EMR Ch 2 Review

Your crew responds to a call for a man who is on the ground with blood running freely from his arm. He is distressed and angrily tells you to go away, but doesn't seem to understand where he is or what has happened to him. His adult daughter tells you that the man has Alzheimer's and is on blood thinners. She begs you to help him. Can you assist the patient?

• Yes. You must assist all emergency patients who are actively bleeding

• No. You may not assist a responsive patient who has refused treatment

• No. The patient has refused treatment and assisting him would violate HIPAA

• Yes. The patient is not competent to make rational decisions about his health care

Unlawful physical contact with a patient is called:

• harassment

• battery

• abandonment

• negligence

The term ________ means the care that should be provided for any level of training based on local laws, administrative orders, and guidelines and protocols established by the local EMS system.

• scope of practice

• standard of care

• ethical response

• emergency response

Ethics are the ________ that guide a person's right, good, and proper behavior.

• laws

• protocols

• duties

• moral principles

You have a patient who has stopped breathing and has no signs of circulation. You notice a medical alert bracelet indicating the patient is a registered organ donor. This patient will be able to provide ________ consent

• informed

• implied

• expressed

• competent

You are called to help a man who is having chest pains. When you arrive, he insists that he is fine and doesn't need any help. What should you do next?

• Stay calm and professional, explain the potential dangers of refusing treatment, and document the refusal of care. Follow local laws for calling in additional assistance

• Carefully document the refusal of care, inform the patient that you cannot be held responsible for anything further, and withdraw from the scene

• Restrain the patient, and begin to evaluate and treat him while waiting for the police to arrive

• Inform the patient that he has given implied consent and begin treatment immediately

________ are relatively simple documents that allow individuals to define their wishes or appoint someone else to make health care decisions on their behalf.

• Advance directives

• Consent contracts

• Letters of Agreement

• Living wills

During your assessment, a patient tells you that she has a DNR order. What should you do? 

• Inform the patient that you can't do anything for her unless she rescinds the DNR in writing

• Inform her that DNR orders have been replaced by the POLST form, and that without a POLST form, she must accept treatment

• Provide appropriate comfort and care within the bounds of the DNR

• Stop all care immediately as is legally required by the DNR "cease and desist" clause

As a paid Emergency Medical Responder, while on duty you are expected to provide care according to the standard operating procedures outlined by your department. This is called:

• duty to act

• standard of care

• scope of practice

• delegation of authority

Certain states have ________ laws that protect care providers from civil liability for delivering care, as long as it is to their level of training and the best of their ability.

• Innocent Bystander

• Good Samaritan

• First Responder 

• Duty of Care