Month 12; Yakima County Prehospital Care Protocols Flashcards
(9 cards)
Informed Consent
For consent to be legally valid, it must be informed consent, or consent given based on full disclosure of information.
By law you must get a patient’s consent before you can provide medical care, treatment, or transport.
What are 4 types of consent?
- Informed
- Expressed
- Implied
- Involuntary
Expressed Consent
Verbal, non-verbal, or written communication by a patient that wishes to receive medical care.
Implied Consent
Consent for treatment that is presumed for a patient who is mentally, physically, or emotionally unable to grant consent.
Involuntary Consent
Consent to treatment granted by the authority of a court order.
Refusal of Treatment and/or Transport
A competent adult has the right to refuse treatment.
You must inform the patient of the risks and consequences involved in refusing care.
Must have the patient sign a “release from liability” form.
If patient refuses to sign then you need to obtain a witness signature.
When in doubt always treat the patient or contact Medical Control for advice.
Abuse and Neglect
EMS personnel are required by Washington State Law to report any reasonable abuse and/or neglect to a child, dependent adult and/or developmentally disabled person who is not able to provide for their own protection.
If abuse or neglect is suspected, contact local law enforcement as soon as possible.
EMS personnel who fail to report, or cause failure of a report to be made, shall be guilty of a gross misdemeanor.
Patient Assessment
Perform on Every Patient
A. Scene Size Up, Scene Safety, BSI, Action Plan
B. Initial Assessment - AVPU, ABC, Oxygen with NRB if needed (10-15 LPM or Nasal Cannula 1-4 LPM)
C. If patient is critical, perform a rapid medical assessment and consider rapid transport.
D. If patient is not critical perform a focused history. (SAMPLE, Vital Signs, Detailed Physical Exam)
What is the medical control order?
First day of shift: Regional
2nd Day of shift: Memorial
