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Operations

Paramedic: Medical and Legal Operations

Question/DefinitionTerm/Answer
What are the levels of EMS care? EMR, EMT, AEMT, Paramedic
What is the highest level of EMS care? Paramedic
A physician who is legally responsible for all clinical and patient care aspects of the system Medical Director
Sending multiple levels of emergency care personnel to the same incident Tiered Responses
What publication changed EMS in 1966? Accidental Death and Disability: The Neglected Disease of Modern Society (AKA :white paper)
A qualified physician gives direct orders to a pre-hospital care provider by radio or phone Online Medical Direction
Medical policies, procedures, and practices that a system medical director has established in advance of a call Offline Medical Direction
Treatment procedures preauthorized by a medical director Standing Orders
The policies and procedures of all medical components of an EMS system and are the responsibility of the medical director Protocols
To identify with and understand the circumstances, feelings, and motives of others Empathy
A process of occupational regulation Licensure
Process by which an agency or association grants recognition to an individual who met its qualifications Certification
The process by which an agency grants automatic certification or licensure to an individual who has comparable certification or licensure from another agency Reciprocity
When an EMS provider first arrives on scene they must determine the scene safety, number of patients, the severity of illnesses/injuries based on the MOI or NOI, and request additional or specialized services if needed. Scene size up
Regional resource trauma center; tertiary care facility for trauma care system; university-based teaching hospital Level I Trauma Facility
Hospital expected to provide initial definitive trauma care, regardless of severity or injury Level II Trauma Facility
Serves communities that do not have immediate access to a Level 1 or 2 institution Level III Trauma Facility
Provides advanced trauma life support before the patient transferred from a remote area where no higher level of care is available Level IV Trauma Facility
To place the interest of the patient or team ahead of your own interests; listen to others, respect others’ opinions, be open-minded and flexible Diplomacy
Defending and protecting a patient and acting in their best interest Advocacy
Wear this before initiating any emergency care Gloves
Wear this when blood splatter is likely to occur Masks/Protective Eye Wear
Wear this when you come in contact with a patient with either confirmed or suspected TB HEPA/N-95 Respirator
Wear this to protect against splashes or other contaminants that can get on clothing Gowns
Used when performing CPR; disposable and only use once Resuscitation Equipment
Non-water-based hand washing solutions (hand sanitizer) Hand Washing Supplies
Cleaning with this type of agent kills microorganisms on the surface of an object; toxic to living tissue; equipment that has come into direct contact with the skin of a patient Disinfection
The use of a chemical or physical method such as pressurized steam, heat, radiation, or EPA-approved solution to kill microorganisms on an object; items that have been inserted into the patient’s body Sterilization
What are the Stages of the Grieving Process? Denial, Anger, Bargaining, Depression, Acceptance
The nonspecific response of the body to any demand; a hardship or strain; a physical or emotional response to a stimulus Stress
What are the Stages of Stress? 1. Alarm 2. Resistance 3. Exhaustion
During this stage the body goes into “fight-or-flight” mode to defend itself when it encounters stress Alarm
This stage starts when an individual begins to cope with stress; the individual may become desensitized or adapted to stressors Resistance
Prolonged exposure to the same stressors leads to ___ of an individual’s ability to resist and adapt; susceptibility to physical and psychological ailments increases Exhaustion
When coping mechanisms no longer buffer job stressors, which can compromise personal health and well-being Burnout
Anxiety disorder that develops following exposure to traumatic events Post-Traumatic Stress Disorder (PTSD)
Legal responsibility Liability
Deals with noncriminal issues, such as personal injury, contract disputes, and matrimonial issues; Involves conflict between 2 or more parties Civil Law
A wrongful act or an infringement of a right (other than under contract) leading to civil legal liability Tort
A branch of civil law; deals with wrongs committed by one individual against another (rather than against society) Tort Law
An area of law in which the federal, state, or local government will prosecute an individual on behalf of society for violating laws meant to protect society Criminal Law
Outlines the care you (the EMT) are able to provide; medical director can further expand this and train providers Scope of Practice
Termination of care without providing for the appropriate continuation of care while it is still needed and desired by the patient Abandonment
A patient who is transported without consent or is restrained without proper justification or authority False Imprisonment
Consent given based on a full disclosure of information; the patient has been informed of the treatment, risks, and benefits of any treatments performed Informed Consent
The patient is informed and expresses their consent either verbally, non-verbally, or in writing Expressed Consent
A patient that is a minor or is mentally, physically, or emotionally unable to grant consent and requires emergency intervention would be treated under this "emergency doctrine" Implied Consent
A patient without sound judgement, under law enforcement custody, or under court ordered treatment would be treated under this type of consent Involuntary Consent
