there are 11 conduct standards that paramedics should follow? t/f
true
there are 8 misconduct standards that a paramedic should abide by (t/f)
true
paramedic should……
- conserve life alleviate pain & suffering, and promote health
- Maintain and protect pt’s dignity, safety, and privacy
- Adequate care for its need w/ respect to human dignity
- Empathy & compassion
- Provide pt care until it is no longer needed or care has been taken over by higher healthcare professional
- Discharge duties w honesty, diligence, efficiency, an integrity
- carries oneself so as to encourage the merit and respect of the public for the paramedic profession
8.Establish good working relationships with colleagues and other professionals in public - Responsible for personal and professional development, including quality assurance initiatives(ex: reporting pt safety incidents)
- Familiar with legislation & practice, for to the greatest extents of their competence
- Report incompetent, illegal, or unethical conduct by colleagues and other professionals to the ambulance service operator &/ base hospital
Paramedic should NOT do….. (8)
- practice above your certification
- refuse/neglect to serve pt requiring care while on duty
- Falsify docs
- Misrepresent qualifications
- threaten/use violence
- take/possess drugs from ambulance service w/o authorization
- Disclose confidential info to someone unless required under law ( ex: pt id)
- Inappropriate sexual contact w pt/ engage in any contact unbecoming of a paramedic
according to the pt transfer standard we should…
1.determine CTAS level (departure)
2. decide appropriate healthcare facility & start transport ( confirmed by communications officer)
3. non confirmed ( transport to the closest most appropriate hospital)
4. transport all relevant pt meds, records, and any other id to the receiving facility
5. inter-facility transfers ( transfer packet)
(includes:Name of sending physician * Verbal and/or written treatment orders from the sending physician * Transfer paper, e.g. case summary, lab work, x-rays, list of personal effects accompanying the patient, etc. * Name(s) of facility staff and list of equipment accompanying the patient * Name of receiving facility and receiving physician)
6. all ctas 1/2–> transfer on stretcher ( appropriate ifts)
7. CTAS 3-5 use appropriate lifts/techniques
8. interfacility transfers –> use stretcher
9. secure all equipment
11. attend pt at all times
12. help escorts in/out ambo
13. if pt deteriorates and is not going to survuve switch route to nearest facility(notify cacc immediately for new facility)
14. maintain temp/lighting conditions favourable for the pt unless stated in the standards.
pt refusal/emergency Tx standards….
when the pt meets the capacity to refuse…..
1. when pt needs care and they/sdm refuses
a) inform pt/sdm that TX/transport is recommended & explain the possible consequences of refusal
b) confirm that the pt/sdm meet the capacity (ACR)
c) advise them to call 911 again if they’re are further concerns
d) get signatures & complete additional doc requirements on the acr
*if they refuse signatures ( doc on acr)
emergency Tx/Transport of incapable pt w/o consent….
paramedic should continue emergency care if the the pt is….
a) does not meet capacity
b) pt is experiencing severe suffering/risk if the tx is not done immediately
c) the deay of getting signatures/refusal puts the pt at risk of serious bodily harm
*doc everything
emergency tx/transport of capable pt w/o consent
paramedic shall transport if….
a) pt is experiencing severe suffering at risk if the tx is not given ASAP and they will sustains serious bodily harm
b) the communication needed for the pt to give/refuse consent can’t happen due to language barrier/disability which prevents communication( no available interpreter)
c) steps reasonable in the circumstances
