Medical and Legal

Question 1

Standard of Care

Answer 1

• how we as emts care for patients
• “ was the behavior of an EMT and the care provided the same if it would have been provided by any other reasonable EMT in a similar circumstance “

Question 2

Consent may be expressed

Answer 2

• verbal or not
• the patient is agreeable to ur consent

Question 3

Consent may be informed

Answer 3

where the emt educates a patient about the risks benefits and alternatives of a given procedure before obtaining their consent

Question 4

Implied Consent

Answer 4

consent of minors - if patient is not there consent is applied
consent of people not able to make a rational decision - if the patient has an injury it they are intoxicated

Question 5

Getting Consent

Answer 5

parents are the ones to give consent and refuse care if patient is not present and implied treat and transport

Question 6

Emancipation

Answer 6

patient is fully emancipated and can give consent
- has a child
- is married
- is self supporting
- in the military

Question 7

Restraining a Patient

Answer 7

• always call help from patient
• a medical disease can cause the patient to act a certain way
• verbal de escalation is not successful then apply sort restraints such as towels, triangular bandaged or commercially available soft medical restraints
• then assess patient

Question 8

Concerns when using restraints

Answer 8

• public perception
• how is the patient positioned ( best position is supine position )
• judicious force

Question 9

Abandonment

Answer 9

• the unilateral termination of care without ensuring a continuation of care by a provider of equal or greater scope of practice

Question 10

False imprisonment or kidnapping

Answer 10

taking away by force

Question 11

Assault and Battery

Answer 11

unlawfully placing a person in the threat of bodily harm, unlawfully touching someone

Question 12

Civil Tort

Answer 12

a wrongful act that gives rise to a civil suit
- not within the jurisdiction of US criminal courts
- the goal is to provide compensation to victims for wrongdoing against them

Question 13

Negligence

Answer 13

4 factors
1) was the officer on duty
2) breach of duty ( failed to act or acted in a way that shouldn’t have been acted in
3) damages ( physical emotional or property
4) causation ( proximate causation )

Question 14

Refusal of Care

Answer 14

• EMT has to have a conversation with the patient
• ensure that patient understands the limitations of EMS evaluation
• the patient should be given information if they change their mind they can call back 911 ( make sure emt documents this )

Question 15

Breach of Privacy - Libel

Answer 15

false information it was written

Question 16

Breach of Privacy - Slander

Answer 16

false information that was spoken

Question 17

Advanced Directives

Answer 17

• written instruments to serve to tell other of a patients wishes if they become unable to express them on their own

Question 18

Acceptable forms of advanced directives

Answer 18

• do not resuscitate order
• DNR bracket
• M.O.L.S.T FORM
• health care proxy

Question 19

Non acceptable forms of advanced directives

Answer 19

• living wills
• power of attorneys

Question 20

SCAM report

Answer 20

nys emts are mandated reporters for suspected child abuse or maltreatment
- use form DSS - 2221 - A

Question 21

Crime scenes

Answer 21

when operating at a crime scene ensure that you refrain from touching anything not associated with patient care

Question 23

Standard of care is a combination of

Answer 23

• state protocols
• public health law
• educational standards