chapter 3: medical, legal, ethical issues

implied consent aka

emergency doctrine

implied consent is used when

AMS/incapable

involuntary consent

law imprisonment/5150

minors consent

parental consent when <18 unless emancipated

emancipated minors

control over own medical consent

forcible restraint

used when pt is threat to themselves + others (check PMSC’s)

if pt is threat to others you should

call law enforcement

pt refuses transport you should

attempt up to 3 times → sign AMA

HIPAA stands for

health insurance portability and accountability act

advanced directives

physician/medical orders for life sustaining treatment

standard of care

expectations of behavior

negligence

failure to adhere to standard of care; deviating from protocol

negligence involves (4)

duty, breach of duty, damage, causation

gross negligence

willfull/reckless disregard for standard of care

abandonment

lack of transfer of care to someone equal/higher

transfer of care steps

register pt → update vitals → get pt in hospital bed → oral report to physician/nurse

assault

verbal threat

battery

illegally touching, treat w/o consent

false imprisonment

keeping someone in ambulance if they want to get out

defamation

libel (written to ruin rep), slander (spoken)

good samaritan laws

protected from legal issues from errors made if acted in good faith w/o expectation of compensation + within scope + no gross negligence

signs of death

decapitation, dependent lividity, algor mortis, rigor mortis, putrefaction (decomp of body)

dependent lividity

blood pools in gravity direction

algor mortis

cooling of body to room temp

rigor mortis

stiffening