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Medical ethics and deontology in the work of an ambulance paramedic


Modern medical deontology includes a set of legal, professional and moral duties and rules of conduct for medical workers in relation to the patient, his relatives and colleagues. Medical ethics and deontology are the accessories of all medicine, all its branches and disciplines, especially clinical ones.
Particularly high demands are placed on medical personnel working in the ambulance system. The issues of deontology are important not only for the patient himself, but also for those around him. The following qualities should be inherent in medical workers: good health, physical and psychological endurance, balanced nervous system; special professional observation; a sense of optimism based on a sufficiently large practical experience and good knowledge of the specialty; the ability to maintain calm, composure and constant readiness to solve new problems at any time of the day;

the ability to quickly and easily come into contact with any patient and his relatives, despite the patient having a serious or incurable disease; the ability to understand the patient, instill in him faith in recovery, dispel his doubts and fears; support him under any circumstances.
The listed features characterizing ambulance workers cannot fully reflect their daily work. Despite the complexity and responsibility placed on the shoulders of ambulance medical workers, they need to clearly and scrupulously observe the rules of medical ethics and deontology.
An important role is played by interpersonal psychological relations in the team. The doctor is the eldest in the team, and his instructions to the team assistant should be executed implicitly and quickly.
The significance of the problem of deontology for emergency medical facilities lies in the unusual situation in which medical care is provided to a sick or injured person. In this case, in addition to the generally accepted principles of medical ethics and deontology, there is a need to implement the principles of deontology in emergency conditions.
The team is eagerly awaited, and the waiting time for the patient or those around him seems like an eternity.
The arrival of the paramedic, his behavior, facial expression, the first words are very important.
Leaving the ambulance, the paramedic must quickly go to the patient, conduct a survey purposefully, without hustle and verbosity. His speech should be calm and unhurried, tone - friendly. It is necessary to find that contact with the patient and relatives, which will help remove the atmosphere of alertness and tragedy. Affectionate words inspire hope and confidence in the patient. However, in a conversation with relatives, it is not worthwhile to give any guarantees for the further condition and treatment of the patient.
Many suddenly injured or ill people fear death. If possible, the medical assistant should dispel this painful feeling. Relief of anxiety, fear of death is achieved not only by medication, but also by psychotherapeutic agents.
'Of particular difficulty is the provision of medical care in public places, on the street. First of all, there should be no fuss, nervousness and jostling. If possible, free up more space. Those who give advice or criticize, it is better not to respond and not to engage in bickering with them. It must be remembered that people who are not used to seeing blood often behave inappropriately - they have to provide medical care along with the victim.
The specifics of the work of ambulance medical personnel is a constant collision with human grief, the tragedy of the situation, the grave condition of the patient and the victim, sudden death. Of great psychological importance is the appearance of the paramedic traveling to the call. It should be emphasized neat, - a sloppy appearance is extremely negatively perceived by the patient and his environment.
The feldsher of the visiting team sees the patient once and for a short time, in which he needs to correctly assess the condition of the patient, establish contact with relatives, not give rise to unreasonable complaints, leave a good impression with others, as sometimes they judge the work of the entire service even on a single occasion ambulance.



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Medical ethics and deontology in the work of an ambulance paramedic

