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Chapter 2 Legal and Ethical Issues
Retro Review <ul><li>Chapter 1:  </li></ul><ul><li>Introduction to EMS Systems </li></ul><ul><ul><ul><li>► Components of t...
<ul><ul><ul><li>►   Legal Duties </li></ul></ul></ul><ul><ul><ul><li>►   Consent </li></ul></ul></ul><ul><ul><ul><li>►   D...
<ul><ul><ul><li>► Confidentiality </li></ul></ul></ul><ul><ul><ul><li>► Reportable Events </li></ul></ul></ul><ul><ul><ul>...
Legal Duties <ul><li>► Scope of Practice </li></ul><ul><li>Care and procedures allowed by law for individuals trained to o...
Consent ► Competence The patient’s ability to understand an Emergency Medical Responder’s questions and the implications o...
Consent ► Expressed Consent When a patient gives obvious consent to receive emergency care;  this can be verbal or non-ver...
Do Not Resuscitate (DNR) Order A written, legal document signed by patient and physician explaining that a terminal patien...
Negligence In order for negligence to occur, four elements must be present: ► Duty to act The Emergency Medical Responder ...
Confidentiality <ul><li>Emergency Medical Responders should not speak to friends, family, or other members of the public (...
Confidentiality <ul><li>HIPAA </li></ul><ul><li>Health Insurance Portability and Accountability Act </li></ul><ul><ul><li>...
Reportable Events <ul><li>Events that Emergency Medical Responders must usually report to appropriate authorities: </li></...
Reportable Events <ul><li>Events that Emergency Medical Responders must usually report to appropriate authorities: </li></...
Special Situations ► Organ Donors ► Medical Identification  Devices ► Crime Scenes
Documentation <ul><li>Reasons to Document Care: </li></ul><ul><ul><li>► Continued Patient Care </li></ul></ul><ul><ul><li>...
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Ch02

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Ch02

  1. 1. Chapter 2 Legal and Ethical Issues
  2. 2. Retro Review <ul><li>Chapter 1: </li></ul><ul><li>Introduction to EMS Systems </li></ul><ul><ul><ul><li>► Components of the EMS System </li></ul></ul></ul><ul><ul><ul><li>► The Emergency Medical Responder </li></ul></ul></ul>
  3. 3. <ul><ul><ul><li>► Legal Duties </li></ul></ul></ul><ul><ul><ul><li>► Consent </li></ul></ul></ul><ul><ul><ul><li>► Do Not Resuscitate (DNR) Orders </li></ul></ul></ul><ul><ul><ul><li>► Negligence </li></ul></ul></ul><ul><ul><ul><li>► Abandonment </li></ul></ul></ul>Introduction
  4. 4. <ul><ul><ul><li>► Confidentiality </li></ul></ul></ul><ul><ul><ul><li>► Reportable Events </li></ul></ul></ul><ul><ul><ul><li>► Special Situations </li></ul></ul></ul><ul><ul><ul><li>► Documentation </li></ul></ul></ul>Introduction
  5. 5. Legal Duties <ul><li>► Scope of Practice </li></ul><ul><li>Care and procedures allowed by law for individuals trained to or licensed at a particular level. </li></ul><ul><li>► Standard of Care </li></ul><ul><li>What is generally expected of individuals trained to or licensed at a particular level. </li></ul><ul><li>► Ethical Responsibilities </li></ul><ul><li>Behavioral expectations placed on individuals trained to or licensed at a particular level. </li></ul>
  6. 6. Consent ► Competence The patient’s ability to understand an Emergency Medical Responder’s questions and the implications of the decisions made. ► Refusal of Care Competent adult patients, or the competent parents or legal guardian of minor patients, can legally refuse emergency care.
  7. 7. Consent ► Expressed Consent When a patient gives obvious consent to receive emergency care; this can be verbal or non-verbal (such as a nod or simply not pulling away). ► Implied Consent It is implied that a patient would want to receive emergency care if they were aware of the situation and could respond appropriately.
  8. 8. Do Not Resuscitate (DNR) Order A written, legal document signed by patient and physician explaining that a terminal patient does not want resuscitative efforts. Varying Degrees of DNR: Can specify under which circumstances resuscitation should and should not be initiated for the patient. Click the image to enlarge
  9. 9. Negligence In order for negligence to occur, four elements must be present: ► Duty to act The Emergency Medical Responder had a legal duty to provide care. ► Breach of duty Care was not provided to an acceptable standard of care. ► Damages The patient was injured in some way as a result of either improper care or the lack thereof. ► Causation There is a direct link between the damages and the breach of duty on the part of the Emergency Medical Responder.
  10. 10. Confidentiality <ul><li>Emergency Medical Responders should not speak to friends, family, or other members of the public (including the media) about patients or the care provided during an emergency including: </li></ul><ul><ul><li>► Patient names </li></ul></ul><ul><ul><li>► Specifics of the event </li></ul></ul><ul><ul><li>► Unusual behavior observed or personal descriptions of the patient </li></ul></ul>
  11. 11. Confidentiality <ul><li>HIPAA </li></ul><ul><li>Health Insurance Portability and Accountability Act </li></ul><ul><ul><li>► Established rules about how patient medical information can be stored and shared. </li></ul></ul><ul><ul><li>► Established strong accountability for the use and sharing of patient information. </li></ul></ul>
  12. 12. Reportable Events <ul><li>Events that Emergency Medical Responders must usually report to appropriate authorities: </li></ul><ul><ul><li>► Exposure to infectious diseases </li></ul></ul><ul><ul><li>► Suspicious burns </li></ul></ul><ul><ul><li>► Vehicle crashes </li></ul></ul><ul><ul><li>► Drug-related injuries </li></ul></ul>
  13. 13. Reportable Events <ul><li>Events that Emergency Medical Responders must usually report to appropriate authorities: </li></ul><ul><ul><li>► Knife or gunshot wounds </li></ul></ul><ul><ul><li>► Child or elder abuse </li></ul></ul><ul><ul><li>► Domestic violence </li></ul></ul><ul><ul><li>► Rape </li></ul></ul>
  14. 14. Special Situations ► Organ Donors ► Medical Identification Devices ► Crime Scenes
  15. 15. Documentation <ul><li>Reasons to Document Care: </li></ul><ul><ul><li>► Continued Patient Care </li></ul></ul><ul><ul><li>► Lawsuits </li></ul></ul><ul><ul><li>► Mandatory Reporting Situations </li></ul></ul>

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