Crisis Intervention

First Aid, Consent to Treatment, and Standard of Care

 

  • Obtaining consent
  • When consent is implied
  • Standard of Care and patient abandonment
  • Good Samaritan Law § 537.037 R.S.Mo.
    1.      Any physician or surgeon, registered professional nurse or licensed practical nurse licensed to practice in this state under the provisions of chapter 334 or 335, or licensed to practice under the equivalent laws of any other state and any person licensed as a mobile emergency medical technician under the provisions of chapter 190, may:
    (1)  In good faith render emergency care or assistance, without compensation, at the scene of an emergency or accident, and shall not be liable for any civil damages for acts or omissions other than damages occasioned by gross negligence or by willful or wanton acts or omissions by such person in rendering such emergency care;
    (2)  In good faith render emergency care or assistance, without compensation, to any minor involved in an accident, or in competitive sports, or other emergency at the scene of an accident, without first obtaining the consent of the parent or guardian of the minor, and shall not be liable for any civil damages other than damages occasioned by gross negligence or by willful or wanton acts or omissions by such person in rendering the emergency care.
    2.      Any other person who has been trained to provide first aid in a standard recognized training program may, without compensation, render emergency care or assistance to the level for which he or she has been trained, at the scene of an emergency or accident, and shall not be liable for civil damages for acts or omissions other than damages occasioned by gross negligence or by willful or wanton acts or omissions by such person in rendering such emergency care.
    3.      Any mental health professional, as defined in section 632.005, or qualified counselor, as defined in section 631.005, or any practicing medical, osteopathic, or chiropractic physician, or certified nurse practitioner, or physicians' assistant may in good faith render suicide prevention interventions at the scene of a threatened suicide and shall not be liable for any civil damages for acts or omissions other than damages occasioned by gross negligence or by willful or wanton acts or omissions by such person in rendering such suicide prevention interventions.
    4.      Any other person may, without compensation, render suicide prevention interventions at the scene of a threatened suicide and shall not be liable for civil damages for acts or omissions other than damages occasioned by gross negligence or by willful or wanton acts or omissions by such person in rendering such suicide prevention interventions.

 

Non-violent crisis intervention

 

  • Situational awareness - head off trouble early
  • What is the root of the problem?
  • Prevent the crisis from escalating
  • Keep your head, even when others do not
  • Avoid injury to yourself and others
  • Defusing the situation and resolving a crisis

Missouri law, self-defense, and prevention of a felony

 

  • Recap of CCW materials
    • [ibib]RsMo 571.030[/ibib]
    • [ibib]RsMo 571.101[/ibib]
    • [ibib]RsMo 571.107[/ibib]
  • Note 571.030 2. (1) exemptions for "...any person summoned by such [peace] officers to assist in making arrests or preserving the peace while actually engaged in assisting such officer;" [bib]RsMo 571.030[/bib]
  • Cooper Color Code for situational awareness
  • Discussion of intervening to prevent a violent felony against someone else (Loughner)
  • Castle Doctrine and where it applies
  • Who is the aggressor? (discuss Travan Martin and Rowe vs United States 164 U.S. 546 (1896))
  • When the response goes too far (Oklahoma pharmacy case)
  • Responsibility to secure a weapon
  • Reflections on the Auxiliary and the Sheriff's Office

Radios In an Emergency

 

  • Use of radios in an emergency (brief; to be expanded in Communications course)
    • In actual emergency: Any method to draw attention and get help

Balancing respect for property and emergency response

 

  • Know your neighbor to avoid conflict
  • Don't get shot by a nervous farmer...
  • When protecting life comes first... ask forgiveness later