Paramedic Patient Advocacy Test #1 Flashcards
What is a legal responsibility?
It is actions or decisions that are required by law. (Ex. adhering to laws regarding patient confidentiality)
What is an ethical responsibility
It is actions or decisions that are based on moral principles. (Ex. treating patients with dignity and respect)
What are the kind of courts?
Civil and criminal. Your actions and mistakes can be held against you whether it be the family or your employer making the complaint.
Give an example of civil law and criminal law
Civil law involves disputes between individuals or organizations. (Ex. a patient suing for medical malpractice) Criminal law involves the prosecution of individuals for violating the law (Ex. abuse or neglect of a patient)
An important aspect of the Zoll monitor?
It records everything once turned on until turned off.
Name the hierarchy of laws and regulations that govern the paramedic profession in quebec
- Charters
- Codes
- Laws
- Regulations
- Policies
- Directives
- Protocols
Differtiate Licensure and Certification
Certification grants recognition to an individual who mas met predetermined qualifications to participate in an activity, usually granted by a certifiying agency or professional association. // Licensure is a process of occupational regulaiton, granted by a governmental agency, the MSSS.
Three steps to get licensed? The __?
The PNIC. Programme National Integraion Clinique
- Theory exam
- Ethico-legal exam
- PIPMT programme d’integration professionelle en millieu de travail
Name the 5 mandatory reporting criteria
- Child Abuse and neglect; elder abuse; spouse abuse
- Sexual Assault
- Gunshot and stab wounds
- Animal Bites
- Communicable diseases
Who must you report child abuse to and some examples?
DPJ. Child has been sexually or physically abused, child has been abandoned, child is being neglected, child has run away, child is being emotionally abused, child has serious behavioural problems.
Abandonment
The act of deserting or forsaking a person or duty, particularly in a medical setting, this can refer to a healthcare provider leaving a patient without proper care or attention.
Advanced Directives
Legal documents that outline a person’s preferences for medical treatment in the event they become unable to make decisions for themselves. This includes living will and power of attorney for healthcare.
Assault
The act of intentionally causing another person to reasonably feat imminent physical harm. Threatening someone is considered assault.
Battery
The intentional and wrongful physical contact with another person without that person’s consent.
Breach of duty
The failure to fulfill a legal or moral obligation, such as a paramedic’s duty to provide a patient with appropriate care.
Confidentiality
The principle that certain information shared between a healthcare provider and patient should be kept private and not shared with others without the patient’s consent.
Consent (and types)
Consent is permission for something to happen.
- Expressed consent: refers to patient actively saying “yes”.
- Implied consent: refers to the circumstances which suggest that patient would have agreed if asked (Ex. entering someone’s home after they called 911 or a patient giving you their arm when you go to asses a pulse/bp)
- Informed consent: a patient going to hospital after being informed both benefits and risks.
- Involuntary consent: is when a person is unable to give consent themselves. This is the case when unconscious, incapacitated, or otherwise unable to make a decision.
Do not resuscitate orders
A medical order, usually in the form of a bracelet or necklace, indicating that a person does not wish to be revived in the event their heart stops or they stop breathing.
Duty to act
Legal or moral obligation to take action to help someone in danger or in need of assistance.
Emancipated minor
A minor (person under 18) who has been legally declared to be an adult and therefore able to make decisions for themselves.
False Imprisonment
The unlawful restraint or confinement of a person against their will.
Immunity
Legal protection from prosecution or legal action.
Liability
Legal responsibility for damages or losses caused by one’s actions.
Libel
The written or published form of defamation.
Minor
A person under the legal age of majority (18 in QC).
Negligence
Failure to exercise the level of care that a reasonably prudent person would in a similar situation.
Proximate Cause
The legal cause that is closest to the resulting injury, damage, or loss.
Scope of practice
Range of duties and skills a paramedic is allowed and expected to perform when necessary usually set by provincial law or regulation.
Slander
The spoken form of defamation
Standard of care
The level of care, skill, and treatment that a reasonable and prudent paramedic would provide under similar circumstances.
Tort
A civil wrong or injury for which a legal remedy may be sought.
Good samaritan law
Law that imposes the duty to provide aid in emergency situations and to volunteer and protects individuals who assist others during accidents form being held liable for any damages that may occur as a result of an honest mistake made while performing a socially beneficial act.
Commission Error
Breach of duty when a paramedic does something that they had a duty not to do. (Ex. administers a treatment for something that is not indicated for a particular medical condition)
Omission Error
Breach of duty when a paramedic fails to do something that they had an absolute duty to do. (Ex. paramedic fails to administer a medication that under their protocols would indicate they had to).
