Unit 4 Flashcards
Medical, Legal, and Ethical Issues
Medical power of attorney (POA)
a legal document that allows someone to make medical decisions on behalf of a patient if the patient is unable to do so themselves. Can override a DNR.
Negligence
The failure to perform duties or provide care as expected, which could result in harm.
Duty to act
obligation of a medical professional to respond and provide care when on duty. ‘
Does not apply to off-duty professionals unless they chose to help
Proximate cause
Determines if the failure to act led to further harm
Scope of duty
the range of responsibilities and actions expected from a medical professional in their role
“incompatible with life”
example is a patient with no head
Who can not give consent?
-minors
-mentally incompetent adults
Consent exceptions
-loco parentis (in place of a parent)
-emancipated minors
-life-threatening illness or injury
-minors who have children (only 1 parent)
-minors serving in armed forces
Involuntary transportation consent
-patient considered threat to themselves or others
-court order
-mental health professional or police officer
what is an emancipated minor
-16 years or older
-is managing own financial affairs
-consents to diagnosis and treatments
-may consent to care for pregnancy
-if unmarried, may consent for care of own child
When an adult or emancipated minor refuses medical advice…
ask A&O*4 questions, if good then inform patient of consequences, tell them to call if they need anything, sign a “release form”
If patient does not want to go to a hospital
Take vital signs no matter what
and if it wasn’t written it wasn’t done so also get signatures or pt and witness of the refusal
abandonment
once care is initiated, it may not be discontinued until transferred to medical personnel of equal or greater training
Safe haven laws
-allow person to drop off an infant or child at any fire, police, or EMS station
-states have different guidelines for ages of children included
unilateral termination of care by EMT without:
-patients consent
-making provisions for continuing care
-Not applicable in disasters or imminent danger