[Kristi Lee]

A nurse comes upon a traffick accident where there are injured unconscious people lying on the highway. The nurse is aware that first aid interventions are sanctioned by:
a. Good Samaritan act
B. Emergency care doctrine.

Thank you in advance for your help.

[My2Giants]

I would say #a. I have never heard of the emergency care doctrine. When I took CPR we talked about the good samaritan act but the emergency care doctrine was never mentioned. I live in North Dakota but maybe it is different in other states. Hopefully others will have some insight about this.

[Kristi Lee]

I should have explained a little more, sorry, in emergencies some patients may not be able to consent to care. In such cases treatment can be provided under
the assumption (called the emergency doctrine) that the patient would have consented if able.

[vm56]

Kristy,
The Good Samaritan act does not sanction anything, it is simply a vague language description of how you should not be sued because you were being nice, tried to help and failed... oops
No liability for emergency aid unless gross negligence ... death of that person caused by the person's act or omission in rendering the medical services or ... the link below will tell you all about it.
http://www.flsenate.gov/statutes/ind...0768/Sec13.HTM

Just remember it all comes down to "if it makes you feel good ... do it"
I mean you are the one who has to live with your decision, right or wrong. I have pushed the envelope several times and would do it again, and yes, they can have my license etc. but I will have a clear conscience.

I can see by the caliber of questions and testing methods that nursing school remains somewhat archaic… and ambivalent.
The answer is A

Good luck

[My2Giants]

Originally Posted by Kristi Lee

I should have explained a little more, sorry, in emergencies some patients may not be able to consent to care. In such cases treatment can be provided under
the assumption (called the emergency doctrine) that the patient would have consented if able.

Oh I understand now. When a patient is unconcious you then can assume implied consent. We did talk about this during our CPR class. Even though it is considered implied consent we still are responsible for our actions. If harm comes to the person due to our negligence then we can be sued. Hope this helps

[My2Giants]

Oh yeah and I believe then the answer would be #b since we assume implied consent on an unconscious person.

[vm56]

Ooooops !!!

The key here is The Good Samaritan act does not sanction anything, therefore the answer is B, my typing error. sorry.

[MereSanity]

Of course if you are driving by an accident and decide not to stop and help and someone recognizes you and says "oh that lady/man is a nurse and they didn't stop to help"...you can get sued for that also. So, I guess you just can't win.

[Dixielee]

I don't know about the emergency care doctrine but I was always under the impression that the good Samaritan act was to cover anyone who acted in a "reasonable and prudent manner" regardless of medical training. I think as long as we acted within those vague parameters we would be OK. No, I do not think we can be sued if we drive by a car wreck and do not stop to render aid. If I was in a position to do so, I would, but sometimes it would be dangerous for you to try to stop. If I did try to render aid and went outside my scope of practice, say trying to intubate someone, or stick a Bic pen in a chest to relieve a tension pneumothorax, I might be in a liability situation. I would do whatever I could if it was a family member, but a stranger???? I would however, support the patient with what I could until EMS arrived.

In CPR classes we have discussed ethics. If you do not have a pocket mask, are you obligated to do mouth to mouth on someone? What if they were bleeding or more likely vomiting? Do you put your life in danger to help another? The general concensus has been, it is up to the individual. You are not obligated to do it.

I don't have any answers, mostly questions, and hope I do not find myself in such a situation.

[ragingmomster]

On another note, you could be in deep doo-doo if you stop to offer help and then hand off care to an EMT. If you take the patient (stop for a roadside assist), you stay with the patient to the ER, and hand over care to someone with a larger education than you. Please no flames, my hubby is an EMT and a great one, but as an RN with 4 years education and 15 years experience I can be held liable if something happens to the patient that I handed over to an EMT with 1 year of school no matter how much experience s/he has.