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medical, legal, and ethical issues

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Question
Answer
define consent and how it relates to decision making   show
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show expressed consent= specific authorization expressed by the Pt implied consent= legal assumption that treatment is desired involuntary consent= Pt who are mentally ill, behavior crisis, or developmentally delayed  
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show -Parent/legal guardian gives consent -when a parent cant be reached, health care providers are allowed to give care -In some states minors can gives consent (emancipated minors, or maturity and age) teachers/school officials may act in place of parent  
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describe local EMS system protocols for using forcible restraint   show
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discuss the EMT's role and obligations if a patient refuses transport or treatment   show
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describe the relationship between patient communications, confidentiality, and HIPPA   show
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show DMR= no treatment, but supportive/comfort measures Follow Local protocols! Check for validity  
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show presumptive= unresponsive to stimuli, lack of heartbeat or carotid pulse, no rise/fall of chest, No deep tendon or corneal reflexes, no pupillary reaction, no systolic BP definitive=Obvious mortal damage, lividity, Rigor Mortis, decomposition  
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show treat the same as any other Pt Priority- keep life, keep oxygen to organs  
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show devices= necklaces, bracelet, key chain, card Indicating: DNR order, Allergies, and/or serious condition helpful for assessment and treatment  
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show standards of Care= manner you act, How you do it. must be definite regardless of situation Accomplished through: Local custom, law, institutional standards, textbook standards. state standards Scope of practice= skills you can preform  
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show Individuals responsibility to provide Pt care Bystander is under no obligation established once responding Most cases if you see a situation and your off duty, you are not obligated to help (if you do, ensure equal or higher level of care occurs)  
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discuss the issues of negligence, abandonment, assault, battery, and kidnapping and their implications for the EMT   show
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show Reporting obligation to things such as: abuse, injury during felony, drug-related, childbirth, suicides, dog bites, communicable/infectious diseases exposure, assaults, domestic violence, sexual assault/rape, Pt in restraints, crime scenes, deceased  
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define ethics and morality and discuss their implications for the EMT   show
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show sometimes called for civil or criminal cases As a witness: remain neutral, review run report As a defendant: attorney is required  
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Created by: emt2023bucher
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