Title: Lesson 1-7 Medical/Legal and Ethics
Course: EMS 1119 Emergency Medical Technician > Section: Module I Preparatory

Discuss the medical, legal and ethical issues to the provision of  emergency care

At the end of this lesson and the associated lab activities students will be able to:

Cognitive Learning Objectives

- 1-7.1 Differentiate between expressed, informed, implied  and involuntary consent
- 1-7.2 Discuss the methods of obtaining consent and procedures for minors
- 1-7.3 Discuss the issues of abandonment, negligence, false imprisonment and battery and their implications to the EMT
- 1-7.4 Discuss the implications for the EMT in patient refusal of care and/or transport.
- 1-7.5 Explain the importance, necessity and legality of patient confidentiality
- 1-7.6 Discuss the importance of Do Not Resuscitate [DNR] (advance directives) and local or Florida provisions regarding EMS application.
- 1-7.7 Discuss State of Florida & Federal special reporting situations such as abuse, sexual assault, gunshots & knife wounds, communicable disease, etc
- 1-7.8 Differentiate between civil tort & criminal actions
- 1-7.9 List the elements of negligence and defenses/protections from liability
- 1-7.10 Discuss the role of the EMT at crime scenes and preservation of evidence
- 1-7.11 Define ethics & morality and discuss their implication for the EMT
- 1-7.12 Discuss Florida legislation such as the Baker Act, Marchman Act, and the Emergency Examination and Treatment of Incapacitated Persons Act

Affective Objectives

- 1-7.1 Explain the role of EMS and the EMT regarding patients with DNR orders
- 1-7.2 Explain the rationale for the needs, benefits and usage of advance directives
- 1-7.3 Explain the rationale for the concept of varying degrees of DNR

Psychomotor Objectives

- No psychomotor objectives identified

Reading

- AAOS 10e, Chapter 3: pp. 798-105
- Limmer 12e, Chapter 4: pp. 75-91

Supplemental Reading

- Florida Baker Act Overview 2013.pdf
- Mental Health Statutes Quick Reference Quide.pdf
- Maryland DNR.pdf
- frm_DNR_Form_1896.pdf
- HIPAA_Overview.pdf

Websites

- Florida Department of Health DNR (www.floridahealth.gov/public-in-your-life/patient-rights and-safety/do-not-sesuscitate/index.html)
- Florida  Department of Children and Families (www.myflfamilies.com/service-programs/mental-health/crisis-services)
- Florida Statutes 2013 - Chapter 401 Section 445 Emergency Examination and Treatment of Incapacitated Persons (www.flsenate.gov/Laws/Statutes/2013/401.445)