Podcast
Questions and Answers
What is consent in emergency care?
What is consent in emergency care?
Permission to render care.
Which of the following is NOT a factor to consider when determining a patient's decision-making capacity?
Which of the following is NOT a factor to consider when determining a patient's decision-making capacity?
- The patient's physical location. (correct)
- The patient's age.
- The patient's intellectual capacity.
- The patient's level of pain.
Expressed consent is a verbal or written agreement from the patient for treatment.
Expressed consent is a verbal or written agreement from the patient for treatment.
True (A)
What is implied consent in emergency care?
What is implied consent in emergency care?
In which of the following situations would implied consent NOT be applicable?
In which of the following situations would implied consent NOT be applicable?
Which of the following is NOT a common example of an involuntary consent scenario?
Which of the following is NOT a common example of an involuntary consent scenario?
A minor can always give consent for medical treatment.
A minor can always give consent for medical treatment.
Which of the following scenarios DOES NOT require forcible restraint?
Which of the following scenarios DOES NOT require forcible restraint?
Why is it crucial to involve online medical control when a patient refuses treatment?
Why is it crucial to involve online medical control when a patient refuses treatment?
A patient who is consciously refusing treatment can later change their mind and request care from EMS.
A patient who is consciously refusing treatment can later change their mind and request care from EMS.
What kind of information should you always provide to a patient before they make a decision to accept or refuse treatment?
What kind of information should you always provide to a patient before they make a decision to accept or refuse treatment?
It is considered more defensible to provide treatment than to withhold it when in doubt about a patient's condition.
It is considered more defensible to provide treatment than to withhold it when in doubt about a patient's condition.
The primary responsibility for determining the cause of death lies with the EMT.
The primary responsibility for determining the cause of death lies with the EMT.
What does 'dependent lividity' refer to?
What does 'dependent lividity' refer to?
Which of the following conditions typically DOES NOT require a medical examiner to be notified?
Which of the following conditions typically DOES NOT require a medical examiner to be notified?
A patient who has a donor card or driver's license expressing their wish to donate organs should be treated differently from other patients.
A patient who has a donor card or driver's license expressing their wish to donate organs should be treated differently from other patients.
What is the purpose of medical identification insignia?
What is the purpose of medical identification insignia?
The scope of practice for an EMT is solely defined by state law.
The scope of practice for an EMT is solely defined by state law.
What is the primary purpose of 'standards of care' in emergency medical services?
What is the primary purpose of 'standards of care' in emergency medical services?
An EMT is legally obligated to assist patients in an emergency situation even if they are off duty.
An EMT is legally obligated to assist patients in an emergency situation even if they are off duty.
What are the four essential elements that must be present for a legal claim of negligence to be successful?
What are the four essential elements that must be present for a legal claim of negligence to be successful?
Res ipsa loquitur is a legal doctrine that places the burden of proof on the EMT to prove their innocence in a case of negligence.
Res ipsa loquitur is a legal doctrine that places the burden of proof on the EMT to prove their innocence in a case of negligence.
A tort claim focuses on criminal offenses, while negligence pertains to civil wrongs.
A tort claim focuses on criminal offenses, while negligence pertains to civil wrongs.
Which of the following scenarios DOES NOT constitute abandonment?
Which of the following scenarios DOES NOT constitute abandonment?
The term 'kidnapping' can be legally applied in situations where a patient is transported against their will, even for medical purposes.
The term 'kidnapping' can be legally applied in situations where a patient is transported against their will, even for medical purposes.
Defamation is a verbal form of communication that undermines a person's reputation.
Defamation is a verbal form of communication that undermines a person's reputation.
Good Samaritan laws provide absolute immunity from any liability for negligence when assisting in emergency situations.
Good Samaritan laws provide absolute immunity from any liability for negligence when assisting in emergency situations.
Gross negligence involves a careless mistake or error.
Gross negligence involves a careless mistake or error.
Keeping accurate records is essential for legal protection and documenting a particular event.
Keeping accurate records is essential for legal protection and documenting a particular event.
The National EMS Information System (NEMSIS) helps standardize EMS data across the United States.
The National EMS Information System (NEMSIS) helps standardize EMS data across the United States.
Mandatory reporting requirements for EMTs are universal and enforced equally in every state.
Mandatory reporting requirements for EMTs are universal and enforced equally in every state.
EMS personnel are ethically responsible for upholding the highest standards of care.
EMS personnel are ethically responsible for upholding the highest standards of care.
Ethics is solely about following the law.
Ethics is solely about following the law.
An EMT can be called to court as either a witness or a defendant due to their involvement in a legal case.
An EMT can be called to court as either a witness or a defendant due to their involvement in a legal case.
When subpoenaed to court, an EMT should disregard their involvement in the case and avoid contact with their service director or legal counsel.
When subpoenaed to court, an EMT should disregard their involvement in the case and avoid contact with their service director or legal counsel.
When testifying in court, an EMT should maintain neutrality and avoid any personal opinions.
When testifying in court, an EMT should maintain neutrality and avoid any personal opinions.
If an EMT is involved in a civil lawsuit, the agency will typically provide legal representation for them.
If an EMT is involved in a civil lawsuit, the agency will typically provide legal representation for them.
