Emergency Care Chapter 4 Questions with Correct Answers.

scope of practice - Correct Answers a set of regulations and ethical considerations that define the scope, or extent and limits, of the EMT's job consent - Correct Answers permission from the patient for care or other action by the EMT expressed consent - Correct Answers consent given by adults who are of legal age and mentally competent to make a rational decision in regard to their medical well-being Implied consent - Correct Answers the consent it is presumed a patient or patient's parent or guardian would give if they could, such as for an unconscious patient or a parent who cannot be contacted when care is needed In loco parentis - Correct Answers in place of a parent, indicating a person who may give consent for care of a child when the parents are not present or able to give consent liability - Correct Answers being held legally responsible Assault - Correct Answers placing a person in fear of bodily harm Battery - Correct Answers causing bodily harm to or restraining a person DNR (do not resuscitate) - Correct Answers a legal document that states do not resuscitate the patient - do not provide cpr Advance directive - Correct Answers a DNR order; instructions written in advance of an event Physician Order for Life-Sustaining Treatment (POLST) - Correct Answers physician orders that state not only the patient's wishes regarding resuscitation attempts but also the patient's wishes of artificial feeding, antibiotics, and other life-sustaining care if the person is unable to state his desires later. Negligence - Correct Answers A finding of failure to act properly in a situation in which there was a duty to act, that needed care as would reasonably be expected of the EMT was not provided, and that harm was caused to the patient as a result. proximate causation - EMT - Correct Answers The concept that damages to the patient were the result of action or jnaction of the EMT tort - Correct Answers a civil, not a criminal, offense; an action or injury caused by negligence from which a lawsuit may arise Red ipsa loquitur - Correct Answers the thing speaks for itself Duty to Act - Correct Answers an obligation to provide care to a patient Abandonment - Correct Answers Leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical training. moral - Correct Answers regarding personal standards or principles of right and wrong ethical - Correct Answers regarding a social system or social or professional expectations for applying principles of right and wrong Good Samaritan Law - Correct Answers 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. Confidentiality - Correct Answers The obligation not to reveal information obtained about a patient except to other health care professionals involved in the patient's care, or under subpoena, or in a court of law, or when the patient has signed a release of confidentiality. HIPAA (Health Insurance Portability and Accountability Act) - Correct Answers Includes privacy rules protecting the privacy of patient specific health care in formation and providing the patient with control over how this information is used and distributed. Libel - Correct Answers When information that is false and injurious is spread in written form Slander - Correct Answers When information that is false and injurious is spread verbally organ donor - Correct Answers a person who has completed a legal document that allows for donation of organs and tissues in the event of death Safe Haven Law - Correct Answers 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. crime scene - Correct Answers The location where a crime has been committed or any place that evidence relating to a crime may be found. Key Facts - Correct Answers • Medical, legal, and ethical issues are a part of every EMS call. • Key Facts • - Correct Answers Consent may be expressed or implied. If a patient who is awake and oriented and has the capacity to fully understand his situation refuses care or transport, you should make every effort to persuade him, but you cannot force him to accept care or go to the hospital. Key Facts - Correct Answers • Negligence is failing to act properly when you have a duty to act. As an EMT, you have a duty to act whenever you are dispatched on a call. You may have a legal or moral duty to act even when off duty or outside your jurisdiction. Key Facts - Correct Answers • Abandonment is leaving a patient after you have initiated care and before you have transferred the patient to a person with equal or higher training. Key Facts • - Correct Answers Confidentiality is the obligation not to reveal personal infor- mation you obtain about a patient except to other health care professionals involved in the patient's care, under court order, or when the patient signs a release. Key Facts - Correct Answers • As an EMT, you may be sued or held legally liable on any of these issues. However, EMTS are rarely held liable when they have acted within their scope of practice and according to the standard of care and have carefully documented the details of the call. Key Facts • - Correct Answers At a crime scene, care of the patient takes precedence over preservation of evidence; however, you should make every effort not to disturb the scene unnecessarily and to report your actions and observations to the police. Explain the difference between expressed and implied consent. - Correct Answers Expressed consent is froma legal, mentally stable conscious adult. Implies consent comes from an individual who in incapacitated, but within normal circumstances, it can be assumed the patient would want aid. What are the components required to prove negligence? - Correct Answers EMT had a duty to the patient EMT did not provide the standard of care Proximate Causation - damages to patient were due to action or inaction of EMT What is your first priority at a crime scene: preserving evi- dence or patient care? Why? - Correct Answers Patient care