Paramedic Law and Ethics - Reflective Journal

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Paramedic Law and Ethics - Reflective Journal

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Paramedic law, paramedic, pharmacology, mental health, clinician, mental patient sterilization, hospital environment, Australia, healthcare

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Abstract

Throughout their practice, paramedics will encounter patients who lack the capacity to make informed decisions about their care. In these cases, healthcare professionals must make serious legal and ethical decisions about how to provide treatment. The principle of necessity is a common-law concept that allows medical professionals to provide treatment to patients who cannot make decisions about their care. It states that clinicians can implement any action deemed 'reasonable' to prevent serious injury or death of a patient (Edburn, 2017). This principle is applied to paramedic practice when considering treatment options through ethical decision-making frameworks like PRECARE (Townsend & Luck, 2020).

Consent and Refusal of Treatment
Mental Health Patients
End-of-Life Care
Negligence and Vicarious Liability
Workplace Law
Privacy, Confidentiality & Social Media
Pharmacology
Record Keeping

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[...] https://legislation.nsw.gov.au/view/pdf/asmade/sl-2022-467 NSW Government. (2022b). Medicines, Poisons and Therapeutic Goods Act 2022 No 73. NSW Legislation. https://legislation.nsw.gov.au/view/whole/html/inforce/2022-11-28/act-2022-073 NSW Government. (2023). Privacy and Personal Information Protection Act 1998 No 133. NSW Legislation. https://legislation.nsw.gov.au/view/html/inforce/current/act-1998-133 Paltiel, M. (2023). Recent Amendments to the Australian Privacy Act. JOURNAL of BIOETHICAL INQUIRY, 20(2). https://doi.org/10.1007/s11673-023-10249-4 Paterick, T. E., Patel, N., Tajik, A. J., & Chandrasekaran, K. (2020). Improving Health Outcomes through Patient Education and Partnerships with Patients. Baylor University Medical Center Proceedings, 30(1), 112-113. National Library of Medicine. https://doi.org/10.1080/08998280.2017.11929552 Patterson, S., & Block, P. [...]

[...] For example, paramedics can consult patients and gain consent to pass information to family. This maintains the highest possible standards of discretion whilst promoting culturally safe care environments. VII. Pharmacology Paramedics are called to treat a variety of illnesses and injuries within the community. As part of their role, they are entitled to use controlled substances or drugs that treat symptoms, including pain. These drugs are medications like morphine and fentanyl. Health professionals are entrusted to act responsibly with these medications and to prevent them from being exploited in the community. [...]

[...] Systematic review to determine which validated measurement tools can be used to assess risk of problematic analgesic use in patients with chronic pain. British Journal of Anaesthesia, 119(6), 1092-1109. https://doi.org/10.1093/bja/aex316 Lindsay, D. (2005). "An Exploration of the Conceptual Basis of Privacy and the Implications for the Future of Australian Privacy Law." Austlii.edu.au. https://www8.austlii.edu.au/cgi-bin/viewdoc/au/journals/MULR/2005/4.html MacDonald v. Clinger AD 2d 482 - NY: Appellate Div., 4th Dept. (1982). https://scholar.google.com.au/scholar_case?case=10385253127436907843&q=breach+of+privacy+healthcare&hl=en&as_sdt=2006 Masson v State of Queensland [2018] QSC 162 - BarNet Jade. (2018). Jade.io. https://jade.io/article/596738 Mathews, B. (2021). Duties to report child sexual offences: A new era in Australian criminal law. Canberra Law Review, 54-81. [...]

[...] (2019). Disability, vulnerability and the capacity to consent. Research Involving Participants With Cognitive Disability and Differences: Ethics, Autonomy, Inclusion, and Innovation, 67-76. Queensland University of Technology. (2015). Legal Protection for Providing Pain and Symptom Relief. QUT; Queensland University of Technology. https://end-of-life.qut.edu.au/pain-relief#babyD Queensland University of Technology. (2024). Doctrine of Double Effect. End of Life Law in Australia. https://end-of-life.qut.edu.au/?a=548149 R v. Davidson. (1969). Global Health & Human Rights Database. https://www.globalhealthrights.org/r-v-davidson/ Re F (Mental patient sterilisation) 2 AC 1. (1990). E-Lawresources.co.uk. https://e-lawresources.co.uk/cases/Re-F-Mental-patient-sterilisation.php Sibson, L. [...]

[...] L., Ryan, R. M., Duda, J. L., & Williams, G. C. (2012). Self-Determination theory applied to health contexts. Perspectives on Psychological Science, 7(4), 325-340. https://doi.org/10.1177/1745691612447309 NSW Government. (1998). Children and Young Persons (Care and Protection) Act 1998 No 157. Legislation.nsw.gov.au. https://legislation.nsw.gov.au/view/html/inforce/current/act-1998-157 NSW Government. (2007). Mental Health Act 2007. Legislation.nsw.gov.au. https://legislation.nsw.gov.au/view/whole/html/inforce/current/act-2007-008 NSW Government. (2008). Therapeutic Goods Regulation 2008. NSW Legislation. https://legislation.nsw.gov.au/view/whole/html/inforce/current/sl-2008-0392 NSW Government. (2022a). Health Records and Information Privacy Regulation 2002. [...]

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