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Paramedic Quiz 2
| FRONT quiz 2 | BACK quiz 2 |
|---|---|
| Best protection from Liability? | To preform systematic assessments, provide appropriate medical care, & maintain accurate & complete documentation.e |
| Leagle & Ethical Responsibilities | 1.Promptly respond 2 the needs of each Pt. 2.Treat all Pt.s & families w/respect. 3.Maintain skills & knowledge w/continuing ed. 4.B critical of preformance & seek improvment. 5.Report honestly & w/ Pt confidentially. 6.Cooperate & respect other emr. pros |
| 4 Sources of Law | Constitutional, Common, Legislative, Administrative |
| Constitutional | Based on the U.S. Constitution |
| Common | Based on society's acceptance of customs & norms. |
| Legislative | Created by law making bodies such as Crongress & State Assemblies. |
| Administrative | Enacted by Governmental agencies @ either Federal or State levels. |
| 3 Categories of Law | Criminal, Civial, & Tort. |
| Criminal Law | Division of the legal system that deals w/ wrongs committed against society or its members. |
| Civil Law | Division of the legal system that deals with noncriminal issues & conflicts between 2 or more parties. |
| Tort | A civil worng committed by one individule against another. |
| Scope of Practice | The range of duties & skills Medics are allowed & expected to preform. |
| You can function as a Medic only under... | the direct supevision of a licensed Physician through a delegation of authority. |
| Certification | The recognition granted to an individule who has met predetermined QUALIFICATIONS to participate in a certain activity |
| Licensure | A PROCESS used to regulate occupations gererally granted by a governmental body to engage in a PROFESSION or OCCUPATION |
| Manditory reporting requirements | 1. Spouse abuse 2. Child abuse & neglect 3. Elder abuse 4.Sexual assault 5.Gunshot & stab wounds 6.Animal Bites 7.Communicable diseases (Document that the info was passed on to a doctor or nurse) |
| 4 Legal protections 4 the medic | Immunity, Good Samaritan Laws, Ryan White Act, Local Laws & regulations |
| Immunity | Exemption from liability granted 2 governmental agencies |
| Good Samaritan Laws | Privide immunity 2 certin people who assist 2 the scene of a medical |
| Ryan White CARE Act | Requires notification & assistance 2 medics who have been exposed 2 certain diseases. |
| Negligence | Deviation from accepted standards of care recognized by law for the protection of others against the unreasonable risk of harm (Key Words: Deviation from accepted standards of care) |
| Standards of care are set by... | The degree of care, skill, & judgment expected under like circumstances by a similarly trained, reasonable medic in the same community |
| Components of Negligence | 1.Duty 2 act. 2.Breach of Duty. 3.Actuall damages(harm). 4.Proximate cause |
| Duty 2 Act | A formal contractual or legal obligation 2 provide care |
| Breach of Duty | An action or inaction that violates the standard of care expected from a Medic. |
| 3 catagories of Breach of Duty | Malfeasance, Misfeasance,& Nonfeasance |
| Malfeasance | Preformance of a wrongful or unlawful act by a Medic |
| Misfeasance | Pre formance of a legal act in a harmful or injurious way |
| Nonfeasance | Failure 2 preform a required act or duty |
| Actual Damages | Compensatible Physical, Psychological, or Financial harm |
| Proximate Cause | An action or inaction that immediately caused or worsened the damage. |
| Borrowed Servant Doctrine | A medic can be sued for the Negligant act that a EMT-I or EMT-B commits |
| Civil Rights | 1.Race 2.Creed 3.Color 4.Gender 5.National Origin 6.Ability 2 Pay |
| Practicing Medicine w/o a license | Preforming procedures that require delegation from a Docture while off duty |
| Confidentiality | Law that prohibits the release of medical or other personal info about a Pt. w/o the Pt's concent |
| Defamation | An INTENTIONAL FALSE communication that injures another person's REPUTATION or GOOD NAME |
| Libel | The act of injuring a person's name, or reputation by false statements made in WRITING or through the MASS MEDIA w/ malicious intent or reckless disreguard for the falsity of those statements |
| Slander | The act of injuring a person's character, name, or reputation by false or malicious statements SPOKEN with MALICIOUS INTENT or RECKLESS DISREGARD for the FALSITY of those STATEMENMTS |
| Invasion of Privacy | The release of CONFIDENTIAL INFO, W/O LEGAL JUSTIFICATION, reguarding a Pt's private life, which might REASONABLY EXPOSE the Pt.to RIDICULE, NOTORIETY, or EMBARRASSMENT. |
| Informed Consent | Consent based on full disclosure of the nature, risks, & benefits of a procedure. Must be obtained from every compentent adult(18 & Up) B4 treatment may be initiated. In general a parent must give consent for children. |
| Expressed Consent | Verbal, non-verbal, or written communication by a Pt. who wishes to receive treatment. Must gain concent for each treatment provided. Callng 911 is generally an expresssion of concent. |
| Implied Concent | Concent for treatment that is presumed for a Pt. who is mentally, or emotionally unable to give consent It is assumed a Pt would want life saving treatment. AKA Emergency Doctrine |
| Involuntary Consent | Granted by a court order or 5150 hold. May be used on Pt's whose disea threatens a community. |
| 4 forms of Consent | Informed, Expressed, Implied,Involuntary |
| Consent 4 Minors & Mentally Incompetent Adults | Consent must be given by Parents or Legal Guardians. If parent or legal guardian can't be found the Doctrine of Implied Consent rules. |
