Evergreen Fire EMT CE Refresher EMS Systems, Safety and Wellness, Medical Legal & Ethical Issues Jan-8-2026
After students complete this chapter presentation and the related course work, they will have an understanding of therapeutic communication; means to communicate effectively with special populations such as children, geriatric patients, and hearing- and visually impaired patients; methods and procedures for effective communication; components of effective written reports, types of written reports, and ways to correct errors found within written reports; documentation of refusal of care; special reporting situations; use of medical terminology; communications systems and equipment; regulations and protocols governing radio communications; and communication with medical control and hospitals.
After students complete this chapter and the related course work, they will understand the importance of recognizing important hazards; coping with physical and mental stress; assisting patients and families with the emotional aspect of injuries, illness, and/or death; taking appropriate preventive actions to ensure personal safety; dealing with patients and coworkers with sensitivity; taking proper precautions when dealing with infectious diseases; and preventing on-the-job injuries.
After students complete this chapter and the related course work, they will understand the ethical responsibilities and medicolegal directives and guidelines pertinent to the EMT. The EMT’s approach to patient care relating to confidentiality, consent to treat, refusal of care, and advance directives is explained. Organ donor systems
Target Audience
Evergreen EMS providers
Learning Objectives
1. Describe the factors and strategies to consider for therapeutic communication with patients. (pp 119–133)
2. Discuss the techniques of effective verbal communication. (pp 122–133)
3. Explain the skills that should be used to communicate with family members, bystanders, people from other agencies, and hospital personnel. (pp 122–133)
4. Discuss special considerations in communicating with older people, children, patients who are hard of hearing, visually impaired patients, and non–English-speaking patients. (pp 127–131)
5. Describe the use of written communications and documentation. (pp 133–146)
6. State the purpose of a patient care report (PCR) and the information required to complete it. (pp 134–143)
7. Explain the legal implications of the PCR. (pp 142–143)
8. Describe how to document refusal of care, including the legal implications. (pp 143–146)
9. Discuss state and/or local special reporting requirements, such as for gunshot wounds, dog bites, and abuse. (p 146
1. Explain the steps that contribute to wellness and resilience and their importance in managing stress. (pp 31–38)
2. Differentiate infectious disease and communicable disease. (p 38)
3. Discuss consent by minors for treatment or transport. (p 88)
4. Describe local EMS system protocols for using forcible restraint. (p 89–90)
5. Describe the use of written communications and documentation. (pp 133–146)
6. State the purpose of a patient care report (PCR) and the information required to complete it. (pp 134–143)
Primary Instructors
Annie Dorchak, Course Coordinator, completed CO EMS edu admin class & EMS Primary Instructor, EMS Capt.
Quatro (Dorrence) Roderick - unknown if completed CO EMS edu admin class, EMS Primary instructor, EMS Capt.
Sarah Provins - EMS Primary instructor, Paramedic/Community Paramedic
Julian Masnicki - EMS Primary instructor, Paramedic
Tony Shepperdson - EMS Primary instructor, Paramedic
EMS Continuing Education approved by the State of Colorado through Common Spirit Prehospital Services Training Center and Group # CO 039 (SAH), #CO 040 (PSF)
Available Credit
- 3.00 Operations

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