EMR Final Study Cards Chapter 2

If a competent adult refuses your care but you then provide it against his will, you could be charged with: a. inadvertence. b. abandonment. c. negligence. d. battery.

D

Written guidelines or instructions describing assessment and care are known as: a. hospital care directives. b. online medical controls. c. prescription services. d. protocols

D

T or F-Breach of duty is a failure to perform a required assessment or treatment or the incorrect performance of an action

T

T or F-Patients with an altered mental status should not be allowed to refuse care.

T

T or F-Scope of practice is a set of regulations and laws that designate how an Emergency Medical Responder legally functions.

T

T or F-The Health Information Portability and Accountability Act (HIPAA) identifies protected health information that cannot be disclosed to others except in certain situations.

T

An Emergency Medical Responder's legal obligation to provide emergency care is referred to as a(n): a. duty to act. b. scope of care. c. implied consent. d. standard of care.

A

In an emergency in which a patient is so severely injured that a clear decision cannot be made, you have the right to provide care based on ________ consent. a. implied b. expressed c. guardian d. minor's

A

The law that protects the confidentiality of protected health information is commonly called: a. HIPAA. b. SEPA. c. INPRO. d. H-ACT.

A

Failure to perform a required assessment or treatment or the incorrect performance of an action is a(n): a. proximate causation. b. breach of duty. c. abandonment. d. disregard of proper action.

B

Patients of legal age who are competent and who accept your care are giving ________ consent. a. implied b. expressed c. guardian d. minor

B

A 16-year-old who is financially independent and living away from home as an adult by permission of the courts is called a(n) _________ minor. a. guardian b. released c. emancipated d. jurisdictional

C

A(n) ________ is a form, requested by a patient and signed by a physician, refusing CPR if the heart stops. a. health care proxy b. power of attorney c. do not resuscitate order d. ethics statement for the living

C

A(n) ________ is a legal document that outlines instructions regarding a patient's medical decisions. a. breach of duty b. power of attorney c. advance directive d. release of confidence

C

____________ consent may consist of verbal consent, a nod, or an affirming gesture from a competent adult.

Expressed

T or F-A 10-year-old who has been hit on his bicycle can be treated by Emergency Medical Responders if he is alert enough to give expressed consent.

F

T or F-Abandonment allows an Emergency Medical Responder to leave a patient before an ambulance arrives for transport as long as the patient is not seriously sick or injured.

F

T or F-If an Emergency Medical Responder is a mandatory reporter for a suspected crime, he/she still can't disclose patient information unless he/she is ordered to do so by a judge's order.

F

T or F-Protocols are verbal instructions given over the radio that are universal to all emergency medical situations.

F

T or F-When you enter a crime scene to provide patient care, you do not need to be concerned about destroying evidence because patient care is all that matters.

F

____________ consent may be applied when an unresponsive patient is at risk of death, disability, or deterioration of condition.

Implied

Based on the scenario: What are some ways in which you can assist the police, even while performing patient care?

Observe and document anything unusual at the scene.• Touch only what you need to touch.• Move only to provide Emergency Medical Responder care and only what you need to move to protect yourself, other rescuers, and the patient.• Do not use the telephone until the police give you permission to do so.• Move the patient only if he is in danger or must be moved for you to provide care.• If possible, do not cut through holes in the patient's clothing.• Communicate your actions and observations of the scene to law enforcement.

____________ are written guidelines or instructions that describe appropriate assessment and care in specific situations.

Protocols

The Call: A Crime Scene Read the scenario. Then, in the space provided, answer the questions that follow. All the ambulances from your station are presently tied up on calls, so you are dispatched to handle a possible shooting. When you arrive at the scene, a police officer assures you that the scene is safe and secured. You take standard precautions, grab your jump kit, and step out of your vehicle. Just then a woman runs from the house, screaming for you to help her husband. When you enter the house, you immediately see a police officer and overturned chairs, broken lamps, and a trail of blood leading into the next room. Following the officer's directions, you find a man, appearing to be in his mid-50s, lying on the floor and bleeding. His wife is behind you, yelling that someone broke into the house and shot him. 1. What instructions should you give to the rest of your crew before they enter the scene?

Quickly remind your crew members to touch only those things that must be touched to properly care for the patient. Nothing else should be moved or touched if at all possible, and the things that are touched or moved should be reported to the responding police officers.

T or F-An advance directive is a legal document that can appoint a person to make medical decisions for a patient who is unable to do so.

T

Leaving a sick or injured patient before equally or more highly trained personnel assume responsibility for patient care is called ____________.

abandonment

A(n) ____________ adult is one who has the mental capacity to make an informed decision about medical care.

competent

By law, a patient must first ____________, or give permission, before an Emergency Medical Responder may provide care.

consent

An advance ____________, such as a DNR order, is written prior to an emergency and must be signed by both the patient and a physician.

directive

A(n) ____________ minor is one who is married, pregnant, a parent, or in the armed forces, or who has the rights of an adult with permission of the courts.

emancipated

Honesty, compassion, and advocacy are important ____________ approaches to EMS.

ethical

The ____________ of practice defines the actions that are legally allowed for an Emergency Medical Responder.

scope