52 minors Emancipated minors Obtaining consent is a difficult skill. Treating like an adult due to qualified circumstances Obtaining consent is a difficult skill. Your expertise will accumulate over time. 4 National Standard Competencies in Education EMSmedical/Law and Ethics Business Health Reports Patients` rights/advocacy End-of-life issues Ethical principles/moral obligations Ethical testing and decision-making Art. 33 Health Insurance Portability and Accountability ActSpecial reporting situations: Mandatory reporting Authorized data collection / research subpoenas Protection Officer data requirements Ensures that PHRs do not 41 Relationship between paramedics and patientsAlways do what`s best for the patient. Decisions should be based on standards of good medical care. No legal consequences 51 Minors Obtaining parental consent. In loco parentis, if the guardian is not available, notify law enforcement and medical control if a parent refuses the necessary treatment. The State may take custody 24. Vera Lúcia Raposo. Telemedicine: The legal framework (or lack thereof) in Europe.

GMS Health Technol review. (2016) 12:3. doi: 10.3205/HTA000126 103 Summary orders from the DNR define the care a patient wishes to obtain when life-saving procedures are required. Paramedics need to become familiar with the decisions their patients have made regarding medical care and treatment issues. Paramedics must deal with futile resuscitation before an emergency event. The laws of the Good Samaritan protect the physician who provides care outside of service. 2 National EMS Education Standard SkillsPreparatory Integrates in-depth knowledge of the EMS system, paramedic safety and well-being, and medical, legal, and ethical issues designed to improve the health of EMS staff, patients, and the community. 55 Negligence and protection against negligence ClaimsNo coverage for gross negligence Negligence exists when: there was a legal duty to the patient.

There has been a breach of duty. Inaction was the immediate cause of the injury. Damage was done. 16. Martinez-Martin N, Luo Z, Kaushal A, Adeli E, Haque A, Kelly SS, et al. Ethical issues in the use of ambient intelligence in healthcare. Lancet Digital Health. (2021) 3:E115–23.

doi: 10.1016/s2589-7500(20)30275-2 35. Séroussi B, Hollis KF, Soualmia LF. Transparency of health IT processes as a condition for trust and acceptance of healthcare professionals and patients: increasing ethical requirements. Directory Med Inform. (2020) 29:7-10. doi: 10.1055/s-0040-1702029 42 Consent and rejection You must obtain consent prior to care. To give consent, a patient must: be of legal age and have the capacity to make decisions Patients may refuse treatment. 58 Elements of negligenceDuty (continued) Must meet a standard of care to provide assistance Cannot leave the patient once care begins Must maintain license or certification and capabilities EMS systems may be subject to a legal obligation.

20 Types of law Civil law Most lawsuits result from road accidents. Dealing with the determination of liability Civil action is such a lawsuit Most lawsuits result from road accidents. Law enforcement Measures taken by the government against a person who, according to prosecutors, violated a law.22 Cohen IG, Gerke S, Kramer DB. Ethical and legal implications of remote monitoring of medical devices. Milbank Q. (2020) 98:1257-89. doi: 10.1111/1468-0009.12481 98 Summary Failure to report certain cases may result in prosecution. Certain types of deaths must be reported to local law enforcement. Paramedics cannot violate the privacy, consent and rejection of sane patients. The only protection against a civil action for refusal is documentation. 88 State Laws Dealing with Workplace DiscriminationCompared to Federal Law: Solving the Same Problems Sometimes Offers More Rights Not Typically Requiring 15 or More Employees Familiarize yourself with your state`s laws. 95 Summary The Claim: Complaint, Respondent`s Response, Discovery, Settlement, Litigation Paramedics are subject to multiple jurisdictions.

Paramedics are held personally responsible for their actions.