A person under the age of 18 Minor
A minor that is married, a parent, pregnant, a member of the armed forces, or financially independent and living away from home Emancipated Minor
When a patient denies certain treatments or transport; may be against medical advice; patient must be informed of potential risks Refusal
Failure to provide the same care that a person with similar training would provide in the same or a similar situation Negligence
What are the 4 parts of Negligence? 1. Duty to Act 2. Breach of Duty 3. Actual Damages 4. Proximate Cause
Compensation for physical, psychological, or financial harm Actual Damages
A formal contractual or informal legal obligation to provide care Duty to Act
An action or inaction that violates the standard of care expected from a paramedic Breach of Duty
An action or inaction of the paramedic that immediately caused or worsened the damage suffered by the patient Proximate Cause
Provides immunity to people who assist at the scene of a medical emergency (depends on state; can expand to both paid and volunteer prehospital personnel) Good Samaritan Laws
Lack of oxygen resulting in unconsciousness or death that occurs in a person who is being restrained Restraint Asphyxia (positional asphyxia)
A condition that may result from abuse of stimulant drugs, typically presenting as a triad of effects: delirium, psychomotor agitation, and physiologic excitation Excited Delirium Syndrome (ExDS)
Enhances the confidentiality of medical records and mandates that EMS personnel be educated as to the requirements of the law; provides methods to ensure that EMS personnel who have been exposed to a communicable disease are notified in a timely manner Health Insurance Portability and Accountability Act (HIPPA)
When a person makes an intentional false communication that injures another person’s reputation or good name Defamation
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 statements Slander
The act of injuring a person’s character, name, or reputation by false statements made in writing or through mass media with malicious intent or reckless disregard for the falsity of those statements Libel
Verbally threatening someone Assault
Performing an act physically when someone stated they did not want it Battery
The minimum amount of force necessary to ensure that the patient does not cause harm to themselves, you, or others Reasonable Force
A document created to ensure that certain treatment choices are honored when a patient is unconscious or otherwise unable to express their choice in treatments Advance Directive
A legal document, usually signed by the patient and their physician, that indicates to medical personnel which, if any, life-sustaining measures should be taken when the patient's heart and respiratory functions have ceased Do Not Resuscitate (DNR)
A legal document that allows a person to specify the kinds of medical treatment they wish to receive, should the need arise Living Will
An addition or supplement to the original report Addendum
Principle of law that prohibits the release of medical or other personal information about a patient without the patient's consent Confidentiality
Requires healthcare systems to create a notification system to provide info and assistance when an exposure occurs; allows medics access to patient's medical records after possible exposure to an infectious disease Ryan White Care Act
Social, religious, or personal standards of what is right and wrong Morals
The rules or standards that govern the conduct of members of a particular group or profession Ethics
The principle of doing good for the patient Beneficence
Who created the EMS code of ethics? The National Association of EMT’s
Refers to a competent adult patient’s right to determine what happens to his own body, including treatment for medical illnesses and injuries Autonomy
Properly documenting patient care from the initial response to the transfer of patient care to the hospital emergency department staff Patient Care Report (PCR)
Conveying information in a language that is suited for the situation (10-codes) Encode
Deciphering the “coded” message received Decode
What government agency monitors radio traffic? Federal Communications Commission (FCC)
Usually used in the city; radio waves that can penetrate concrete and steel well and are less susceptible to interference Ultrahigh Frequency
Rural and suburban units may use this lower band frequency since these sound waves can travel farther and over varied types of terrain Very High Frequency
The most basic communications system that transmits and receives on the same frequency and cannot do both simultaneously Simplex
Transmissions that allow simultaneous two-way communications by using 2 frequencies for each channel; each radio able to transmit and receive on each channel Duplex
Systems that are the same as duplex systems with the additional capability of transmitting voice and data simultaneously Multiplex
A communications system that pools all frequencies and routes transmissions to the next available frequency Trunking
Objective findings that can be identified through physical examination Signs
A subjective complaint: what the patient is experiencing and, possibly, can describe Symptoms
Common symptoms related to the illness, disease, or medication Associated Symptoms
Negative findings when performing an assessment Pertinent Negatives
What you believe to be your patient's problem; your impression Field Diagnosis
What the patient feels and their history; chief complaints, history of present illness, past history, current health status, review of systems Subjective
Your general impression and any data you gather through inspection, palpation, auscultation, percussion, and diagnostic testing Objective
Created by: sarah.thomas32