North Carolina ems education Standards: emt curriculum Map



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Medical/Legal and Ethics




  • Summary:Applies fundamental knowledge of EMS System, safety/well-being of the EMT, medical, legal, and ethical issues to the provision of emergency care.



  • TARGET SKILLS:



    • Consent/refusal of care

    • Confidentiality

    • Advanced directives

    • Tort and criminal actions

    • Evidence preservation

    • Statutory responsibilities

    • Mandatory reporting

    • Ethical principles/moral obligations

    • End-of-life issues



    • Key Terminology:



    • Abandonment

    • Advance directive

    • Assault

    • Battery

    • Confidentiality

    • Consent

    • Do not resuscitate (DNR)

    • Duty to act

    • Good Samaritan laws

    • HIPAA

    • In loco parentis

    • Liability

    • Libel

    • Negligence

    • Organ donor

    • Res Ispa Loquitur

    • Safe haven laws

    • Scope of practice

    • Slander

    • Standard of care

    • tort



    • Objectives:

      • DOT Objectives

      • Define the EMT scope of practice.

      • Discuss the importance of Do Not Resuscitate [DNR] (advance directives) and local or state provisions regarding EMS application.

      • Define consent and discuss the methods of obtaining consent.

      • Differentiate between expressed and implied consent.

      • Explain the role of consent of minors in providing care.

      • Discuss the implications for the EMT in patient refusal of transport.

      • Discuss the issues of abandonment, negligence, battery and their implications to the EMT.

      • State the conditions necessary for the EMT to have a duty to act.

      • Explain the importance, necessity, and legality of patient confidentiality.

      • Discuss the considerations of the EMT in issues of organ retrieval.

      • Differentiate the actions that an EMT should take to assist in the preservation of a crime scene.

      • State the conditions that require an EMT to notify local law enforcement officials.

      • Explain the role of EMS and the EMT regarding patients with DNR orders.

      • Explain the rationale for the needs, benefits, and usage of advance directives.

      • Explain the rationale for the concept of varying degrees of DNR.

      • Review the following times pertaining to legal and ethical situations:

      • Consent/refusal of care

      • Confidentiality

      • Advanced directives

      • Tort and criminal actions

      • Evidence preservation

      • Statutory responsibilities

      • Mandatory reporting

      • Ethical principles and moral obligation



    • Activities/Resources:Use of auditory, visual, and kinesthetic aids to facilitate the student learning environment for the topic of instruction.

    • Legal issues as it pertains to treatments and documentation- such as the court room scene

    • Use of advanced directives per your state, to include MOST forms, DNR, and living wills.

    • Law case studies from previous tort claims against EMS providers, such as abandonment, negligence, and assault.



    • Assessments:Scenario based training pertinent to topic of instruction, quiz, and exam.




    • Anatomy and Physiology




    • Summary:Applies fundamental knowledge of the anatomy and function of all human systems to the practice of EMS.



    • Key Terminology:



    • Anatomy

    • Cardiovascular system

    • Digestive system

    • Endocrine system

    • Musculoskeletal system

    • Nervous system

    • Physiology

    • Renal system

    • Reproductive system

    • Respiratory system

    • Skin



    • Objectives:



      • DOT Objectives

      • EMS Education Standards

      • Identify the following topographic terms:

        • Medial

        • Lateral

        • Proximal

        • Distal

        • Superior

        • Inferior

        • Anterior

        • Posterior

        • Midline

        • Right and left

        • Mid-clavicular

        • Bilateral

        • Mid-axillary.

      • Describe the anatomy and function of the following major body systems:

        • Respiratory

        • Circulatory

        • Musculoskeletal

        • Nervous

        • Endocrine.

      • Anatomy and body functions

      • Life support chain

      • Age-related variations for pediatric and geriatric (see special patient populations)





    • Activities/Resources:Use of auditory, visual, and kinesthetic aids to facilitate the student learning environment for the topic of instruction.

    • Use of models or animal specimens for anatomy.

    • Use of computer models and programs for human anatomy.



    • Assessments:Scenario based assessment pertinent to topic of instruction, quiz, and exam.




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