term test 2

Question 1

autonomy

Answer 1

patient has the right to chose

Question 2

professional autonomy

Answer 2

allows paramedics to make critical decisions around patient care in an emergency, enabling them to provide life-saving treatment

Question 3

DNR

Answer 3

A type of advanced directive that describes which life-sustaining procedures should be
performed in the event of a sudden deterioration in a patient’s medical condition.

Question 3

autonomy in medical practice

Answer 3

is usually expressed as the right of competent adults to make informed decisions about their own medical care

Question 4

living will

Answer 4

A document that sets out guidelines for dealing with life-sustaining medical procedures
in the eventuality of the signatory’s sudden debilitation. Living wills would, for example,
inform medical staff not to provide extraordinary life-preserving procedures on their bodies if they are incapable of expressing themselves and suffering from an incurable
and terminal condition

Question 5

professionalism

Answer 5

An attitude where the Paramedic should do all he or she can do to meet all the
standards of the profession and conduct themselves in a manner that brings honour to
the profession

Question 6

principle of futility

Answer 6

instances where what we do will not make a difference and will not change the outcome - patient is dead and will stay dead

Question 7

TOR

Answer 7

termination of resuscitation

Question 8

example of patient self determination

Answer 8

terminal cancer (ambulance does not have cure for cancer) if you resuscitate them and they have a ROSC they will still have cancer

Question 8

patient self determination

Answer 8

patient knows they are going to die - they should be able to decide if they want less aggressive measures taken

Question 9

4 components of an advanced directive

Answer 9

1. legal binding document
2. Communicates thoughts, wishes or preferences for healthcare decisions that might need to be made during periods of incapacity
3. Can be verbal or written
4. May not have DNR

Question 10

what does a living will provide

Answer 10

provides written direction to healthcare providers about care that the individual approves should they become terminally ill and unable to make decisions and can affect the care the patient receives

Question 11

what does a DNA allow for

Answer 11

a “natural” death

Question 12

example of DNR

Answer 12

for a patient with terminal cancer, who has a cardiac arrest CPR, would not be
performed in the presence of valid documentation (DNR)

Question 13

DNA definition given in class

Answer 13

the existence of a current plan of treatment that reflects a patient’s expressed wish when capable, or the consent of a SDM when the patient is incapable, that CPR not be included in the treatment plan

Question 14

5 pieces of criteria for not starting CPR

Answer 14

1. ROSC
2. Danger to you
3. Obvious death
4. Valid and signed DNR
5. Order to withhold or terminate resuscitation from BHP

Question 15

who can validate a DNR on scene

Answer 15

paramedics and fire

Question 16

3 pieces of criteria for futile

Answer 16

1. ROSC
2. unwitnessed arrests
3. not shockable rhythm

Question 17

ROSC

Answer 17

return of spontaneous circulation

Question 18

7 pieces of criteria for a validated DNR Confirmation Form

Answer 18

1. Pre-printed serial number
2. Patient’s name
3. Tick box checked for ‘decision-maker’ (Pt vs MD)
4. Tick box checked for professional designation
5. Printed name of HCP
6. Signature of HCP
7. Date form was signed

Question 19

criteria for paramedics validating a DNR

Answer 19

1. must see the form
2. HCP who completed form does not have to be on the scene
3. ID patient
4. validate form