4 criteria for negligence?
- There is a duty to act
- There is a breach of that duty
- The breach causes an effect
- Damage has occured
Foreseeability
A concept that implies that the injury or harm could have been predicted and therefore could have been avoided if the proper precautions were taken (ex. giving incorrect drug or drug dosage)
Your patient should not walk if:
They have one of the following:
- Dyspnea
- Chest pain
- Syncope
- Quasi-syncope
- Intoxication
- Abdominal pain
- Weakness
- Dizziness
The name of the RIP
The AS-803. Note there are no questions about this on brainscape because we trust ourselves :P
Name the order of people who can take a decision for the patient if they are inapt from most to least important.
- Mandataire
- Tuteur
- Curateur
- Conjoint legal
- Membre de la famille
- Toute personne interessee
For a refusal to be valid:
Has to come from patient, patient must be apt, consent must be given (implicit or explicit)
Consent eclaire
Give all the information to the best of your knowlegde, be clear. benefits and consequences with a professional and reassuring attitutde.
Refusal for minors?
UNDER 13 are consider inapt and cannot refuse transport or care if no parent or legal guardian is present to make the decision for them.
14-17 are considered apt to make their own decision for treatment and care. only exception is if the patient 14-17 will be in a hospital for longer than 12 hours, parents must be informed.
Aptitude
A comprehension of the following:
- The situation in which they find themselves in
- The options that are offered to them in terms of care/treatment
- The benefits and the consequences of accepting or refusing paramedic services
- The capacity to make a decision
5 steps to take if a patient refuses care.
- Inform the patient
- Explain in layman terms to the patient - Question the patient
- Ask them to explain to you why are they refusing in their words
- His solution/ what will he do - Retry to obtain consent of the patient
- Obtain patient consent or an explicit refusal
- Document the refusal
- All interventions that include a refusal of care or transport have to be recorded by the MDSA
- A patient will have to read the refusal legal text and sign the AS-803 refusal section stating they acknowledge that they have refused care/treatment.
- The paramedci must properly document the conversation that they had with the patient about their refusal with the following topics:
- possible differentials
- the risks
- the reason
-the patients plan
criteria for Refus A Risque
Under 14
V-P-U on AVPU scale
confusion
neurological issue
pregnancy
active hemorraghe
blood glucose under 4
FC over 120 or below 50
syncope
allergic reaction
head trauma
trauma
palpitations
chest pain
bp sys over 200 or under 100 bp dias over 100
SPO2 sats under 92
so many more
Professional secrecy is guaranteed to Quebec citizens by the ___
CHARTER OF THE RIGHTS AND FREEDOMS OF THE PERSON
Do paramedics fall into professional secrecy law? Why or why not?
Because paramedics do not have a professional order, they do not fall into the professional secrecy law
however
Paramedics still have obligations of confidentiality towards their patients. Obligations that are similar to professional secrecy.
Chart of rights and liberty of Quebec citizens
Can be a breach of the
patient’s right to their privacy
Calling the patient afterwards
-
Using their information for personal purposes
Use any information that can trace back to the patient
What is confidentiality in terms of paramedicine?
Confidentiality is a crucial element of the relationship of trust that is established between the patient and any health worker. The paramedic has an obligation of confidentiality towards the patients with whom he/she interacts with.
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AS-803 contains personal information and must be submitted only to who?
The receiving hospital center and the employer by the paramedic.
What must you share with police?
Share accident scene information
Number of victims
If the patient is a danger to themselves or to society
What not to share with police
If the patient declare that they are intoxicated
It is the duty of the police to verify this themselves
Cannot give any monitor recording to police unless through a court order
Will be done through employer
Service
A paramedic dedicates themselves to serving the patient, the community, and their profession.
Honor
A paramedic commits to conducting themselves in a way that garners admiration, recognition, and respect for the profession at all times.
Integrity
A paramedic acknowledges that being part of the profession is a privilege and endeavors to uphold its values and ethics consistently
Courage
A paramedic recognizes the inherent personal risk in the profession and bravely faces this challenge for the benefit of patients, colleagues, and the public.
Advocacy
A paramedic advocates for meeting the patient’s personal and healthcare needs, intervening with peers and others.
Responsibility to Patient
A paramedic ensures that the patient’s rights to decision-making, safety, dignity, privacy, and confidentiality are upheld.
Accountability
A paramedic takes full responsibility for their actions, understanding their impact on patients, peers, colleagues, the public, and the profession.
Leadership
A paramedic embraces the responsibility to initiate positive changes for enhancing public service.
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