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You are the Provider: CASE 1
1. How does the concept of a standard of care protect you? - Answers - ✔✔The
standard of care is the manner in which you act and
Behave when treating a patient. A standard of care requires that you treat all patients to
the best of your ability and training. This concept takes into account your level of
training and the conditions under which you provide care to the patient. It does not hold
you to the standard of a person who has received more advanced training than you
have.
You are the Provider: CASE 1
2. Why is the concept of confidentiality so important for you
to follow? - Answers - ✔✔The concept of confidentiality is one of the cornerstones on
which the health care system is based. Confidential patient information includes the
patient history, assessment findings, and the treatment provided. The federal HIPAA
law safeguards the right of patients to keep their personal and medical information
private. Remember, this information can be shared only with other medical providers
who are directly participating in the patient's care. Consider how you would want your
private medical information to be safeguarded.
You are the Provider: CASE 2
1. You ask the child if you can help and he says yes. What
should you do next? - Answers - ✔✔Although the child has given you expressed
consent to treat him, the child is considered a minor and the law requires that a parent
or legal guardian give consent for treatment or transport. However, in this situation, the
parents cannot be reached, so do not delay treatment because the child is an
unaccompanied minor. Provide emergency care in the field and transport the patient to
a local hospital.
You are the Provider: CASE 2
2. You have finished applying a bandage to the wound on the
boy's cheek when the police officer tells you she still
cannot reach the parents. Because you treated the bite
wound, can you now leave the child alone? - Answers - ✔✔Leaving the child after you
have begun treatment is
abandonment and leaves you and your organization legally vulnerable. After you have
started treatment, you must stay with the patient until he is delivered to a hospital or
until someone of an equal or higher level of training arrives and takes over his care.
, You are the Provider: CASE 3
1. What should you do in this situation? - Answers - ✔✔Without a copy of a legally
executed living will or DNR order in hand, you must begin to provide care for the patient.
On arrival at the nearest hospital, inform the hospital staff about the patient's condition
and the care provided and let them continue appropriate medical care.
You are the Provider: CASE 3
2. What level of emergency medical care should you provide? - Answers - ✔✔As with
any patient, provide treatment that is in line with the scope of care as outlined by the
Emergency Medical Responder Education Standards and those set by local medical
protocols.
You are the Provider: CASE 4
1. How does HIPAA impact the way you respond to the
neighbor? - Answers - ✔✔HIPAA, which stands for the Health Insurance Portability and
Accountability Act of 1996, prevents you from sharing any details about the patient with
the neighbor.
You are the Provider: CASE 4
2. Does this patient have the right to refuse treatment? If so,
what should you do? - Answers - ✔✔Yes, the patient has the right to refuse treatment
even though it appears she is in need of immediate medical attention. If the patient is
competent (mentally in control), then she can refuse treatment. As an EMR, it is your
responsibility to try to convince the patient to consent to treatment and transport. If you
are unsuccessful in convincing the patient, then follow your
organization's guidelines for patients who refuse medical treatment and advise the
woman to call EMS immediately if she changes her mind and decides she needs help.
Carefully document patient refusals in your patient care report according to your
agency's protocols. Many agencies require a second person to witness this refusal.
- Answers - ✔✔As an EMR, you have a duty to act when you are dispatched on a call
as a part of your official duties.
- Answers - ✔✔You are held to a certain standard of care, which is related to your level
of training, and you are expected to perform to the level to which a similarly trained
person would perform under similar circumstances.
- Answers - ✔✔You should understand the differences among expressed consent,
implied consent, consent for minors, consent of mentally ill persons, and the right to
refuse care.
- Answers - ✔✔Advance directives consist of living wills, durable powers of attorney,
and do not resuscitate orders. They give a patient the right to have care withheld and to
appoint someone to act for him or her if he or she is not