2.1.2 Maintain Confidentiality Flashcards
What is the data protection act 1998
The DPA 1998 regulated the use and protection of personal data, and outlined the responsibilities of a business had to protect that data
What is GDPR
- General data protection act
- created by the EU to protect personal data of its citizens
- new set of rules
8 acts in the 1998 act
• 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
GDPR rights
- Right to be informed
- informed about the collection and use of their personal data.
- Right of access
- access their personal data and supplementary information
- Right of rectification
- have inaccurate personal data rectified, or completed if it is incomplete.
- Right of erasure
- The right of restrict processing
- request the restriction or suppression of their personal data
- The right of data portability
- obtain and reuse their personal data for their own purposes across different services.
- Right to object
- 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
Why keep records for so long
- in case of negligence claims
How to ensure confidentiality in practice
- 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
Consent in optometry practices key points
- 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
Role of the optometrist
- 1st port of call for any eye issues
- examines eyes to assess ocular health
- provides spec Rx
Role of ophthalmologist
- 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
Role of ophthalmologist
- 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
Role of the orthoptist
- assess and manage px with abnormal ocular motility And BV problems
- oversees treatment such as occlusion therapy
Role of a contact ens optician
- qualified to fit and assess contact lens wearers, conducts aftercares, detect and manage contact lens complications
Dispensing optician roles
- fit spectacles
- provide advice on frames and lenses
- take necessary measurements on frame
- can dispense children, visually impaired patients and those with complex Rx
Optical assistant roles
- assist px with spec frame and lens choice throug dispense
- may be trained to do pre tests
What is the MECS scheme (England)
- 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
Glaucoma Referral Refinement (England)
- 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
What is the diabetic eye screening scheme
- diabetic px attend annually for dilated retinal fundus imaging to screen for signs of DR
Lanarkshire shared care scheme
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
NHS Grampian schemes
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
Ayrshire and arran schemes
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
NHS tayside schemes
Second eye cataracts px are discharged back into community
Fife schemes
FICOS
- uveitis treatment
Protocols from Grampian
