Chapter 2-Legal And Ethical Principles Of Emergency Care Flashcards Preview

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Flashcards in Chapter 2-Legal And Ethical Principles Of Emergency Care Deck (25)
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Good Samaritan Laws

Minimize exposure to liability and encourage passerby to provide emergency care to those in need



The legal obligation to provide care


Standard of care

The care that should be provided for any level of trained based on local laws, administrative orders, and guidelines and protocols established by the local EMS system


Scope of Practice

What is legally permitted to be done by some or all individuals trained or licensed at a particular level, such as and emergency medical responder, emergency medical technician, or paramedic. Does not define what must be done for a given patient or in a particular situation.



The study of the principles that define behavior as right, good, and proper



The legal term that means to give formal permission for something to happen



Refers to a patients legal rights and ability to make decisions concerning his or her medical care



Refers to the patients mental ability to comprehend the situation and make rational decisions regarding his or her medical care


Expressed consent

A competent adults decisions to accept emergency care


Informed consent

Consent granted by a patient after he has been appropriately informed of the care being suggested and associated consequences



Having no reaction to verbal or painful stimuli also referred to as unconscious


Implied consent

A legal form of consent that assumes that a patient who lacks the capacity or competency to provide his own consent would consent to receiving emergency care if he were able. This form of consent may apply in situations where the patient is a minor, unresponsive, or lacks capacity


Emancipated minor

A minor who's parents completely surrendered the right to care, custody and earnings and no longer are under any duty to support the minor

Legally are allowed to make their own decisions regarding medical care


Refusal of care

Alert and competent adults have the right to refuse care

When care is refused

Stay calm and professional- do best to explain situation to patient
Inform of potential dangers or refusal
Do your best to identify his reasons for refusal
Use the aid of someone the Patient trusts to convince to accept care
Carefully document the refusal of care


Advance directive

A document that allows a patient to define in advance what his wishes are should he become incapacitated due to a medical illness or severe injury

Advance directives commonly address such issues as:
Designation of an agent or health care representative (spouse, family member or friend) to make decisions on the patients behalf
DNR order- do not resuscitate
Choice to prolong or not prolong life
Pain relief
Donation of organs


Do not resuscitate (DNR) order

Form of a written document, usually signed by the patient and his or her physician



A failure to provide the expected standard of care.
For a lawsuit alleging negligence to be successful- needs to have four elements:
Duty to act
Breach of duty


Good Samaritan laws

State laws designed to protect certain care providers if they deliver the standard of care in good faith, to the level of their trading, and to the best of their abilities



To leave a sick or injured patient before equal or more highly trained personnel can assume responsibility for care



Refers to the treatment of information that an individual has disclosed in a relationship of trust and with the expectation that it will not be divulged to others


Health insurance portability and accountability act (HIPAA)

A law that dictates the extent to which protected health information can be shared


Organ donor

Patient who has completed a legal document that allows for donation of organs and tissues in the even of his or her death. Emergency care of a person who is an organ donor must not differ in anyway from the care of a patient who is not a donor


Medical identification devices

A card, necklace or wrist or ankle bracelet- meant to alert EMS personnel that the person has a particular medical condition, such as a heart problem, allergies, diabetes, or epilepsy.


Mandated reports

Any person required by law to report ( or cause a report to be made) whenever financial, physical, sexual, or other types of abuse or neglect have been observed or are suspected


Crime scene

The location where a crime has been committed or any place where evidence relating to a crime may be found