Paramedic: Medical and Legal Operations
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| What are the levels of EMS care? | EMR, EMT, AEMT, Paramedic
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| What is the highest level of EMS care? | Paramedic
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| A physician who is legally responsible for all clinical and patient care aspects of the system | Medical Director
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| Sending multiple levels of emergency care personnel to the same incident | Tiered Responses
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| What publication changed EMS in 1966? | Accidental Death and Disability: The Neglected Disease of Modern Society (AKA :white paper)
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| A qualified physician gives direct orders to a pre-hospital care provider by radio or phone | Online Medical Direction
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| Medical policies, procedures, and practices that a system medical director has established in advance of a call | Offline Medical Direction
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| Treatment procedures preauthorized by a medical director | Standing Orders
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| The policies and procedures of all medical components of an EMS system and are the responsibility of the medical director | Protocols
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| To identify with and understand the circumstances, feelings, and motives of others | Empathy
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| A process of occupational regulation | Licensure
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| The process by which an agency or association grants recognition to an individual who met its qualifications | Certification
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| The process by which an agency grants automatic certification or licensure to an individual who has comparable certification or licensure from another agency | Reciprocity
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| 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
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| A trauma facility that serves as a regional resource trauma center; tertiary care facility for trauma care system; university-based teaching hospital | Level I Trauma Facility
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| A trauma facility that is expected to provide initial definitive trauma care, regardless of severity or injury | Level II Trauma Facility
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| A trauma facility that serves communities that do not have immediate access to a Level 1 or 2 institution | Level III Trauma Facility
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| A trauma facility that provides advanced trauma life support before the patient is transferred from a remote area where no higher level of care is available | Level IV Trauma Facility
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| 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
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| Defending and protecting a patient and acting in their best interest | Advocacy
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| Wear these before initiating any emergency care | Gloves
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| Wear this when blood splatter is likely to occur | Masks/Protective Eye Wear
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| Wear this when you come in contact with a patient with either confirmed or suspected TB | HEPA/N-95 Respirator
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| Wear this to protect against splashes or other contaminants that can get on clothing | Gowns
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| Used when performing CPR; disposable and only use once | Resuscitation Equipment
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| Non-water-based hand washing solutions (hand sanitizer) | Hand Washing Supplies
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| 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
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| 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
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| What are the Stages of the Grieving Process? | Denial, Anger, Bargaining, Depression, Acceptance
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| The nonspecific response of the body to any demand; a hardship or strain; a physical or emotional response to a stimulus | Stress
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| What are the Stages of Stress? | 1. Alarm 2. Resistance 3. Exhaustion
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| During the ___ stage of stress the body goes into “fight-or-flight” mode to defend itself | Alarm
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| The ____ stage of stress starts when an individual begins to cope with stress; the individual may become desensitized or adapted to stressors | Resistance
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| 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
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| When coping mechanisms no longer buffer job stressors, which can compromise personal health and well-being | Burnout
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| Anxiety disorder that develops following exposure to traumatic events | Post-Traumatic Stress Disorder (PTSD)
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| Legal responsibility | Liability
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| Deals with noncriminal issues, such as personal injury, contract disputes, and matrimonial issues; Involves conflict between 2 or more parties | Civil Law
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| A wrongful act or an infringement of a right (other than under contract) leading to civil legal liability | Tort
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| A branch of civil law; deals with wrongs committed by one individual against another (rather than against society) | Tort Law
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| 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
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| Outlines the care you (the EMT) are able to provide; medical director can further expand this and train providers | Scope of Practice
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| Termination of care without providing for the appropriate continuation of care while it is still needed and desired by the patient | Abandonment
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| A patient who is transported without consent or is restrained without proper justification or authority | False Imprisonment
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| 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
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| The patient is informed and expresses their consent either verbally, non-verbally, or in writing | Expressed Consent
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| 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
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| A patient without sound judgement, under law enforcement custody, or under court ordered treatment would be treated under this type of consent | Involuntary Consent
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| A person under the age of 18 | Minor
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| A minor that is married, a parent, pregnant, a member of the armed forces, or financially independent and living away from home | Emancipated Minor
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| When a patient denies certain treatments or transport; may be against medical advice; patient must be informed of potential risks | Refusal
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| Failure to provide the same care that a person with similar training would provide in the same or a similar situation | Negligence
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| What are the 4 parts of Negligence? | 1. Duty to Act 2. Breach of Duty 3. Actual Damages 4. Proximate Cause
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| Compensation for physical, psychological, or financial harm | Actual Damages
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| A formal contractual or informal legal obligation to provide care | Duty to Act
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| An action or inaction that violates the standard of care expected from a paramedic | Breach of Duty
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| An action or inaction of the paramedic that immediately caused or worsened the damage suffered by the patient | Proximate Cause
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| 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
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| Lack of oxygen resulting in unconsciousness or death that occurs in a person who is being restrained | Restraint Asphyxia (positional asphyxia)
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| 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)
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| 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)
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| When a person makes an intentional false communication that injures another person’s reputation or good name | Defamation
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| 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
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| 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
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| Verbally threatening someone | Assault
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| Performing an act physically when someone stated they did not want it | Battery
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| The minimum amount of force necessary to ensure that the patient does not cause harm to themselves, you, or others | Reasonable Force
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| 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
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| 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)
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| A legal document that allows a person to specify the kinds of medical treatment they wish to receive, should the need arise | Living Will
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| An addition or supplement to the original report | Addendum
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| Principle of law that prohibits the release of medical or other personal information about a patient without the patient's consent | Confidentiality
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| 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
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| Social, religious, or personal standards of what is right and wrong | Morals
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| The rules or standards that govern the conduct of members of a particular group or profession | Ethics
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| The principle of doing good for the patient | Beneficence
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| Who created the EMS code of ethics? | The National Association of EMT’s
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| Refers to a competent adult patient’s right to determine what happens to his own body, including treatment for medical illnesses and injuries | Autonomy
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| Properly documenting patient care from the initial response to the transfer of patient care to the hospital emergency department staff | Patient Care Report (PCR)
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| Conveying information in a language that is suited for the situation (10-codes) | Encode
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| Deciphering the “coded” message received | Decode
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| What government agency monitors radio traffic? | Federal Communications Commission (FCC)
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| Usually used in the city; radio waves that can penetrate concrete and steel well and are less susceptible to interference | Ultrahigh Frequency
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| 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
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| The most basic communications system that transmits and receives on the same frequency and cannot do both simultaneously | Simplex
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| 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
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| Systems that are the same as duplex systems with the additional capability of transmitting voice and data simultaneously | Multiplex
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| A communications system that pools all frequencies and routes transmissions to the next available frequency | Trunking
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| Objective findings that can be identified through physical examination | Signs
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| A subjective complaint: what the patient is experiencing and, possibly, can describe | Symptoms
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| Common symptoms related to the illness, disease, or medication | Associated Symptoms
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| Negative findings when performing an assessment | Pertinent Negatives
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| What you believe to be your patient's problem; your impression | Field Diagnosis
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| What the patient feels and their history; chief complaints, history of present illness, past history, current health status, review of systems | Subjective
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| Your general impression and any data you gather through inspection, palpation, auscultation, percussion, and diagnostic testing | Objective
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Created by:
sarah.thomas32
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