Acute medicine and the law.
A violent man with paranoid delusions requires sedation in your ED. What part of the Mental Health Act are you using?
Under a Schedule 1 you can hold someone against their will if you deem them Mentally Ill or Mentally disordered as defined by the Act.
Can police force a person to go to hospital if they think they are mentally ill or mentally disturbed?
The Section 22 allows the police to take the person to a "declared mental health facility".
Which one of these are not allowed to remain in the body for cremation?
The batteries can explode with the intense heat. Silicone implants can leave a sticky mess on the base of the table that needs to be cleaned up.
Which of the following circumstances of death do NOT need to be referred to the coroner?
There are a group of other situations where the patient has to be referred to the coroner. If you are not sure---speak to a colleague/DMS. If still unsure you can, in business hours, contact the duty forensic pathologist on 95639000. No I did not know they existed either.
A patient dies in your ED and you cannot write a death certificate. What best descibes what you should do?
The police may turn up and look to contact the patient's GP and see if they will fill out a death certificate.
The "person responsible" is the person who is legally able to make decisions on your behalf if you cannot communicate them yourself. Which person is on the top of the "hierarchy" of the person responsible.
The hierarchy goes from the top option down to the bottom. Interestingly if you are a relative, say the patient's son, you are trumped by the carer if a decision has to be made. Water is thicker than blood.
With "Advanced care directives" which of the following is TRUE?
For an Advanced care directive to be valid: 1/ You had capacity when you wrote it. 2/ It has clear and specific details about treatments you would accept or refuse.
3/ It applies to the situation you are in at the time.
If it is valid it must be followed.
Can a person insist on being given a specific treatment or procedure?
Neither the patient if they have "capacity" or the "person responsible" if the patient does not have "capacity" can insist on a particular treatment.
Make sure you document well--but no--don't put in an IMS.
Which one of the following is NOT an accepted way in NSW to make an Advanced care directive
Your will is only opened when you die, which is a bit late. The other 3 options are valid. Using the specific NSW Health form is probably the best idea.
The picture is of English GP and serial killer Harold Shipman. How many people was he known to have killed?
He mainly used lethal injections of heroin on elderly women. Hanged himself in prison in 2004.