injury or illness from ever occurring.

31
Q

Primary Service Area

A

Designated area in which the EMS agency is responsible for the provision of prehospital emergency care and transportation to the hospital.

32
Q

Public Health

A

The branch of medicine that is focused on examining the health needs of entire populations with the goal of preventing health problems.

33
Q

Public Safety Access Point

A

The call center, staffed by trying to personnel who are responsible for managing requests for police, fire, an ambulance services.

34
Q

Quality Control

(QC)

A

Oversight by the medical Director to ensure the appropriate medical care standards are met by EMTs on each call.

35
Q

Secondary Prevention

A

Efforts to limit the effects of an injury or illness that you cannot completely prevent.

Efforts that take place after an event has occurred.

36
Q

Center for Disease Control & Prevention

(CDC)

A

The primary federal agency that conducts and supports public health activities in the United States.

The CDC is part of the US Department of health and human services.

37
Q

Designated Officer

A

The individual in the department who is charged with the responsibility of managing exposures and infection control issues.

38
Q

Occupational Safety and Health Administration

(OSHA)

A

Federal regulatory compliance agency that develops, publishers, and enforces guidelines concerning safety in the workplace.

39
Q

Advance Directive

(DNR Orders)

A

Written documentation that specifies medical treatments for competent patients should those patients become unable to make decisions.

Also called “living wills” or “health care directives”.

40
Q

Algor Mortis

A

The cooling of the body after death until it matches the ambient temperature.

41
Q

Applied Ethics

A

The manner in which principles of ethics are incorporated into professional conduct.

42
Q

Assault

A

Unlawfully placing a patient/person in fear of bodily harm.

43
Q

Battery

A

Unlawfully touching a patient/person or providing emergency care without consent.

44
Q

Bioethics

A

The study of ethics related to issues that arise in health care.

45
Q

Breach of Confidentiality

A

Disclosure of information without proper authorization.

46
Q

Compensatory Damages

A

Damages awarded in a civil lawsuit that’s are intended to restore the plaintiff to the same condition that he/she was in prior to the incident.

47
Q

Competent

A

Able to make rational decisions about personal well-being.