Statute of limitations is a legal defense that shields an individual from legal action that occurs outside of a specific timeframe.
Statute of limitations is a legal defense that shields an individual from legal action that occurs outside of a specific timeframe.
Governmental immunity always grants individuals complete protection from any legal claims.
Governmental immunity always grants individuals complete protection from any legal claims.
Contributory negligence is a legal defense that can be used to reduce or eliminate the liability of a defendant, if the plaintiff contributed to the injuries or damages.
Contributory negligence is a legal defense that can be used to reduce or eliminate the liability of a defendant, if the plaintiff contributed to the injuries or damages.
Discovery is a legal process that involves sharing evidence and gathering information from each side to gain a better understanding of a case.
Discovery is a legal process that involves sharing evidence and gathering information from each side to gain a better understanding of a case.
If a case goes to trial, only compensatory damages can be awarded.
If a case goes to trial, only compensatory damages can be awarded.
Punitive damages are intended to compensate the plaintiff for their injuries.
Punitive damages are intended to compensate the plaintiff for their injuries.
Flashcards
What is consent in the context of medical care?
What is consent in the context of medical care?
Permission to provide care or transport to a patient.
What are the three types of consent?
What are the three types of consent?
Expressed, implied, and involuntary consent.
Explain expressed consent.
Explain expressed consent.
The patient verbally or nonverbally agrees to receive care or transport.
What is implied consent?
What is implied consent?
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Describe involuntary consent.
Describe involuntary consent.
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How does consent apply to minors?
How does consent apply to minors?
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Explain the legal basis for using forcible restraint on a patient.
Explain the legal basis for using forcible restraint on a patient.
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What is a patient's right to refuse treatment?
What is a patient's right to refuse treatment?
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How do you handle a patient who refuses care?
How do you handle a patient who refuses care?
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What is confidentiality in medical care?
What is confidentiality in medical care?
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Explain the relationship between HIPAA and confidentiality.
Explain the relationship between HIPAA and confidentiality.
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What are advance directives?
What are advance directives?
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Describe a Do Not Resuscitate (DNR) order.
Describe a Do Not Resuscitate (DNR) order.
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What are the physical signs of death?
What are the physical signs of death?
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Define presumptive signs of death.
Define presumptive signs of death.
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What are definitive signs of death?
What are definitive signs of death?
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Explain the role of a medical examiner in determining death.
Explain the role of a medical examiner in determining death.
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What is meant by scope of practice?
What is meant by scope of practice?
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Describe the concept of standards of care.
Describe the concept of standards of care.
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What is duty to act?
What is duty to act?
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Define negligence in the context of EMT care.
Define negligence in the context of EMT care.
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Explain abandonment by an EMT.
Explain abandonment by an EMT.
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Describe the differences between assault and battery.
Describe the differences between assault and battery.
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Explain the concept of kidnapping in the context of emergency care.
Explain the concept of kidnapping in the context of emergency care.
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Define defamation and its types.
Define defamation and its types.
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What are Good Samaritan laws?
What are Good Samaritan laws?
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Explain the difference between negligence and gross negligence.
Explain the difference between negligence and gross negligence.
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What are the mandatory reporting requirements for EMTs?
What are the mandatory reporting requirements for EMTs?
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Define ethics in the context of EMT care.
Define ethics in the context of EMT care.
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Describe the EMT's role in a courtroom.
Describe the EMT's role in a courtroom.
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What are potential legal defenses for EMTs in court?
What are potential legal defenses for EMTs in court?
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Study Notes
Unit Summary
- EMTs must understand ethical responsibilities and medicolegal directives
- The chapter explains patient care related to confidentiality, consent, refusal of care, advanced directives, organ donor systems and policies, evidence preservation, and end-of-life care
- National EMS Education Standard Competencies apply fundamental knowledge of the EMS system addressing medical/legal and ethical issues in emergency care.
Medical/Legal and Ethics
- Consent/refusal of care (pages 86-90)
- Confidentiality (page 91)
- Advance directives (pages 93-95)
- Tort and criminal actions (pages 101-103)
- Evidence preservation (page 105)
- Statutory responsibilities (pages 103-104)
- Mandatory reporting (pages 104-105)
- Ethical principles/moral obligations (pages 106-107)
- End-of-life issues (pages 95-97)
Knowledge Objectives
- Define consent and its relation to decision making (page 86).
- Compare expressed consent, implied consent, and involuntary consent (pages 87-88).
- Discuss consent by minors for treatment or transport (page 88).
- Describe local EMS system protocols for using forcible restraint (pages 89-90).
- Discuss the EMT's role and obligations if a patient refuses treatment or transport (pages 90-91).
Readings and Preparation
- Review all instructional material, including the textbook chapter 3 and presentation support material
- Review any related legal documents pertaining to prehospital care and personnel
- Review recent legal case studies or legal proceedings for updated medicolegal information.
- Consider utilizing local law librarians for additional information.
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Description
This quiz covers the crucial ethical and legal responsibilities that EMTs must adhere to in patient care. Topics include consent, confidentiality, advanced directives, and evidence preservation, among others. Understanding these principles is essential for proper emergency medical services and compliance with national standards.
