Indirect Medical Oversight
-System Design
-Protocols
-
SCOPE OF CARE
-Legal duties to the patient, medical director, and the Public (duty to act).
>National standard curriculum
-State law
-Protocols
-Standing orders
-Ethical Responsibilities
>Meet the patient needs
-mastery of skills
-performance reviews
-Honesty in reporting
-continuing education
-refresher programs
STANDARD OF CARE
-Defined by laws, administrative orders, and guidelines -Maintain consistency in training -Provide a scope of practice and guidelines for care
Provide care based on yout training experience to avoid negligence
COMPETENCE
The ability to understand the questions of the First Responder and the implications of decisions made
-In order to receive consent or refusal of care, the First Responder should determine competence
> May not be possible in certain circumstances
-Intoxication
-Drug Ingestion
-Serious Injury
-Mental Incompetence
Consent
-A competent patient has the right to make decisions regarding care. Can refuse treatment for any reason.
-Patient must consent to emergency medical care.
Implied Consent
-Based on the assumption that the unresponsive patient or a minor's parents would consent to life saving interventions
DNR
-Patient has the right to refuse resuscitative efforts
-Requires written order from physician
-When in doubt or when written orders are not present, the first responder should begin resuscitative
Related Documents: Introduction To Emergency Medical Services
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