Chap 4 Medical, Legal, and Ethical Issues
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Scope of Practice | A set of regulations and ethical considerations that define the scope, or extent and limits, of the EMT's job
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Standard of Care | For an EMt providing care for a specific patient in a specific situation, the care that would be expected to be provided by an EMT with similar training when caring for a patient in a similar situation.
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Do EMTs have to get consent to treat a patient | yes
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expressed consent | is consent given by adults who are legal age and mentally competent to ,make rational decisions in regard to their well being
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implied consent | the consent is presumed that the patient or patient guardian would give if they could, such as for an unconscious patient or parent who cannot be contacted when care is needed.
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in loco patients | people in place of the parents, indicating a person who may give consent for care of a child when the parents are not around.
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What is a DNR | DO not resuscitate
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Can EMTs use any DNR | No it has to be an EMS DNR
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A patient is unresponsive you begin care, and someone say stop they have a DNR what do you do? | You ask if the DNR is an EMS DNR if not you start care. You ask to see the original copy if it can not be presented you start care.
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While caring for an unresponsive patient who has a DNR the family member find the original EMS DNR what do you? | Stop care
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What happens if a patient refuses care? | You try to talk them in to. If they still do not want care you need to tell them the things that could happen to them without getting care. If the still refuse they have to sign a refusal.
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What is a patient refuses to sign a refusal? | You Have to document the incident and get a liable witness to sign the document information.
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If you arrive on a car accident and the patients are all teen girl who claim to be legal adults because they have children how do you prove it is true? | Call law enforcement who can gain access to that information.
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Negligence | A finding of failure to act properly in a situation in which there was a duty to act.
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tort | a civil, not a criminal, offense; an action or injury caused by negligence from which a law suit may arise.
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res ipsa loquitur | a latin term meaning "the thing speaks for itself"
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duty to act | an obligation to provide care to patient
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abandonment | leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical training
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moral | personal standards
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ethical | social system or social professional expectations for applying principals of right and wrong.
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HIPPA | Health Insurance Portability and accountability Act, a federal law protecting the privacy of patient specific health care information and providing the patient with control over how the information is used and distributed.
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Can you give all patient information to the police? | No not without a subpoena.
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Can you give the patient information to the insurance company? | yes
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Libel | false or injurious information in written form
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slander | false or injurious information stated verbally.
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safe haven law | 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
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