Chapter 2 Medical Responsibilities. © 2005 by Thomson Delmar Learning,a part of The Thomson...

Chapter 2Medical Responsibilities

© 2005 by Thomson Delmar Learning,a part of The Thomson Corporation. All Rights Reserved

2

Overview

Roles and Responsibilities Professional Attributes Training Code of Ethics Current Affairs in EMS Continuous Quality Improvement Medical Direction


3

Job Description – The National Highway Traffic Safety

Administration is the governing body that has described career requirements

Roles and Responsibilities


4

Procedural Duties – Clean, well-stocked ambulance– Appropriate training– Continuing education



5


Patient Care Duties– Be prepared for a wide range of situations– Assessment and provision of appropriate

medical care


6


Personal Safety– Your safety is the most important

element of patient care!– You must always be aware of

the surroundings– When in doubt safety first


7


Bystander Safety– It is your responsibility to assure that

the bystanders are not harmed– For the most part, bystanders want

to help– Use law enforcement if need be

for bystander control


8


Crew Safety– It is each crew member’s responsibility

to take care of each other– Keep each other from harm’s way


9

Professional Attributes

Appearance– Neatly kept uniform– Name tag– Shined boots– A smile is a great

form of care


10


Skill Maintenance– When you finish your initial training, you have only

begun your education– You will need to sharpen your craft– A part of ongoing education will be an ongoing

skills testing process


11


Physical Preparedness– You will often be lifting weight in excess

of 200 pounds– There are many physical training programs

that can be tailored to EMS


12


Personality Traits– Kindness– Compassion– Public servant– A willingness to help others


13

Training

Certification and Licensure– Standardized examinations– You can practice only when you receive your state

approved certification


14

Training

Continuing Education – Professional Development– You will be required to

keep your skills updated– Expand your knowledge base


15

Training

Refresher Training – Competency Assurance– A review of the basic elements– Usually every 2 to 3 years – A testing on basic knowledge and skills


16

Stop and Review

List some of the roles of the EMT. List some of the responsibilities of the EMT. What should be included in the EMT’s job

description?


17

Code of Ethics

Respect and hold information in confidence Understand and uphold the law Maintain professional competence Uphold standards of professional

practice and education Responsible for individual

professional actions


18

Code of Ethics

Aware and participate in legislation Keep the dignity of the profession Protect the public Work in harmony with the other allied

health professionals Refuse to participate in unethical

procedures or conduct


19

Stop and Review

Define appropriate treatment of a patient. How can inappropriate care be corrected?


20

Current Affairs in EMS

There are many journals and magazines that can help you keep current, as well as conferences


21

Continuous Quality Improvement

Quality Management Roles– Planning– Execution of the plan– Assessment of quality


22

Quality Improvement– Evaluating cost– Type of care– Research– Methods to improve patient care

Continuous Quality Improvement


23

Medical Direction

Medical Director– Input on treatment– Safety and well-being of EMTs– Treatment protocols (procedure manual)– Training programs – Quality of care – Certification of EMTs


24

Medical Direction

Off-Line Medical Direction– Protocols– Standard of care– Quality review


25

Medical Direction

On-Line Medical Direction– Communication for care– Responsible for care being rendered– Gives you advice and orders


26

Stop and Review

Define quality care in EMS. How can quality in EMS be improved? Define medical direction.

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