Medical, Legal and Ethical Issues
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| Define Consent | Permission to render care
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| Types of Consent | -expressed consent~ given verbally or shown
-implied consent~ unable to give consent
-involuntary consent~ if mentally unwell, protective custody, disease or substance abuse
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| Minors and Consent | -minor cant give consent must be parent or school/camp
-emancipated minor~ court granted adult rights
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| Protocol for Restraints | -dealing with a combative patient that is at risk of harming themselves or others
-contact medical control prior to restraining (must have law enforcement present)
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| Patient Refusal | -notify medical control
-note reason in report
-needs signed refusal with witness signature
-try explaining treatment again before leaving
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| HIPPA | All patient information that you obtain in the course of providing care is confidential
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| DNR | -if no approved document is provided upon arrival, continue care until provided or medical control gives permission
-competent patient can ask for no treatment
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| Signs of Death | Physical
~ unresponsive to pain stimuli
~lack of carotid pulse or heartbeat
~no breath sounds
`no deep tendon or corneal reflexes
~no eye movement
~no systolic blood pressure
~profound cyanosis
~lower or decreased body temp
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| Signs of Death pt. 2 | Definitive
~decapitation
~dependent lividity
~rigor mortis
~decomposition of body
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| Organ Donors | Still keep them alive because the tissue needs to have oxygen to survive
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| Medical Identification Insignia | Have pertinent treatment information in them and should be read throughly
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| Scope of Practice | State determined care EMTB is able to provide
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| Standard of Care | The manner in which you act or behave to prevent further harm to a patient
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| Legal Duty to Act | Responsibility to provide equal patient care
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| Legal Implications | -negligence ~ fail to provide same care as others with similar or same training would provide
-abandonment ~leave patient with someone with equal or greater training
-assault ~ unlawfully place a person in fear of bodily harm
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| Legal Implications pt. 2 | -battery~ unlawfully touching someone
-kidnapping~ seize, confine, abduct or carry a patient away against their will
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| Report Requirements | Must report all abuse, drug or felony related injuries, childbirth, and crime scenes
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| Ethics and Morality | -ethics~philosophy of right and wrong
-morality~ code of conduct
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| Role of EMT in Court | -could be witness or defendant if asked to testify
-notify service director and legal counsel
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