1.Rules and responsibilities: Drive to the patient
safely Have directions and know how to get to
location
Patient Care
Patient
Packaging
Look & Act Professional
2.Medical Direction: On-Line Direction: On the phone with MD
3.Medical Direction: Off-Line Direction: Pre-Written or Standing Orders
(Proto- cols - Standing Orders)
4.definitve signs of death: Dependent lividity (blood at the lowest
point of the body/discoloration)
Rigor mortis (stiffening of body muscles)
Putrefaction (decomposition of body
tissues) Obvious mortal injury
(decapitation)
5.Stages of Grieving Process: 1. Denial
2. Anger
3. Bargaining
,4. Depression
5. Acceptance
6.Dealing with Dying Patient: 1. Maintain patient dignity
2.Show respect for the patient
3.Communicate with the family
4.Allow family members to express themselves
5.Do Not give false assurances
6.Listen to the family
7.Use a gentle tone of voice
7. Stress - Warning Signs: 1. Irritability
2.Unable to concentrate
3. Anxiety
4.Loss of appetite or over eating
5. Isolation
6.Loss of interest in work, sex, etc.
7.Increased alcohol use
8.Dealing with Stress: Critical Incident Stress Debriefing: (CISD) program
in which severely stressful job-related incidents
are discussed. These meeting are held within 24 to 72 hours after an
incident.
9.Standard of Care: The way another equally trained person would act
,to treat a patient
10.Scope of Practice: The Skills you are allowed to use
11.Duty to Act: an EMT has a duty to act only when on duty
12.Public Health Law 800: EMT Cannot be held liable unless negligence is
proven
13.Good Samaritan Law: Does not cover EMT in New York State
14.Negligence: Failure to provide same level of care as another
equally trained EMT
15.Abandonment: Termination of patient care without transferring care
to equal or higher medical Authority
16. Refusal of Care (CMA): is when anyone over the age of 18 &
competent refused care. Also applies if under the age of 18 if patient is
pregnant, married or an emancipated minor seeking treatment for a
sexually transmitted disease
17.Assault/Harassment: Unlawfully placing a patient in fear of bodily harm
, 18.Confidentiality: anything discussed between EMT and patient care
cannot be disclosed unless to designated individuals such as hospital
personal involved in patients care
19.Negligence In Depth: Deviating from the standard of care resulting in
further injury to the patient. Not performing as reasonable person would
act given the same circumstances.
20.Breach of Duty by Omission: Nonfeasance : EMT Failed to perform
his/her duties
21.Breach of Duty by Commission: Misfeasance: The EMT perfumed
an ap- proved action IMPROPERLY
Malfeasance: The EMT performs a action above there level of training
22.Proximate Cause: Your Negligence DIRECTLY caused
pain/suffering/injury
23.Liability: legal responsibility
24.Plaintiff: Individual bringing suit
25.Defendant: Individual being sued
26.Assault: Unlawfully placing a person in fear or immediate bodily
harm without the persons consent
27.Battery: Unlawfully touching a person; this includes providing
emergency care without consent
28.False Imprisonment: Transporting a competent patient against their will
29.Consent
Expressed or Actual: When patient speaks or acknowledges that they want
you to provide care and transport