  1. Features of the work of an ambulance paramedic in the outbreak with a large number of victims
    If there is a large number of victims at the scene, the ambulance paramedic should: 1) not immediately begin providing assistance to the victims. The first task is to assess the situation in the outbreak and ensure the transmission of information on "03"; 2) information by walkie-talkie or telephone should contain the exact location, landmarks, access roads; a brief description of the general situation at the scene;
  2. GENERAL PRINCIPLES OF WORK OF MEDICAL NURSES AND AMBULANCE FELLSHERS
    GENERAL PRINCIPLES OF WORK OF MEDICAL NURSES AND NURSERY
  3. INDEPENDENT WORK OF THE NURSEY AT AMBULANCE AND IN THE COMPOSITION OF THE NURSING-DOCTOR
    INDEPENDENT WORK OF NURSEY AT AMBULANCE AND IN COMPOSITION
  4. Organization of emergency medical work
    Ambulance service is one of the most important links in the healthcare system in our country. The volume of medical assistance to the population by medical and paramedical teams is constantly growing. In rural areas, under the Central District Hospital established emergency departments. Calls to the population there are almost everywhere served by paramedic teams. In cities, stations were established, and in large
  5. EMERGENCY SERVICE WORK
    WORK IN THE AMBULANCE SERVICE
  6. Doctors and emergency medical staff
    {foto11} Continuation of the table.
  7. Organization of ambulance
    001. The ambulance service is intended for a) the provision of emergency and emergency medical care to all patients and victims, regardless of their location (including those being treated in a hospital) b) the provision of emergency and emergency medical care to patients and injured in emergency hospitals c) conducting treatment and evacuation measures
  8. Organization of an ambulance service
    Emergency medical care (SMP) is a system for organizing round-the-clock emergency medical care for life-threatening conditions and diseases at the scene and along the way to medical institutions. The main feature of emergency medical care that distinguishes it from other types of medical care is the speed of action. A dangerous state comes suddenly, and his victim,
  9. Structure and organization of activities of the ambulance service
    In Russia, a system has been created and is functioning to provide the population with emergency medical care with a developed infrastructure. The system of emergency medical care facilities is based on the territorial principle of serving the population and the unity of timeliness and continuity of medical measures at the prehospital and hospital stage. There is a direct correlation between the outcome of severe injuries and pathological
  10. The history of the emergence of emergency and emergency medical care
    In case of emergency, requiring immediate medical attention, as well as with sudden exacerbations of chronic diseases, the ambulance is given to patients. The ambulance service represents a state system that covers the whole country and has an extensive network of stations, substations, ambulance hospitals, air ambulance and
  11. EMERGENCY AND EMERGENCY TACTICS
    The standards of tactics for emergency and emergency medical care provide for the primary consideration of indications for the delivery of patients (injured) by ambulance teams to the in-patient departments of hospitals and outpatient clinics. The right tactical decision ensures the delivery of the patient (victim) to the specialized medical institution, determining the optimal amount of emergency medical care
  12. Ambulance Financing
    Since the NSR station is a state or municipal healthcare institution that performs non-commercial functions (free and public access to NSRs), it is a budget organization. SMP is provided at the expense of the budgets of municipalities, with the exception of specialized sanitary-aviation SMP, the financial provision of which is an expense obligation
  13. Principles of emergency care for children
    FEATURES OF TACTICS WHEN PROVIDING EMERGENCY CARE TO CHILDREN The sequence of actions of an ambulance doctor at the prehospital stage is to assess the symptoms of the patient's pathological condition, which are realized in the diagnosis, the appointment and implementation of the diagnosis of emergency medical measures for health reasons, which can be described as primary tactical
  14. Legal and social aspects of ambulance services
    The legal basis for the activities of the NSR service is the Constitution of the Russian Federation, the Fundamentals of the legislation of the Russian Federation on the protection of public health, the Federal law of the Russian Federation “On sanitary and epidemiological welfare of the population”, “The program of state guarantees for the provision of free medical care to Russian citizens”, the Civil Code of the Russian Federation, the Criminal Code of the Russian Federation, Labor Code of the Russian Federation, Code of Administrative Offenses and
  15. General principles for providing assistance to the population by the ambulance team
    General principles of assistance to the population by the ambulance team
  16. Allowance. Ambulance Standards, 2006
    Medical care standards are a list of timely, consistent, minimally sufficient diagnostic and treatment measures used in a typical clinical
  17. Issues of regulation of the activities of ambulance services
    State regulation of relations arising in the field of providing NSR is carried out by the federal executive body and executive authorities of the constituent entities of the Russian Federation, whose competence includes licensing the activities of the media service, state control of the quality of medical care. The organizational and methodological management of the NSR service is carried out by the Ministry
  18. DEPARTMENT OF EMERGENCY MEDICAL AID MGMSU TASKS FOR STATE EXAMINATION
    Dodelia V.Sh. The absence of laboratory and instrumental methods of examination at the prehospital stage of emergency and emergency medical care obliges the doctor to be fluent in the methods of propaedeutics and medical history (there is nothing else). Therefore, we attach great importance to the descriptive part of such tasks, i.e. some tasks are voluminous in content. Task number
  19. General principles for emergency medical care for children
    Features of tactics of emergency medical care for children The primary tactical decision of an SMP doctor at the prehospital stage is to assess the symptoms of the patient’s pathological condition, which is realized in the diagnosis, the appointment and implementation of emergency treatment measures appropriate for the diagnosis according to vital indications. Then the doctor clarifies the diagnosis and
  20. Department of Emergency Medicine MGMSU. Tasks for the GOS exam, 2010
    The absence of laboratory and instrumental methods of examination at the prehospital stage of emergency and emergency medical care obliges the doctor to be fluent in the methods of propaedeutics and medical history (there is nothing else). Therefore, we attach great importance to the descriptive part of such tasks, i.e. some tasks are voluminous
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