Medical Law and Paramedic Competencies

Flashcards covering the legal framework (SanG, SanAV), emergency competencies (NKA/NKV), patient rights, consent, and documentation obligations for paramedics according to the 2026 Imst district training.

Gesetz (Law)

A rule determined by the legislator in a procedure provided for under constitutional law, which is valid for everyone.

Vereinsvorschrift (Association Regulation)

A rule issued by the competent organs of an association, valid only for members and carrying no legal consequences outside the association.

SanG (Sanitatergesetz)

The Paramedic Act, which serves as the legal foundation for the paramedic profession and specifies general emergency competencies.

San-AV (Sanitater-Ausbildungsverordnung)

The Paramedic Training Ordinance which regulates the content, requirements, and organizational framework for training emergency and rescue paramedics.

Arzneimittellehre (NKA)

A general emergency competency involving the administration of specific medications from 'Arzneimittelliste 2' previously released by the authorized medical representative.

Venenzugang und Infusion (NKV)

A general emergency competency involving the puncture of peripheral veins and the infusion of crystalloid solutions.

Criteria for 11 SanG Application

Measures performed for the immediate defense against dangers to life or health, provided the same goal cannot be achieved by less invasive means.

Organisationsverschulden

Organizational fault; internal regulations (Rahmenvorschriften) are designed to prevent this by providing legal certainty and binding rules for members.

Selbstbestimmungsrecht

The right of self-determination, where the patient freely decides whether and to what extent medical treatment is performed through informed consent.

Eigenmachtige Heilbehandlung ( 110 StGB)

Unauthorized medical treatment; medical procedures performed without the patient's consent.

Selbstbestimmungsaufklarung

Disclosure for the purpose of decision-making, covering diagnosis, treatment, risks, purpose, scope, and consequences.

Sicherungsaufklarung

Also known as therapeutic disclosure, aimed at ensuring the safety and therapeutic success of the treatment.

Entscheidungsfahigkeit ( 24 Abs 2 ABGB)

The ability to understand the meaning and consequences of one's actions, to determine one's will accordingly, and to behave as such.

Mundige Minderjahrige (Mature Minors)

Minors who have completed their $14$-th year of life, who are presumed to possess decision-making capacity for medical treatments under 173 Abs 1 ABGB.

Gefahr-in-Verzug-Regel ( 173 Abs 3 ABGB)

The 'danger in delay' rule concerning minors, where necessary treatment can be performed if consent cannot be obtained in time to prevent serious harm.

Prerequisites for NKA/NKV Implementation

Requires paramedic authorization, medical instruction from a present physician, or (if no doctor is present) the prior notification of an emergency physician.

Dokumentationspflicht ( 5 Abs 1 SanG)

The mandatory duty for paramedics to record all medical measures for quality assurance, traceability, and as evidence.

Core Documentation Elements

Includes anamnesis, vital signs (e.g., blood pressure, ECG), present personnel, environmental conditions, medical measures, and transport type.