Module 2

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 provides ________ consent.

• informed

• implied

• expressed

• competent

You are called to help a man who is having chest pain. 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.

During your assessment, a patient tells you that she has a DNR order (and presents the written copy). 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• Inform her that DNR orders have been replaced by the POLST form, and that without a POLST form, she must accept treatment.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.

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

HIPAA is a law that dictates the extent to which:

• an EMT may provide on-the-scene care.

• a hospital may accept or refuse patients.

• protected health information may be shared.

• a patient may decline treatment or refuse consent.

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.

You and your partner are on the way back to work when you see a child who has been struck by a vehicle and is unresponsive in the road. You begin care for her and call for advanced care to transport her to a nearby emergency department. You know she can be legally transported based on:

• actual consent.

• informed consent.

• implied consent.

• Good Samaritan laws.

You are responding to a one-car accident on a neighborhood street. An elderly woman hit a telephone pole while swerving to avoid a dog that was running loose. She is conscious and sitting in her car. After you determine that the scene is safe to approach, the next thing you should do is:

• ask for the woman's consent for care.

• ask the woman to step out of the car so you can assess her injuries.

• ensure that the dog is captured and controlled.

• provide oxygen and begin an IV for fluids.

You have a critically injured patient who has been identified as an organ donor. How should this patient's treatment differ from that of other patients?

• Consent for organ donation is equivalent to a Do Not Resuscitate order.

• The patient should be carefully packed in ice to preserve the organs on the way to the hospital.

• The patient should be put on special oxygen for organ preservation.

• Emergency care for organ donors must not differ from that of non-organ donors.

What is the difference between a DNR order and an Advance Directive?

• An advance directive is decided by the patient and a DNR order is decided by the physician.

• An advance directive is decided by the physician and a DNR order is decided by the patient.

• An advance directive relates to future treatment, while a DNR order relates to current treatment.

• An advance directive relates to current treatment, while a DNR order relates to future treatment.