Ethics and Medicolegal Frameworks in Emergency Medicine

#notstarted

PR 2.1.1

Principles of valid informed consent, presumed consent, and capacity to make informed decisions.

PR 2.1.2

National codes of ethics.

PR 2.1.3

Obligations and principles of legal documents of national significance to emergency medicine, such as Te Tiriti O Waitangi,

PR 2.1.4

Adhere to applicable ethical and medico-legal frameworks in emergency medicine practice.

PR 2.1.5

Obtain informed consent from patients for simple interventions.

PR 2.1.6

Identify patients with limited or no capacity to make informed decision about their medical treatment.

PR 2.1.7

Complete mandatory reporting requirements in simple situations.

PR 2.1.8

Write medico-legal reports on patients, with assistance.

PR 2.1.9

Seek advice from senior medical staff to resolve ethical dilemmas.

PR 2.1.10

Demonstrate understanding of the purpose and format of a police or coronial report.

PR 2.1.11

Present evidence in court after pre-review by senior clinicians.

PR 2.1.12

Identify mandatory reporting requirements for emergency medicine.

PR 2.1.13

Provide equitable, non-discriminatory and compassionate care to all patients.

PR 2.1.14

Apply principles of patient confidentiality to practice and documentation.

PR 2.2.1(a)

Application of medico-legal frameworks to: Duty of care

PR 2.2.1(b)

Application of medico-legal frameworks to: Competency

PR 2.2.1(c)

Application of medico-legal frameworks to: Mental health

PR 2.2.1(d)

Application of medico-legal frameworks to: Child protection

PR 2.2.1(e)

Application of medico-legal frameworks to: Notifiable diseases

PR 2.2.1(f)

Application of medico-legal frameworks to: Occupational health and safety

PR 2.2.2(a)

Ethical principles in emergency medicine practice, including: Autonomy

PR 2.2.2(b)

Ethical principles in emergency medicine practice, including: Beneficence

PR 2.2.2(c)

Ethical principles in emergency medicine practice, including: Non-Maleficence

PR 2.2.2(d)

Ethical principles in emergency medicine practice, including: Distributive Justice

PR 2.2.2(e)

Ethical principles in emergency medicine practice, including: Futility

PR 2.2.2(f)

Ethical principles in emergency medicine practice, including: Dignity

PR 2.2.2(g)

Ethical principles in emergency medicine practice, including: Honesty

PR 2.2.3

Obtain informed consent from patients for complex interventions.

PR 2.2.4

Recognise situations in which the use of presumed consent is appropriate.

PR 2.2.5

Write a medico-legal report autonomously and submit it for review.

PR 2.2.6

Complete accurate police statements.

PR 2.2.7

Identify situations in which principles of confidentiality may differ across cultural groups.

PR 2.2.8

Recognise situations that put patient confidentiality at risk and act to prevent loss of confidentiality.

PR 2.3.1

Medico-legal Acts that govern clinical emergency medicine practice.

PR 2.3.2

Application of medico-legal frameworks to life-threatening situations and death, guardianship and medical power of attorney, and consent to treatment.

PR 2.3.3

Processes for the collection and maintenance of forensic evidence.

PR 2.3.4

Obtain informed consent from patients for life-saving procedures in critical situations.

PR 2.3.5

Recognise situations in which the provision of treatment without the informed consent of the patient, next of kin, person responsible or legal guardian is appropriate.

PR 2.3.6

Create an accurate notification report to the coroner.

PR 2.3.7

Identify conflicts of interest in emergency medicine practice.

PR 2.3.8

Recognise and act upon complex ethical dilemmas arising at work.

PR 2.3.9

Recognise situations when it is necessary to breach patient confidentiality and act accordingly.

PR 2.3.10

Recognise situations in which the complexities of patient-centred care may require external ethical or legal opinion.

PR 2.4.1

Legal and ethical obligations of clinicians when caring for a patient without the capacity to make informed decisions.

PR 2.4.2

Application of medico-legal frameworks to natural justice and procedural fairness in relation to patient complaints and clinical supervision.

PR 2.4.3

Processes for coronial and government reviews, in cases of individual patients and in the event of a disaster or mass casualty incident.

PR 2.4.4

Ethical and legal principles of sharing clinical information with colleagues.

PR 2.4.5

Obtain informed consent from patients for complex and high-risk interventions.

PR 2.4.6

Provide care for patients without the capacity to make informed decisions.

PR 2.4.7

Identify and communicate with the correct person for decision making when caring for a patient without the capacity to make informed decisions.

PR 2.4.8

Critique examples of medico-legal reports and revise as needed.

PR 2.4.9

Present a summary of recommendations from medico-legal reports to a forum of peers to identify potential improvements in service delivery.

PR 2.4.10

Complete mandatory reporting requirements in any circumstances.

PR 2.4.11

Appropriately manage conflicts of interest in emergency medicine practice.

PR 2.4.12

Balance ethics, culture, patient autonomy and clinical needs to create optimal patient care.

PR 2.4.13

Communicate with team members to clarify and move forward from complex ethical dilemmas arising from conflicting professionalism and clinical judgements.

PR 2.4.14

Apply strategies to address risk factors in patient confidentiality.

PR 2.4.15

Justify resolution of conflicts between legal and ethical care, evidence-based medicine and presumed best practice in delivering patient care.