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Pre-Reg Visit 1 > 2.1.2 Maintain Confidentiality > Flashcards

2.1.2 Maintain Confidentiality Flashcards

1
Q

What is the data protection act 1998

A

The DPA 1998 regulated the use and protection of personal data, and outlined the responsibilities of a business had to protect that data

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2
Q

What is GDPR

A
  • General data protection act
  • created by the EU to protect personal data of its citizens
  • new set of rules
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3
Q

8 acts in the 1998 act

A

• Principle 1 – Fair and Lawful
• Principle 2 – Purposes
• Principle 3 – Adequacy
• Principle 4 – Accuracy
• Principle 5 – Retention
• Principle 6 – Rights
• Principle 7 – Security
• Principle 8 – International transfers

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4
Q

GDPR rights

A
  1. Right to be informed
    • informed about the collection and use of their personal data.
  2. Right of access
    • access their personal data and supplementary information
  3. Right of rectification
    • have inaccurate personal data rectified, or completed if it is incomplete.
  4. Right of erasure
  5. The right of restrict processing
    • request the restriction or suppression of their personal data
  6. The right of data portability
    • obtain and reuse their personal data for their own purposes across different services.
  7. Right to object
  8. Rights in relation to automated decision making and profiling – Individuals have the right not to be subject to a decision based solely on automated processing
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5
Q

Why keep records for so long

A
  • in case of negligence claims
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6
Q

How to ensure confidentiality in practice

A
  • all computers password protected
  • every member of staff has unique surname and password
  • computer screens with personal data to contain privacy filter
  • all staff members undertake confidentiality training
  • documents with personal data shredded after use
  • verification of personal data is lead by px
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7
Q

Consent in optometry practices key points

A
  • px has right to be involved in decisions regarding their care
  • consent must be obtained from px that have capacity
  • making decisions about treatment for patients that lack capacity is governed by the adults with incapacity act 2000
  • involve children and young people in discussions about their treatment
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8
Q

Role of the optometrist

A
  • 1st port of call for any eye issues
  • examines eyes to assess ocular health
  • provides spec Rx
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9
Q

Role of ophthalmologist

A
  • doctors who specialise in conditions of the eye
  • qualifies to assess eyes and sight, conduct ophthalmic procedures perform surgery, provide specs and specialist contact lens care
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10
Q

Role of ophthalmologist

A
  • doctors who specialise in conditions of the eye
  • qualifies to assess eyes and sight, conduct ophthalmic procedures perform surgery, provide specs and specialist contact lens care
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11
Q

Role of the orthoptist

A
  • assess and manage px with abnormal ocular motility And BV problems
  • oversees treatment such as occlusion therapy
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12
Q

Role of a contact ens optician

A
  • qualified to fit and assess contact lens wearers, conducts aftercares, detect and manage contact lens complications
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13
Q

Dispensing optician roles

A
  • fit spectacles
  • provide advice on frames and lenses
  • take necessary measurements on frame
  • can dispense children, visually impaired patients and those with complex Rx
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14
Q

Optical assistant roles

A
  • assist px with spec frame and lens choice throug dispense
  • may be trained to do pre tests
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15
Q

What is the MECS scheme (England)

A
  • minor eye casualties service
  • Involves the assessment and treatment of a number of eye conditions in the community under the NHS
  • px can be referred to a MECS optom via their GP

Symptoms requiring attention under MECS
- red, sticky or watery eyes
- pain or discomfort in/around the eyes
- recent onset or sudden increase of flashes/floater

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16
Q

Glaucoma Referral Refinement (England)

A
  • px with signs of glaucoma, in addition to px who are considered stable or low risk by their ophthalmologist and need to attend periodically for review

Glaucoma assessment
- Goldmann
- visual fields
- optic disc assessment
- slit lamp anterior exam
- pachymetry
- Oct
- gonioscopy
- visual acuity

17
Q

What is the diabetic eye screening scheme

A
  • diabetic px attend annually for dilated retinal fundus imaging to screen for signs of DR
18
Q

Lanarkshire shared care scheme

A

LENS scheme
- specific eye condition
- if certain of a diagnosis then certain treatment roadmaps can be followed

Attempted to reduce the demand for ophthalmology eye casualty clinic
• the scheme invokes patients receiving treatment for a number of conditions and follow up appointments with their community optometrist
• means patients can be seen in the community rather than being referred into secondary care

19
Q

NHS Grampian schemes

A

Optoms can treat
- HSK
- Ant uveitis
- marginal keratitis
- corneal foreign body

Have to undertake strict training protocols

hospital contact lenses
- Community optoms provide all complex, therapeutic and cosmetic lenses

Glaucoma tertiary care
• accredited glaucoma optoms
• Reduces no of unnecessary referrals
• Initiate tx earlier
• glaucoma consultants vets new referrals to see which ones should be seen by the AGOs
• AGOs treat and manage px with glaucoma
• They refer px at higher risk of usual impairment to HES
• Open line of communication between AGOs and consultant

20
Q

Ayrshire and arran schemes

A

5 optometry services

Post cataract assessment
• uncomplicated surgeries seen after 4 weeks post op by local optom
• Appointment is arranged after being discharged from the hospital
• Helps to upskill optoms

Low vision Service
• optometry practices provide low vision assessments and aids funded by the NHS board

Hospital CL service
• all complex, therapeutic and cosmetic contact lenses are all fitted in the community

Bridge to vision
• optoms provide support for px with learning difficulties to access regular eye care
• 18 practices

Diabetic retinopathy screening service
• optoms undergo training to provide diabetic retinopathy screening in the community

Eye care Ayrshire
• optoms are first port of call for all eye conditions

Stroke referral scheme?
Iritis scheme

21
Q

NHS tayside schemes

A

Second eye cataracts px are discharged back into community

22
Q

Fife schemes

A

FICOS
- uveitis treatment
Protocols from Grampian

Pre-Reg Visit 1 (9 decks)

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