MHA
What are the three possible scenarios to determine capacity under MHA?
Capable patient accepting treatment
Capable patient refusing treatment
Incapable patient treated and transported
Launching of a complaint, a civil wrong against by one person on another
What is a tort
What does PHIPA stand for?
Personal
Health
Infowmation
Pwotection
Act
What constitutes a child in need of protection? Name at least 5
Risk or have suffered:
Physical, Sexual, Emotional harm
Requires medical treatment
Parent dos not consent/obtained it
Been abandoned
Less than 12 and has killed or injured another person
Lack of supervision - result in someone else's harm
Molested
Suffer emotional neglect
Suffer emotional harm - parent does not consent to treatment
What is VIRCA mnemonic
Voluntary
Informed
Relevant
Capacity
Advice
What are the three criteria to fall under the MHA?
Has/is threatening to cause bodily harm to themselves
Has/is behaving violently to another person
Has/is showing lack of competence to care for themselves
Define misfeasance, malfeasance and nonfeasance
Injurious/mistake
Unlawful act
No duty performed
What does PHIPA protect?
Collection, use, and disclosure of patients personal health information and records, thus insuring confidential i ty.
Pattern of behaviour with parent/guardian
Appearance/physical signs
Childs behaviour
Under which act do you have the right to, while capable, express wishes with respect to treatment?
Healthcare Consent Act.
Which form, (the one EMS mostly uses), is governed by police power and is not valid until a physician signs it?
Form 1
What is the difference between assault and battery?
Fear of unwanted physical contact
No consent to touch and is physically touched
Is discussing confidential patient information with the doctor you are transferring care to, in a public area, succ as in the waiting room, a breach of confidentiality?
yes, because it is in a public area where others could hear.
yes gawd maam
Child and family service act
The consent must relate to treatment.
Must be informed.
Must be given voluntarily.
Must not be obtained through misinterpretation or fraud.
Under which form do you have to bring information to the justice of the peace? Usually used by family and friends
Form 2
incontinence
what is: Peepee, Poopoo
True or False:
PHIPA is the act used in all of Canada.
FALSE
Ontario's health specific confidentiality act.
Paramedics are required to report:
Child abuse
Sexual abuse
Gunshots or stab wounds
Animal bites
Communicable diseases
Elder abuse and spousal abuse
Traffic accidents causing death
List some indicators of lack of capacity (work together)(minimum of 3)
Evidence of confused/delusional thinking.
Inability to make settled choice.
Severe pain, fear, anxiety, depression.
Impair by alcohol/drugs.
Any other observations that give rise to concern abt patients behaviour.
Under which form is a police officer involved for the return of a patient to a psychiatric facility?
Form 9
What is a DNR
Do Not Resuscitate order
Approximately how much money could an individual person be fined for breaching PHIPA?
50 000$
(Fun fact: corporations 250 000$)
As a paramedic, are you required to report directly? Who do you report to? Are there consequences to not reporting?
Yes you must report directly to child and family services
There can never be consequences to reporting but there are consequences of failure to report
List consent responsibilities:
Involve patient in decision making.
Be truthful&accurate with information.
Discuss optionz&outcumz.
Stay within the law.
Be mindful of position of power to influence.
Respect other decisions despite your own belief.