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34 terms

BMTCP EMT Chapter 4

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scope of practice
a set of regulations and ethical considerations that define the scope, or extent and limits, of the EMTs job.
standard of care
for an EMT providing care for a specific patient in a specific situation, the care that would be expected to be provided by an EMT with similar training when caring for a patient in a similar situation
consent
permission from the patient for care or other action by the EMT
expressed consent
consent given by adults who are of legal age and mentally competent to make a rational decision in regard to their medical well-being
implied consent
the consent it is presumed a patient or patient's paerent or guardian would give if they could, such as for an unconscious patient or a parent who cannot be contacted when care is needed.
in loco parentis
in place of the parents, indicating a person who may give consent for care of a child when the parents are not present or able to give consent.
liability
being held legally responsible
assault
placing a person in fear orf bodily harm
battery
causing bodily harm to or restraining a person
DNR
a legal document, usually signed by the patient and his physician, which states that the patient has a terminal illness and does not wish to prolong life through resuscitative efforts.
advance directive
a DNR order; instructions written in advance of an event.
negligence
a finding of failure to act properly in a situation in which there was a duty to act, that needed care as would reasonably be expected of the EMT was not provided, and that harm was caused to the patient as a result.
tort
a civil, not a criminal, offense; an action or injury caused by negligence from which a lawsuit may arise
res ipsa loquitur
a latin term meaning :the thing speaks for itself
duty to act
an obligation to provide care to a patient
abandonment
leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical trianing
moral
regarding personal standards or principles of right and wrong
ethical
regarding a social system or social or professional expectations for applying principles of right and wrong
good samaritan laws
a series of laws, varying in each state, designed to provide limited legal protection for citizens and some health care personnel when they are administering emergency care.
confidentiality
the obligation not to reveal information obtained about a patient except to other health care professionals involved in the patient's care, or under subpoena, or in a court of law, or when the patient has signed a release of confidentiality.
HIPAA
the Health Insurance Portability and Accountability Act, a federal law protecting the privacy of patient-specific health care information and providing the patient with control over how this information is used and distributed.
libel
false or injurious information in written form
slander
false or injurious information stated verbally
organ donor
a person who has completed a legal document that allows for donation of organs and tissues in the event of death
safe haven law
a law that permits a person to drop off an infant or child at a police, fire, or EMS station or to deliver the infant or child to any available public safety personnel. The intent of the law isto protect children who may otherwise be abandoned or harmed.
crime scene
the location where a crime has been committed or any place that evidence relating to a crime may be found
Conditions that must be fulfilled for patient to refuse care or transport
patient must be legally able to consent, patient must be mentally competent and oriented, patient must be fully informed, patient will be asked to sign a "release" form.
steps to take to persuade patient to get care
spend trime speaking with the patient, inform the patient of the consequences of not going to the hospital, consult medical direction, call a family member, call law enforcement personnel if necessary, listen carefully to try to determine why the patient is refusing care.
proxy
person whom the signer of the document names to make health care decisions in case he is unable to make such decisions for himself.
proximate causation
concept that the damages to the patient were the result of action or inaction of the EMT.
circumstances that must be proven to find negligence
EMT had a duty to the patient, did not provide the standard of care, failure to act, proximate causation
medical identification devices
necklace, bracelet, card indicating heart conditions, allergies, diabetes, epilepsy
actions taken to preserve evidence of crime scene
remember what you touch, minimize your impact onthe scene, work with the police
evidence can be described as
condition of the scene, the patient, fingerprints and footprints, microscopic evidence