Quiz 4 Flashcards
(20 cards)
What types of advance care directives/advance personal plans are accepted in SA and NT?
Both Common law ACD/APP and Statutory ACD/APP
When do the provisions of an ACD/APP kick into operation?
When the patient the subject of the ACD/APP loses capacity to consent.
For an ACD/APP to be valid, the patient who prepared the ACD/APP must have had capacity at the time of enactment. Which of the following is false?
Patients must prove to the relevant health authority that they had capacity at the time of creating their ACD/APP.
Which of the following is not a criteria for providing valid consent?
All risks, however minor or insignificant, must be disclosed.
In which states/territories are common law ACDs validly recognised?
NT, SA, VIC, ACT, TAS, and WA only.
Which of the following is incorrect with respect to the scope of a common law ACD/APP?
Can be revoked even where the patient lacks capacity.
Which of the following does not regulate ACD/APP in SA and NT?
Advance Personal Planning Act 2013 (NT)
Guardianship of Adults Act 2016 (NT)
Advance Care Directives Act 2013 (SA)
Consent to Medical Treatment and Palliative Care Act 1995 (SA)
Guardianship of Adults Act 2016 (NT)
Consent to Medical Treatment and Palliative Care Act 1995 (SA)
Regulations include: Advance Personal Planning Act 2013 (NT), Advance Care Directives Act 2013 (SA),
Which of the following is a valid scope and coverage of an APP in NT?
Make an advance care decision: specific directions about healthcare needs.
Make an advance care statement: guidance on how the patient wishes healthcare to be provided.
Appoint a substitute decision maker.
For medical consent in both NT and SA, do patients need to receive the same information they are requesting/refusing in their ACD/APP?
False: Paramedics do not need to provide the same information as in the ACD/APP.
A patient in the NT makes an APP on 01/01/2019 and then makes amendments on 01/01/2020, again on 01/01/2022, and finally on 01/01/2024. Which of the following is the valid APP?
The most recent only with respect to conflicting provisions with a previous APP.
Under what circumstances can an NT paramedic override a patient’s valid and binding APP?
An APP must be followed unless NTCAT orders otherwise.
Which of the following is a requirement for making a statutory ACD in SA?
Over 18 years of age, Have capacity at the time of creating the ACD, Understand what an ACD is and its consequences, Made in prescribed form, signed, and witnessed.
When can an SA paramedic decline to comply with a valid ACD?
Believe that the person did not intend the direction to apply in the circumstances, The direction does not reflect the current wishes of the person, The paramedic refuses on conscientious grounds.
Are paramedics able to discuss the possibility of VAD (Voluntary Assisted Dying) as a treatment option with a patient before the patient first mentions the topic?
No: Paramedics are not allowed to discuss VAD unless the patient first brings up the subject.
Can the Commonwealth make laws with respect to paramedics or paramedicine practice?
No: Paramedicine is regulated by states and territories, not the Commonwealth.
In SA, provisions in ACDs can be both binding and non-binding. When will a provision in an ACD be binding?
Refusal of future healthcare.
Do paramedics in SA have a role defined in the VAD Act 2021 (SA) to assist patients who wish to undergo VAD?
No: Paramedics do not have a role in assisting with voluntary assisted dying.
A paramedic responds to a call involving a conscious adult patient who refuses treatment and transportation to the hospital despite exhibiting symptoms of a serious medical condition. The patient expresses a clear and informed decision to decline medical intervention. Which of the following best represents the paramedic’s ethical obligation regarding the patient’s autonomy?
The paramedic should respect the patient’s autonomous decision and refrain from providing treatment or transportation against their wishes, unless there is an imminent threat to the patient’s life.
In Australia, what are the sources of law?
Only the Parliament and the Courts.
Does the Consent to Medical Treatment and Palliative Care Act 1995 (SA) or the Emergency Medical Operations Act 1973 (NT) provide specific provisions dealing with emergency treatment of an adult patient by paramedics?
No: These Acts do not provide specific provisions for emergency treatment by paramedics.
