EMT Ch3 legal

Question Answer
Definitive signs of death Obvious mortal damage, dependent lividity, rigor mortis, putrefaction
Presumptive signs of death Unresponsive to painful stimuli, lack of carotid pulse or heartbeat, absence of chest rise and fall, no deep tendon or corneal reflexes, absence of Pupillary reactivity, no systolic blood pressure, profound cyanosis, lowered or decreased body temperature
Define consent and how it relates to decision making A&Ox4,
Expressed consent Is the type of consent given when the patient verbally or otherwise acknowledges that he or she want you to provide care or transport. it may be nonverbal.
Informed consent Means that you explained the nature of the treatment being offered along with the potential risks benefits and alternatives to treatment as well as potential consequences of refusing treatment and the patient gives consent.
Implied consent Applies only when a serious medical condition exist and should never be used unless there is a threat to life for limb.
Discuss consent by minors for treatment or transport A parent or legal guardian when available must give consent for treatment or transport of a minor. When a parent cannot be reached to provide consent, healthcare providers are allowed to give emergency care to a child.
Discuss the EMTs role and obligations if a patient refuses treatment or transport Adults with A&Ox4 have the right to refuse treatment. Involve medical control. Doctrine of three. Ask three times, document. Have the patient sign a refusal form and obtain witnesses.
HIPAA Health insurance portability and accountability act. Applicable to EMS but not police. HIPAA considers all patient information that you obtain in the course of providing medical treatment to a patient to be protected health information PHI. Digital images
Do not resuscitate orders DNR
Only the official Kentucky emergency medical services order form is excepted in Kentucky.
MOST form Kentucky medical orders for scope of treatment. The only form used in Kentucky. Must be dated within one year and have physician signature to be valid.
Questions of whether to begin basic life support
In the absence of physician orders such as DNR orders, the general rule is: if the body is still intact and there are no definitive signs of death initiate emergency medical care.
How to manage patients who are Identified as organ donors You should treat a potential organ donor in the same way that you would any other patient needing treatment.
Scope of practice Most commonly defined by state law outlines the care that the EMT is able to provide for the patient
Standard of care Written excepted levels of emergency care expected by reason of training and professionn; written by legal or professional organizations so that patients are not exposed to unreasonable risk or harm
Negligence Failure to provide the same clear that a person with similar training would provide. Determination of negligence is based on the following four factors: duty, breach of duty, damages, causation.
Abandonment Unilateral termination of care by the EMT without the patienta??s consent and without making provisions for transferring care to another medical professional with the skills and training necessary to meet the needs of the patient.
Assault Unlawfully placing a patient in fear of bodily harm
Battery Unlawfully touching a patient or providing emergency care without consent
Kidnapping The seizing confining of the thing or carrying away of a person by force including transporting a competent adult for medical treatment without his or her consent

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