Chapter 3

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  1. Scope of Practice
    The actions and care that EMTs are legally allowed to perform by the state in which they are providing emergency medical care.
  2. Standard of Care
    The care that is expected to be provided by an EMT with similar training when managing a patient in a similar situation.
  3. Duty to Act
    Refers to your legal obligation to provide service, whether you think the patient needs an ambulance or not.
  4. Good Samaritan Law
    Protects a person who is not being paid for his services from liability for acts performed in good faith unless those acts constitute gross negligence.
  5. Informed Consent
    The patient must be informed of the care to be provided and the associated risks and consequences.
  6. Expressed Consent
    Must be obtained from every conscious, mentally competent adult before treatment is started.
  7. Implied Consent
    Occurs when you assume that a patient who is unresponsive or who is not competent or who is not able to make rational decisions would consent to emergency care if he could.
  8. Consent to Treat a Minor
    Must be obtained from a parent, legal guardian, or other person who has been granted limited rights of decision making by the parent or guardian.
  9. Involuntary Consent
    Can be applied when you are dealing with a mentally incompetent adult or with an individual who is in custody of law enforcement or is incarcerated.
  10. Advanced Directive
    Instructions written in advance.
  11. Do Not Resuscitate (DNR) Order
    A legal document or order that most often governs resuscitation issues
  12. Living Will
    More often used to cover more general health care issues, including the use of long-term life support equipment such as ventilators and feeding tubes.
  13. Durable Power of Attorney
    Health care proxy; designates a person who is legally empowered to make health care decisions for the signer of the document if he is unable to do so for himself.
  14. Physician Orders for Life-Sustaining Treatment (POLST)
    Used in patients with serious or terminal illness who are not expected to survive for longer than 1 year. POLST is designed to allow the patient to choose and express the level of treatment he desires in the case of deterioration
  15. Tort
    A wrongful act, injury, or damage.
  16. Negligence
    A tort in which there is no intent to do any harm to the patient but in which a breach in the duty to act occurred.
  17. Proximate Cause
    It must be determined that the injuries suffered by the patient were the direct result of the EMT’s negligence.
  18. Intentional Tort
    An action knowingly committed by an individual that is considered to be civilly wrong according to the law.
  19. Abandonment
    If you stop treatment of the patient without transferring the care to another competent professional of an equal or higher level of training.
  20. Assault
    A willful threat to inflict harm on a patient
  21. Battery
    The act of touching a patient unlawfully without his consent
  22. False Imprisonment
    Taking the patient to the hospital or other medical care facility against his wishes
  23. Defamation
    If you release information to the public in either written (Libel) or spoken form (Slander) that is construed to be damaging to that person’s character, reputation, or standing within the community.
  24. Health Insurance Portability and Accountability Act (HIPAA)
    Federal law that protects the privacy of patient health care information and gives the patient control over how the information is distributed and used.
  25. Consolidated Omnibus Budget Reconciliation Act (COBRA)
    Regulations that ensure the public’s access to emergency health care regardless of ability to pay.
  26. Emergency Medical Treatment and Active Labor Act (EMTALA)
    Anti-patient dumping statute.
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Chapter 3
2014-02-18 05:22:37

Medical, Legal, and Ethical Issues
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