Sociology and medical legal Flashcards
what is sociology?
the study of societies and how humans act in a group
what is the paramedic code of conduct?
-conserve life, alleviate pain and suffering and promote health
-protect and maintain the patients safety, dignity and privacy
-Demonstrate empathy and compassion for patient and their families
-Fulfil his/her duites with integrity, honesty and efficiency
-present yourself in such a manner so as to gain respect of the public
-maintain a good working relationship with your collegues
what is being biased?
its having a preconceived preference, or leaning towards one side or viewpoint
what is being prejudiced mean?
its having a preconceived negative attitude or opinion about someone based on factors like race, gender, religion or social class
what is discrimination?
its the unfair treatment of people based on race, age, gender or disability
what is stereotype?
is a generalized belief about a group of people that may be inaccurate
the paramedic has 4 lines of authority
-medical director
-licensing agency
-employer
-MOH (ministry of health)
-MOT
what are the 2 types of consent
-informed consent
-expressed consent
what is implied consent
in unresposive adults, or adults who are too illor injured to consent to emergency life saving treatment
what is no involuntary consent
permission granted by a law enforcement or a legal guardianto treat someone who is under arrest or a minor
how to document a patient refusal of treatment?
-patient history
-all findings of patients physical exam and mental exam
-the patients reasons for refusing prehospital care
-all advice given to the patient including the risks of refusing care
-note how much time you attempted trying to give prehospital care
-the report should be signed by the patient and if possible one of the observers
how do you determine mental competence in a patient
-patient is oriented to person, place and day
-patient responds to questions approprietly
-no significant mental impairment from alcohol, drugs, head injury or other organic illness
-patient demonstrates to you that they understand the Risk of not going to the hospital for immediate care
what is an organic disorders
are psychological issues caused by the damage to the brain like brain trauma, Alzheimer’s and parkinsons
what is a paramedics best protection in court
thorough and accurate medical record
In the health care consent act there are three types of decisions that require consent what are they?
-decisions about treatment
-decision about entering a care facility
-decision about personal assistance services
where can you find the law that requires to get an informed consent?
in the health care consent act
what is an emergency
if the person for whom the treatment is proposed is apparently experiencing severe suffering, or is at risk if the treatment is not administered promptly, of sustaining serious bodily harm
what is the general directive for a DNR
1: A paramedic upon obtaining a valid MOH DNR confirmation form SHALL NOT initiate CPR in the event the patient experiences respiratory or cardiorespiratory arrest.
2: A paramedic SHALL initiate CPR on a patient who has experienced respiratory or cardiorespiratory arrest when
a: the patient expresses clearly a wish to be resusucitated
b: the patient expresses a wish to be resusucitated but is not clear.
3: The paramedic shall provide management necessary to provide comfort or alleviate pain
4: Once the death has occurred , the paramedic SHALL
a: advice the CACC
b: follow the deceased patient standard
5: note the time the patient was deceased
what is ambulance act?
also known as 0. reg. 257/00
what drugs can we give as a PCP?
glucagone, oral glucose, nitro-glycerin, epinephrin, salbutamol and ASA
what should a paramedic rely on to know that a person is dead?
1: valid signed certificate of death
2:follow the deceased patients standard (decapitation, transection, visible decomposition, putrefaction, or absence of vital signs with :
a: a grossly charred body
b: an open head or torso with outpouring of visceral and cranial contents
c: gross rigor mortis
d: dependant lividity
what is gross rigor mortis
stiffening of muscles after death
what is dependant lividity?
post mortem sign of death that occurs when blood pools in the lower parts of the body, it appears as a discoloration of the skin that ranges from pink to dark purple
for air ambulance what is the criteria?
1: meet the field trauma triage standard
2: for medical patients must meet one or more
a: shock, especially hypotension with altered mentation (Eg: suspected aortic aneurysm rupture, massive gastrointestinal bleed, severe sepsis, anaphylaxis, cardiogenic shock
b: acute stroke with a clear time of onset or last known to be normal
c: altered level of consciousness GCS below 10
d: acute respiratory failure or distress
e:suspected STEMI or lethal disrhythmia
e: resuscitation for cardiac arrest or respiratory
f: status epilepticus
g: unstable airway or partial airway obstruction
CACC (central ambulance communications center) priority calls
code 1: defferable
code 2: scheduled
code 3: prompt
code 4: urgent call
code 5: obviuosly dead
code 6: legally dead
code 7: unstaffed
code 8: stand by location
code 9: unit in for servicing
code 19: non essential call
who is considered the circle of care
custodians and recipients
PIPEDA
personal information protection and electronic document act
MOHLTC
ministry of health and long term care
MFIPPA
municipal freedom of information and protection act
IPC
infection prevention and control
2 sources of law
1: constitution act
2: other provisions (includes rights of indigenous people and how Tom amend constitution of canada
what is legislation
-is what is composed of the law
-legislation body has the power to pass, amend and repeal laws
what is administration
-can supervise the implemetation of law
-impliments and enforces policies
A paramedic shall answer to 3 lines of authority
-medical director
-licensing agency
-employer
licensing agency
-base hospital
-ministry of health and long term care
constitutional law
establishes, allocates and limits public power
common law
body of unwritten laws
what is summary law
a less serious crime can be resolved without a jury or indictment
what is indictable offence
a serios crime
hybrid offence
prosecutor can choose if summary offence or indictable (eg: dangerous operation of motor vehicle)
tort
wrongful act to an individual
what type of drug is alcohol
psychoactive, its a depressant which lowers the activity of the central nervous system
types of drinkers (alcohol)
1: social-occasionaly
2: heavy-frequently and become intoxucated
3: acute-have trouble controlling drinkin
4: chronic-cant control drinking
marijuana
depressant and stimulant
aversion drug therapy
methadone and antabuse
IQ and EQ difference
IQ- measures cognitive abilities
EQ- understanding and managing emotions
Maslow’s hierarchy
categorizes human needs into physiological, safety, social esteem, and self actualization needs
social esteem
need to belong
self actualization
becoming what you are capable of
ethnocentricism
believe that ones own groups way of life is better than the othes
stereotypes
overgeneralizations about characteristics of other members of a group
generalization
are ideas held about a group of people, that are open to revision and can be rejected
anti semitism
discrimination against jews
genocide
killing a group of people
latrogenesis
harmful effect of disease that occurs as a result of medical care
