Admin & Organisation Flashcards
Patient complaint
✓ Acknowledgment of the complaint - within 3/7 days of receiving.
✓ Once a complaint has been investigated the individual will receive a written response.
✓ Complaints to be made < 12/12 of incident/ incident coming to patient’s attention.
✓ However, the time limit can be increased if there is good reason why it could not have been made in the 12 month time frame and a fair investigation is still possible.
✓ Advice regarding complaints is available from the independent NHS Complaints Advocacy Service.
Fitness to fly
Contraindications to flying:
✓ Unstable angina
✓ Uncomplicated Myocardial Infarction within 7 days
✓ Complicated Myocardial Infarction within 4 – 6 weeks
✓ CABG < 10 days
✓ CVA < 3 days
✓ Pneumothorax - 2 weeks after drainage with full lung expansion
✓ Abdominal surgery <10 days, (laparoscopic - 24 hours)
✓ Haemoglobin < 7.5
✓ Most airlines require a fitness to fly certificate if >28 weeks pregnancy, upper limit of flying as 36 weeks, or 32 weeks if multiple pregnancies.
Final responsibility fr decision on FTF is with Airline.
SURROGACY
✓ Although surrogacy is legal in the UK, surrogacy agreements cannot be enforced by law.
✓ A surrogate is classed as the child’s legal parents at birth.
✓ If the surrogate is either married or in a civil partnership, their spouse or civil partner will be recognised as the child’s second legal parent at birth, unless they did not give their permission.
✓ Legal parenthood can only be acquired after birth by adoption or through a parental order.
✓ There are two types of surrogacy. Straight surrogacy where the surrogate provides her own eggs and host surrogacy where the surrogate does not provide her own eggs and IVF is used.
Form Completion for Abortion
✓ HSA1 and HSA2 are paper forms, completed by 2 practitioners certifying their opinion on the grounds for carrying out an abortion under the 1967 Act and are both kept locally.
✓ HSA2 form specifically relates to the grounds for carrying out an emergency abortion.
✓ Both HSA1 and HSA2 forms should be kept locally and do not need to be forwarded to the Chief Medical Officer.
✓ Practitioners must notify the Chief Medical Officer of an abortion using form HSA4. The Department of Health log the information received on these forms in order to monitor compliance with the Abortion Act.
✓ HSA4 forms can be done online or on paper but must be completed and sent to the Chief Medical Officer within 14 days of the date of termination.
Advance Directive
Does not require solicitor/ doctor
About refusing life saving treatment - should be stated, signed and witnessed
Anyone >18 years with mental capacity
Can’t refuse treatment under Mental Health Act
Contact Dermatitis in an Employee
Epoxy resins, latex, rubber chemicals, soaps and cleaners, metalworking fluids, cement, wet work, enzymes and wood can all cause dermatitis. Corrosive and irritating chemicals also lead to dermatitis. Construction work, health service work, rubber making, printing, paint spraying, agriculture, horticulture, electroplating, cleaning, catering, hairdressing and florists are all associated with dermatitis
Dermatitis is reportable to the HSE when associated with work-related exposure to any chemical or biological irritant or sensitising agent.
Arranging patch testing, referral and prescribing are considerations for her own Doctor but not her employer.
If there is good evidence that the condition has been caused solely by such exposure rather than by exposure to an agent at work, it is not reportable.”
Shared Care Agreement - Responsibility
In its guidelines on responsibility for prescribing (circular EL (91) 127) between hospitals and general practitioners, the Department of Health has advised that legal responsibility for prescribing lies with the doctor who signs the prescription
Working time break - Working time regulation
Working Time Regulations determine the maximum weekly working time, patterns of work and holidays, plus daily and weekly rest periods. The regulations apply to both part time or full-time workers.
Under the regulations a worker is entitled to an uninterrupted break of 20 minutes when daily working time is more than six hours.
Principles of biomedical ethics [Beauchamp and Childress]
Four Principles
* 1. Beneficience
* 2. Non maleficience
* 3. Justice
* 4. Repect for Autonomy
Attendance Allowance
- Patient >State Pension age with physical and/or mental disability,
severe enough for them to need help caring for themselves. - Patients who are terminally ill and are reasonably expected to die within six months do not have to have had care needs for six months prior and can claim straightaway.
