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emt chp 4
ethics and pt refusal
| Question | Answer |
|---|---|
| Classify tasks and procedures as either within or outside of an EMT’s scope of practice. | Ethical responsibility like making sure that pt care and well-being are a priority even if it requires self-sacrifice. (like if pt is cold and it hot you refrain from turning on ac) Patient assessment: Conducting primary and secondary assessments, |
| Describe when each of the types of consent applies | Expressed consent: Expressed consent is when a conscious and mentally competent adult patient gives explicit permission, either verbally or nonverbally, for medical treatment or transport. EMTs should inform the patient about the nature of the treatment o |
| Recognize the criteria that must be met when a patient refuses emergency medical care | pt must be able to legally consent (legal age or emancipated minor) Pt Must be awake and oriented (Must not have a unstable vital signs, alcohol intoxication/ influence of drugs and altered mental status) Pt must be fully informed (the should be mentall |
| Given scenarios, derive specific actions from the general steps for interacting with a patient who refuses emergency medical care | Spend time talking with the pt Listen carefully to try determine why the ot is refusing care Inform the pt of the consequences of not going to to the hospital. This is an essential component of every refusal of care situation Consult medical director |
| Describe the EMT’s obligations when confronted with different types of physician’s orders for life-sustained treatment (POLST) | In situations where a patient has a specific physician's order for life-sustaining treatment, such as a do-not-resuscitate (DNR) order or an advance directive, EMTs are generally obligated to respect and follow those orders if they are presented. These or |
| Recognize the presence of an ethical challenge | Family asking to not resuscitate pt without a dnr or legal documents or when family ask to resuscitate and there is a dnr in place. |
| Explain various actions that could be taken to address an ethical challenge | If the family asks to not resuscitate without a dnr then it is better to be criticized and sued then to let pt die. If the pt has a DNR and their family asks to resuscitate then call medical direction for advice and even make them talk to the family if ne |
| Given a scenario in which a patient makes a claim of negligence against an EMT determine whether the elements required to prove negligence are present | The emt had a duty to the pt The EMT did not provide the standard of care (committed a breach of duty). This may include the failure to act, that is, the emt didn’t provide needed care as would be expected of an emt in the relevant locality. There was |
| 11. Differentiate between a tort and a criminal act | A tort act is a civil offense which is defined as an action or injury caused by negligence from which a lawsuit may arise. Criminal act results in arrest. |
| 12. Summarize what the good Samaritan laws are | A series of laws, varying by state designed to provide limited legal protection for citizens and some health care personnel when they are administering emergency care. |
| Identify ways in which EMTs may inadvertently violate a patient's confidently | Ordered by legal authority in court where you may legally disclose pt info Health care professional that continues the care like nurse and physician Permissible to supply certain pt information for insurance bill. |
| Describe how the health insurance portability and accountability act (HIPAA) impacts the legality of what patients’ information can be shared by EMTs. | You discuss pt info with those it is medically necessary to. Your ems agency will have specific privacy policies and procedures in place You and put in care will get policy and procedure, these for indicaties they received this info. These may |
| . Identify situations with potential for slander or libel | Libel- false, injurious information in written form Slander- false,injurious information stated verbally |
| State how medical identification devices and organ donor status identification can guide the decisions of EMTs | Identification devices- they provide important medical information, use these info and explore how that condition relates to the pts presentation. Organ donor- emergency care should not be treated differently than that of a non-donor. Contact medical d |
| Describe the purpose of “safe haven” laws | A law that permits a person to drop off an infant or child at a police, fire, or EMS station or to deliver the infant or child to any available public safety personnel. The intent of the law is to protect children who may otherwise be abandoned or harmed |
| 18. Given examples of observations EMTs should make and document at crime scenes Make note of the exterior of the scene, remember how you gained access, dor found open, pry marks,and broken windows are signs of danger for you and should be notified | Make note of the exterior of the scene, remember how you gained access, dor found open, pry marks,and broken windows are signs of danger for you and should be notified as evidence to the police, make note of whether or not lights were on or o |
| 19. Given scenarios, translate the general list of actions EMTs should take at crime scenes into specific actions. | Condition of the scene The pt Fingerprints and footprints (don't unnecessarily touch things) Microscopic evidence Remember what you touched Minimize your impact on the scene Work with the police |
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23mabb