EMT Ethical and Legal Responsibilities
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Questions and Answers

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?

  • 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.

    True

    What is implied consent in emergency care?

    <p>Consent that is assumed based on certain circumstances.</p> Signup and view all the answers

    In which of the following situations would implied consent NOT be applicable?

    <p>A patient is fully conscious and refuses treatment despite being advised of potential consequences.</p> Signup and view all the answers

    Which of the following is NOT a common example of an involuntary consent scenario?

    <p>A patient who is in a medical facility for a routine check-up.</p> Signup and view all the answers

    A minor can always give consent for medical treatment.

    <p>False</p> Signup and view all the answers

    Which of the following scenarios DOES NOT require forcible restraint?

    <p>A patient who is refusing treatment but is conscious and calm.</p> Signup and view all the answers

    Why is it crucial to involve online medical control when a patient refuses treatment?

    <p>To ensure sound medical judgment and avoid potential legal issues.</p> Signup and view all the answers

    A patient who is consciously refusing treatment can later change their mind and request care from EMS.

    <p>True</p> Signup and view all the answers

    What kind of information should you always provide to a patient before they make a decision to accept or refuse treatment?

    <p>A thorough explanation of the potential risks, benefits, and alternatives to treatment.</p> Signup and view all the answers

    It is considered more defensible to provide treatment than to withhold it when in doubt about a patient's condition.

    <p>True</p> Signup and view all the answers

    The primary responsibility for determining the cause of death lies with the EMT.

    <p>False</p> Signup and view all the answers

    What does 'dependent lividity' refer to?

    <p>The discoloration of the skin due to blood settling to the lowest point of the body.</p> Signup and view all the answers

    Which of the following conditions typically DOES NOT require a medical examiner to be notified?

    <p>Death from a natural illness diagnosed by a physician.</p> Signup and view all the answers

    A patient who has a donor card or driver's license expressing their wish to donate organs should be treated differently from other patients.

    <p>False</p> Signup and view all the answers

    What is the purpose of medical identification insignia?

    <p>To provide crucial information about the patient's medical condition, such as allergies, DNR orders, or other vital details.</p> Signup and view all the answers

    The scope of practice for an EMT is solely defined by state law.

    <p>False</p> Signup and view all the answers

    What is the primary purpose of 'standards of care' in emergency medical services?

    <p>To establish a baseline of expected competency and conduct for EMTs.</p> Signup and view all the answers

    An EMT is legally obligated to assist patients in an emergency situation even if they are off duty.

    <p>False</p> Signup and view all the answers

    What are the four essential elements that must be present for a legal claim of negligence to be successful?

    <p>Duty, breach of duty, damages, and causation.</p> Signup and view all the answers

    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.

    <p>False</p> Signup and view all the answers

    A tort claim focuses on criminal offenses, while negligence pertains to civil wrongs.

    <p>False</p> Signup and view all the answers

    Which of the following scenarios DOES NOT constitute abandonment?

    <p>An EMT providing basic care until a higher-level EMS crew arrives and takes over care.</p> Signup and view all the answers

    The term 'kidnapping' can be legally applied in situations where a patient is transported against their will, even for medical purposes.

    <p>True</p> Signup and view all the answers

    Defamation is a verbal form of communication that undermines a person's reputation.

    <p>False</p> Signup and view all the answers

    Good Samaritan laws provide absolute immunity from any liability for negligence when assisting in emergency situations.

    <p>False</p> Signup and view all the answers

    Gross negligence involves a careless mistake or error.

    <p>False</p> Signup and view all the answers

    Keeping accurate records is essential for legal protection and documenting a particular event.

    <p>True</p> Signup and view all the answers

    The National EMS Information System (NEMSIS) helps standardize EMS data across the United States.

    <p>True</p> Signup and view all the answers

    Mandatory reporting requirements for EMTs are universal and enforced equally in every state.

    <p>False</p> Signup and view all the answers

    EMS personnel are ethically responsible for upholding the highest standards of care.

    <p>True</p> Signup and view all the answers

    Ethics is solely about following the law.

    <p>False</p> Signup and view all the answers

    An EMT can be called to court as either a witness or a defendant due to their involvement in a legal case.

    <p>True</p> Signup and view all the answers

    When subpoenaed to court, an EMT should disregard their involvement in the case and avoid contact with their service director or legal counsel.

    <p>False</p> Signup and view all the answers

    When testifying in court, an EMT should maintain neutrality and avoid any personal opinions.

    <p>True</p> Signup and view all the answers

    If an EMT is involved in a civil lawsuit, the agency will typically provide legal representation for them.

    <p>True</p> Signup and view all the answers

    Statute of limitations is a legal defense that shields an individual from legal action that occurs outside of a specific timeframe.

    <p>True</p> Signup and view all the answers

    Governmental immunity always grants individuals complete protection from any legal claims.

    <p>False</p> Signup and view all the answers

    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.

    <p>True</p> Signup and view all the answers

    Discovery is a legal process that involves sharing evidence and gathering information from each side to gain a better understanding of a case.

    <p>True</p> Signup and view all the answers

    If a case goes to trial, only compensatory damages can be awarded.

    <p>False</p> Signup and view all the answers

    Punitive damages are intended to compensate the plaintiff for their injuries.

    <p>False</p> Signup and view all the answers

    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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    Related Documents

    EMT Unit 3 PDF

    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.

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