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EMT MOD1 (Chapter 3 Medical Legal and Ethical issues (DNR (DNR can be…

- - - - "EMS personnel must follow HIPAA regulations during patient care situations, when transporting patient information, for administrative functions, and in retaining, managing, and releasing patient information. ... information may only be shared by EMS agencies and personnel for treatment, payment, or operational needs"
  - - - Minors, people with mental illness can not be expressed consent since they can not make their own decisions you would look to the caregiver to make the final word
  - - - they are ment to be used a s form of punishment
  - - - IF the patients family informs you of a dnr order but can not find it you must do what you can to bring back the patient
    - - a general DNR example would be encase of a heart attack do not use defibrillator
      - a more specific DNR must also be followed even tho it is not normal
  - - - rigor mortis : the body is stiff and hardly movable
        
        Putrefacation: the body has begun to decay
  - - - Assault: unlawful placing a person in fear of immediate bodily harem
        
        Battery: Unlawful touching of a person
        
        Kidnapping: abduction, or taking someone Against there will and removing them from the scene
        
        false imprisonment: unauthorized confinement of a person
        
        Gross Negligence: willful recklessness
- - - - body language is very important to be aware a body language is as important if not more important than what you are saying Body language like skin signs tell all
      - when communicating if your patient does not speak English and you dont speak their language
        
        try to get a family member or neighbor to help as an interrupter
        
        When a patient is hard of hearing or def
        
        speak slowly but do not over enunciate your words
        
        most def patients can read lips so make sure you are not covering your mouth
        
        speak up when talking to these types of patients but not obnoxiously so
  - - - make sure your questions are not leading therm in a direction let them tell you what is going on
  - - - all medical documents should be signed, have the events of the call , times, services provided, observations, changes in treatment, findings and continued care info
      - document the refusal of care papers if you can not get the refused patient to sign get a witness to sign the Agisnt medial advice papers
  - - - mobile and portable radios: are less powerful radios that ems agencies carry on them
        
        On the radio use proper etiquette
        
        share info about the patient but dont disclose name or anything revealing
        
        when talking on radio key it up and wait a second then address who you are, who you want to talk to and wait for a response before beginning the conversation
- - - - it is very important to learn your place on the team and act accordingly
        
        Know your place and do your role alone unless told other wise
  - - - a team is what ever it needs to get its jobs done
        
        listen to and follow thee team leader
        
        No job is to small on a team all jobs are important. jobs need to be done and done well
- - - - Brady: slow
        
        Tachy: fast, rapid
        
        Hyper: over excessive, high
        
        Hypo: under, below normal
        
        several prefixes are used to indicate how much such as one half or two or more parts
  - - - Hepat: liver
        
        Nephr:kidney
        
        hemo:blood
        
        Several root words are used to describe location and color
  - - - -algia: referring to pain
        
        -ectomy: surgical removal of
  - - - Superior: nearer to the head
      - Inferior: lower, closer to the feet
    - - Lateral: outer structures (arms, legs)
      - Medial: inner structures (thigh)
    - - Proximal: closer to the body
        
        the elbow is distal to the shoulder and proximal to the wrist
      - Distal: further away from the body
- - - - your safety is the first priory your partners is number 2 and your patients is number 3 you don't want to ever create more patients on a scene make sure everyone is safe
        
        If the patient is in a scene that is unsafe do not enter call for additional resources
        
        Call for additional resources that will help you secure the scene whether it is the power company fire dept hazmat or law enforcement cal who you need to call to make it safe to enter
  - - - Patient assessment lets the ems provider narrow down the problem the paitnids having and start treatment
        
        EMTS are NOT doctors we do not diagnose the patient
        
        Ems treat the patient and the symptoms they have
  - - - treat them the way you would want someone to treat a loved one you cared about
      - Allays advocate for the patient fight for them to get the best treatment that they can get :
- - - - EMS is a very stress filled job as a health care provider it is important to know how to recognize and deal with stress
      - Safe ways to deal with stress include exercise sleep healthy life style
        
        Exercise Exercise Exercise!!!
        
        Drink plenty of fluids
        
        MOST IMPORTANTLY regarding stressed if you are super stressed out and need decompress and talk make sure you tell someone you can talk to dont let it sit inside unchecked to long
        
        Attempt to limit caffeine and alcohol
        
        Always do your best to not take work home with you when you are not at work trying to have fun and enjoy hobbies are another great way to relieve stress
        
        another way to help deal with stress is to psychology prepare for the call or attend therapy if it helps you have a group of friends you can talk about when you have those bad calls
      - if you are stressed it important that you do relaxing activities to relieve stress
  - - - Allays Wear proper BSI and PPE
        
        BSI Body substance isolation
        
        Equipment like masks, gloves, and googles/ glasses
        
        PPE Personal Protective Equipment
        
        Equipment like helemts and gloves and boots to keep safe form things falling on you
        
        EMS workers are constantly around sick people it is important to practice good hygiene wash your hands every chance you get
        
        if you feel like you are sick or have an infections disease STAY HOME!!! call and report to your bosses
        
        assume all of your patients have communicable diseases do your best to avoid getting coughed o\n, sneezed on or any other bodily fluid on your directly always wear BSI and PPE
        
        As with any job that involves human contact make sure you are getting vaccinated, take vitamins and that you follow any other medical practie to ensure your safety