Preamble Flashcards
Responsibility for Care
When transferring care from one level of paramedic to another you SHALL provide??
Current CTAS
A hx of the pt’s current problem(s) and relevant past medical hx
Pertinent physical findings
A summary of management at scene/en-route
The pt’s response to treatment - including most recent vital signs
AND
The reason for transfer in cases of inter-facility transfers
Patching
When do YOU patch to Base Hospital?
3 situations
What if you want to patch for life saving measures but the BHP cannot be reached can you still give the treatment?
When a medical directive contains a mandatory provincial patch point
When you believe the pt may benefit from online medical direction that fall within the prescribed paramedic scope of practice
When yourequire consultation because you believe the situation warrants medical advice
Yes you may initiate the required treatment if the pt requires a critical, potentially life-saving, intervention and, in the paramedic’s opinion, the intervention would otherwise apply
Intravenous (IV) Access and Therapy by Primary Care Paramedics
What is PCP Assist IV
(something that’s no longer obtainable - certification wise)
What is PCP Autonomous IV?
The ability of a PCP to cannulate a peripheral IV at the rquest and under the direct supervision of an ACP legally.
The authorization for a PCP to independently cannulate an IV according to the intravenous and fluid therapy medical directive - auxillary
Consent to Treatment in Non-Emergency Situations
What are the elements required for consent to treatment?
Consent must be given by a person who is capable of giving consent with respect to the treatment
Consent must be related to the treatment plan
Consent must be informed
Consent must be given voluntarily
Consent must not be obtained through misrepresentation or fraud
Consent to Treatment in Non-Emergency Situations
What information would (a reasonable person) the pt require to make a decision?
When is treatment informed?
The nature of the treatment
The expected benifits of the treatment
The material risks of the treatment
The material side effects of the treatment
Alternative Courses of action
The likely consequences of not having the treatment
When the pt has been informed of all the information required
AND
The pt has recived responses to his/her requests
Discharge from Care
How do you determine whether a pt may be treated?
What do you communicate?
What elements of a discharge treatment plan are you going to discuss? 5
You do so in accordance with the ‘Treat and Discharge Component’
A clinically reasonable differential diagnosis to the pt or SDM
The clinical situation related to the most likely diagnosis and/or
differential diagnoses
The symptoms and signs alerting them to seek further medical care (i.e.
clues that the condition is worsening or that the diagnosis may not be
correct)
Instructions regarding modifications(s) of activities of daily living following
the health event
Where possible, provide additional contacts for follow up care
Instructions to call 911 back if their condition worsens or recurs
Discharge from Care
What are the necessary supports to ensure the pt has before disharging?
access to food
access to transportation
access to alternate health care follow up
a safe place to stay
responsible adult at the scene available to monitor the patient
consideration of other apparent patient vulnerabilities.