| Emancipated Minors | Can give informed consent. Must meet one of the following: Married, Pregnant, A Parent, Armed Forces, $ indipendant living away from home |
| A Pt may withdraw consent at any time, but it must be an... | Informed refusal of treatment. |
| Emergency care must be offered to the Pt no matter... | how minor the injury or illness. |
| If the Pt refuses you must...(8) | 1.Make sure Pt can legally refuse 2.Make multi attempts to convince them to accept care 3.Make sure the Pt is informed 4.Consult on-line medical direction 5.Pt & disinterested witness sign AMA 6.Tell Pt 2 call again if need 7. Someone 2 stay w/Pt 8.Docmnt |
| Abandonment | The termination of the Medic-Pt relationship w/o assurance that an = or greater lefel of care will continue |
| Assault | Unlawfully placing a person in apprehension of immediate bodily harm w/o consent |
| Battery | Unlawful touching of another person w/o consent |
| False Inprisonment | intentional & unjustifible detention of a person w/o consent or legal authority |
| Reasonable Force | Minimal ammount of force necessary to ensure an unruly or violent person does not cause injury to himself or others |
| When transporting a Pt...(3) | 1.Give same level of care as on scene. 2.Go to the closest or most appropriate facility. 3.respect the Pt's choise of facility w/o putting Pt care in jeoperdy |
| Advanced Directives | A document created to ensure certain choices are honered when a Pt is unchonscious or otherwise unable to express his choise of treatment |
| Living Will | Allows a person 2 specify what kind of medical treatment he should receive. |
| DNR | indicates which if any life sustaining measures should be taken when the Pt's heart & respiratioy functions have ceased |
| EMS System | Comprehensive network of personnel, equipment, & resources established to deliver aid & emergency Med care 2 the community |
| BLS | Basic life saving procedures such as artificial ventilations & CPR |
| ALS | Advanced life saving procedures such as IV therapy, Drugs, ET tubes & D-fib |
| Established the DOT | National Highway Safety Act. 1966 |
| DOT provided _____ 4 EMS | Grants |
| EMS Systems Act of 1973 provided...(3) | 1. Funding for truma projects. 2.$300 million 2 study EMS, 3. Continued funds till '81 |
| COBRA | Consolidated Omnibus Budget Reconciliation Act of 1981 wiped out EMS funding |
| Protocols | Are the policies & procedures 4 all elements of an EMS system |
| 4 "T's" of emergency care from which protocols are designed | 1. Triage 2.Treatment. 3.Transport. 4.Transfer |
| EMD's must be... | Medically & technically trained |
| 2 kinds of EMS education | initial & continuing |
| 3 specific learning domains | 1.Cognative. 2.Affective. 3.Psychomotor |
| NREMT | National Registery of EMT's Prepares and administers standardized tests, quilifications 4 registration, re-registeration, & minimal standards of competency |
| An EMS system should have a disaster plan in place that is... | practices frequently |
| CQI | Continous quality improvement is designed to refine & improve an EMS system emphasizing customer satisfaction. |
| Medic Responsibilities (Preparation) | Medic must be Physically, Mentally, & Emotionally able 2 meet job demands. |
| Medic Responsibilities (Responce) | Safety # 1. Seatbelts, Speed Limits, Look 4 road hazards |
| Medic Responsibilities (Scene Size Up) | Safety,# of Pt, Mechanism, Pt assessment, Pt physical exam, Pt Hx.,Ongoing Assessment |
| Medic Responsibilities (Recognition of Illness & Injury | 1st aspect of Pt prioritization, Based on the urgency 4 transport, Sick or not sick |
| Medic Responsibilities (Pt Management) | Protocols ensure consistant care, Communication w/ Medical Director, Movement of Pt frm 1 location 2 another, Never work out side scope |
| Medic Responsibilities (Appropriate Disposition) | Transport(air,grnd,POV), Receiving Facility(Nearest,What Pt wants,Best 4 Pt), Treat & Release, Pt Transfer(Pt care #1, Get & Give verbal Rpt) |
| Medic Responsibilities (Document) | Complete PCR ASAP to ensure continuity of care, Be complete, neat,& legible |
| Medic Responsibilities (Return 2 Service) | Clean/Decon, Restock, Refuel, Review call w/ crew, Look 4 s/s of C.I.S. |
| Medic Responsibilities (Additional) | Community involvement(CPR), Support 4 Primary Care (Establish Protocols), Citizen Involvement (CERT), Personal/Professional Development |
| Professionalism | The conduct or quilities that charicterize an expert practioner in a particular field or occupation. |
| Ethics | Professional code, Rules or standards that govern a group/professionals |
| Morals | Cultural, Social, Religious, and right vs. wrong. |
| ___ % of EMS calls caused an ethical desision | 15% |
| Ethical Relativism | Just do what is right |
| Deontological Method | People should follow their duties |
| Consequentialism | Actions can only be judged after we know the consequences |
| THE MOST INPORTANT QUESTION THE MEDIC HAS 2 ANSWER IS... | What is in the best interest of the Pt. |
| 4 Principals 2 resolve ehtical problems | Beneficience, Nonmaleficence, Autonomy, Justice |
| Beneficience | The principals of doing good 4 the Pt |
| Nonmaleficence | The obligation not 2 harm the Pt |
| Autonomy | A competent adult Pt's right to determine what happens to his own body |
| Justice | Obligation2 treat all Pts fairly |
| 3 Ethic tests | Impartiality, Universalizability, Interpersonal Justifiability |
| Impartiality Test | Weather you would be willing to under go the procedure |
| Universalizability Test | Would you want this action preformed in all relitivly similar situations |
| Interpersonal Justifiability Test | Can you justify or defend your actions to others |
Created by:
rcathey