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Ch 3
Knowledge Objectives
Question | Answer |
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Define consent and how it relates to decision making: | Consent is when a patient gives permission to receive care. A patient can give consent if they are able to understand the information you are providing coupled with the ability to process the information and make an informed choice regarding medical care |
Compare expressed consent, implied consent, and involuntary consent: | Expressed Consent: Patient is conscious and can give consent. Implied Consent: Patient is unconscious or unable to make rational, informed decision. Involuntary Consent: Patient is mentally ill, in a behavioral crisis, or developmentally delayed. |
Discuss consent by minors for treatment or transport: | Since minors might not have the wisdom, maturity, or judgement to give consent, the law requires that a parent or legal guardian give consent for treatment and transport. If the minor is emancipated, they can be treated as adults and give consent for self |
Describe local EMS system protocols for using forcible restraint: | Forcible restraint can be necessary when you are confronted with a patient who needs medical treatment but is combative and presents a risk of danger to himself or others. You should consult with medical control to get authorization to restrain them. |
Discuss the EMT’s role and obligations if a patient refuses treatment or transport: | The EMT should explain the risk of refusing treatment and transport and fill out all of the required documentation and get the patient to sign a form saying they are refusing treatment. |
Describe the relationship between patient communications, confidentiality, and the Health Insurance Portability and Accountability Act (HIPPA): | Communication between you and the patient is considered confidential and can’t be disclosed without permission from the patient or a court order. If you breach confidentiality, you can be faced with legal consequences. |
Discuss the importance of DNR orders and local protocols as they relate to the EMS environment: | DNR orders give the EMT permission to not attempt resuscitation. If the patient is incompetent or unable to make decisions, you must abide by the orders of the DNR or advanced directive. |
Describe the physical, presumptive, and definitive signs of death: | Physical signs of death are to be determined by a physician, presumptive signs of death are: unresponsive to painful stimuli, lack of a carotid pulse or heartbeat, absence of breath sounds, no deep tendon or corneal reflexes, absence of eye movement, etc |
Explain how to manage patients who are identified as organ donors: | You should use all means necessary to keep that patient alive, you must give oxygen to the possible donor to prevent the organs from becoming damaged. |
Recognize the importance of medical identification devices in treating the patient: | Medical identification devices can tell you a patient’s allergies, DNR orders, medication information, and pre-existing conditions. They can be in the form of a bracelet, necklace, keychain, or card. Some patients even have bracelets with a flash drive. |
Discuss the scope of practice and standards of care: | Scope of practice is the state determined care you are able to provide to a patient, standards of care is the manner in which you act or behave to prevent further harm to a patient. |
Describe the EMT’s legal duty to act: | The individual's responsibility to provide patient care. For example: Once your ambulance responds to a call or treatment has begun, you have a legal duty to act. |
Discuss the issues of negligence, abandonment, assault and battery, and kidnapping and their implications for the EMT (1): | All of these can put an EMT in the courts. Negligence is failure to provide the same care that a person with similar training would provide in the same or similar situation. |
Discuss the issues of negligence, abandonment, assault and battery, and kidnapping and their implications for the EMT (2): | Abandonment is the termination of care by the EMT without the patient's consent and without making any provisions for the care to be continued by a medical professional who is competent to provide care for the patient. |
Discuss the issues of negligence, abandonment, assault and battery, and kidnapping and their implications for the EMT (3): | Assault: unlawfully placing a person in fear of immediate bodily harm. Battery: unlawfully touching a person Kidnapping: A false imprisonment charge is more likely because EMT's are almost always acting in good faith to provide care. |
Explain the reporting requirements for special situations, including abuse, drug or felony related injuries, childbirth, and crime scenes: | Abuse must be reported to the police, abuse of a child must be reported to the police and CPS. Injury during a felony must also be reported to the police if they are not already on scene. Not all drug related injuries have to be reported. |
Define ethics and morality and their implications for the EMT: | Ethics is the philosophy of right and wrong, of moral principles, and of ideal professional behavior. Morality is a code of conduct that can be defined by society, religion, or a person. |
Describe the roles and responsibilities of the EMT in court: | When the EMT is subpoenaed to court, they should immediately notify the director of their service and legal counsel. As a witness, the EMT should remain neutral. As a defendant, you should get the assistance of an attorney. |