References

2 All ER 118. Bolam v Friern Hospital Management Committee. 1957;

Buka PLondon: Hodder Arnold; 2008

London: The Stationery Office;

AC 562. Donoghue v Stevenson. 1932;

2 All ER 545. F v West Berkshire Health Authority (Mental Health Act Commission intervening). 1989;

London: HCPC; 2012

London: HCPC; 2014

Herring J, 5th edn. London: Palgrave Macmillan; 2007

Herring J, 4th edn. Oxford: Oxford University Press; 2012

London: The Stationery Office;

1999. http//etheses.dur.ac.uk/4597/1/4597_2061.PDF (accessed 31 January 2015)

Mason J, Laurie GOxford: Oxford University Press; 2013

London: The Stationery Office;

London: The Stationery Office;

1 WLR 290. Re: C (Adult: Refusal of Treatment). 1994;

2 AC 1. Re: F (Mental Patient: Sterilisation). 1990;

4 All ER 671. Re: S (Adult: Refusal of Medical Treatment). 1992;

4 All ER 649. Re: T (Adult: Refusal of Treatment). 1992;

Legal and professional boundaries: a case study

02 February 2016
Volume 8 · Issue 2

Abstract

There are multiple legal issues which dominate the work of paramedics and healthcare professionals alike. For those professionally registered, such as paramedics, there is an added obligation of professional boundaries.

This article will examine possible legal and issues within a hypothetical case study and discuss the possible conflicts associated with these issues. The article considers a range of legal and professional aspects which may crop up in the pre-hospital care environment including capacity to consent, informed consent, acting in the best interests of a patient, rights of a foetus, infant preservation, duty of care and negligence. Within pre-hospital care there is a necessity to make rapid decisions based upon these laws, and therefore it is important that all practitioners consider these.

In order to be a successful practitioner, one must be able to consider and adhere to both legal and ethical boundaries within their practice. It is important to consider these obligations, as Herring (2007) identifies that we must adhere to legal perspectives, as the primary function of English law is to protect society from harm and wrongdoing. Mason and Laurie (2013) support this by suggesting that when practising in a medical field, law and ethics must dominate practice, to ensure the healthcare professional acts in an appropriate way towards their patients.

This article will examine possible legal and issues within a hypothetical case study, and discuss the possible conflicts associated with these issues. The article is written from a first-hand perspective of a ‘first on scene’ paramedic attending a patient called Laura. Relevant supporting literature is used throughout.

Laura is 29 years old and has schizophrenia. She is also 30 weeks pregnant. Her partner (Simon) has called 999—she has not been taking her medication for several days as she wrongly believed it might cause harm to the baby. Since Laura stopped taking the medication, she has become increasingly irrational and aggressive towards her family, and as a result they contacted the ambulance service. Laura has pre-eclampsia and has been advised by a specialist that she will need to have a C-section in order to protect both her own health and that of the foetus. When the paramedic arrives, Simon is very concerned, as it appears that Laura might be in premature labour but is refusing to go to hospital or to allow him to call for anyone other than the paramedic. Laura lives with her partner Simon, and until the time of incident had been looking forward to the delivery of her unborn child.

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