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):
1

Good Samaritan Laws

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

2

Duty

The legal obligation to provide care

3

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

4

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.

5

Ethics

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

6

Consent

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

7

Capacity

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

8

Competence

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

9

Expressed consent

A competent adults decisions to accept emergency care

10

Informed consent

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

11

Unresponsive

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

12

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

13

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

14

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

15

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

16

Do not resuscitate (DNR) order

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

17

Negligence

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
Damages
Causation

18

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

19

Abandonment

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

20

Confidentiality

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

21

Health insurance portability and accountability act (HIPAA)

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

22

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

23

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.

24

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

25

Crime scene

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