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APT Level 4 > Advance Governance and Administration of a Mortuary > Flashcards

Advance Governance and Administration of a Mortuary Flashcards

1
Q

List 5 Legal requirements before the HTA can issue a Temporary Emergency Mortuary Licence

A
  • Received a licence application form
  • Satisfied that proposed DI is a suitable person
    -Satisfied that proposed LH is a suitable person/entity
    -Satisfied that premises are suitable
    -licence and conditions acknowledged by DI and LH
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2
Q

What is a DI? (HTA)

A

Designated Individual

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3
Q

What is an LH (HTA)

A

Licence Holder

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4
Q

List 5 Sectors you would need a HTA licence for?

A
  • Post mortem examinations
  • Storage of Anatomical Specimens
  • Storage of Deceased Patients
  • Research in connection with disorders of the human body
    -Removal licence
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5
Q

What activities are exempt from HTa licensing?

A
  • Tissue removed from the living
  • Tissue/Material stored for diagnosis
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6
Q

List 4 appropriate contingency measures that may be included in busy mortuary periods

A

-Consider a Mutual aid agreement with organisations close by so support can be provided and received in periods of capacity shortages
-Be aware of Key contacts in local resilience forum- keep on contact with them about capacity arrangements
-Hiring of Temporary Units or transferring bodies to funeral directors ( needs to be funded )
-Procedure to promptly follow up on delays in Bodies being released.

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7
Q

List 3 circumstances that leads to variation in death rates

A
  • Winter pressures/ Seasonal variance
  • Mass fatalities
  • Excess deaths due to infectious disease epidemic
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8
Q

List 10 Main issues the HTA provides guidance on for contingency arrangements.

A
  • Fridge and freezer storage
  • Storage of Bariatric Bodies
  • Temperature monitoring
  • Additional Storage Facilites
  • Transfer of Bodies to other premises
  • Funeral directors
  • Continuous use of contingency Storage facilities
  • Mutual aid agreements
  • Resilience Training
  • Flow of Bodies for release
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9
Q

What is the difference between an Epidemic and Pandemic?

A

An epidemic is a group of illnesses of similar nature derived from a common source in excess of normally expected

A Pandemic is a worldwide epidemic.

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10
Q

What is an emerging disease?

A

An emerging disease is one that has appeared in a population for the first time or may have existed before but rapidly increasing in incidence

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11
Q

What is meant by deemed consent?

A

Deemed consent is that if you haven’t registered as an organ donor you will be considered having no objection to becoming a donor

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12
Q

List examples where mortuary security may be breached- non registered access by staff or others

A

-Doors not close/tailgating
-Insuffcient care with close down procedures
-Faulty doors/locking/ closing mechanisms
-Estates staff having master keys
-inappropriate staff having access
-staff accessing for non work purposes

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13
Q

Can a patient ask a representative to act on their behalf during a complaints procedure?

A

Yes-
1. When this patient has died
2. When the patient is a child
3. when the patient does not have capacity
4. When the patient has requested the representative to act

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14
Q

5 sectors covered by the HTA

A

-Anatomy
-Public Display
-Human application
-Research
-Post mortem

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15
Q

What are the 5 levels of complaints?

A
  1. Negligible
  2. Minor
  3. Moderate
  4. Major
  5. Catastrophic
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16
Q

The HTA’s regulatory remit is defined in what act?

A

Human Tissue Act 2004

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17
Q

When should you not activate your business continuity plans?

A

Routine Bank Holidays

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18
Q

Describe what a business continuity plan is

A

A plan to help ensure business processes can continue during a time of emergency/ increased workload and/ or reduction in resources.

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19
Q

Can ‘chiller blankets’ be used during busy periods if suitable refrigerated storage cannot be found?

A

Yes

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20
Q

List 4 contingency measures during busy periods.

A
  1. agreement to use other licenced mortuaries
  2. installing temporary racking for storing bodies
  3. use of chiller blankets
  4. use of local funeral directors to store bodies
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21
Q

What standards are not covered under section 4 (Management requirements) of ISO 15189

A

Pay awards

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22
Q

What standards are covered by section 4 (Management requirements) of ISO 15189

A
  1. Managment responsibilities
  2. document and record control
  3. service agreements
  4. Supplies
  5. Complaints procedures
  6. continual improvement
  7. evaluation and audits
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23
Q

What isn’t covered under section 5 (Techical requirements) for ISO15189?

A

HR policies

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24
Q

What is covered under section 5 (Techical requirements) for ISO15189

A
  1. Personnel (including training)
  2. Accommodation and facilities
  3. Equipment, reagents and consumables
  4. Examination processes
  5. Ensuring quality of examination results
  6. Reporting and release of results.
  7. Laboratory computer systems
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25
Q

Which of the following individuals is the person under whose supervision the HTA licensed activity is authorised to be carried out,

A

Designated individual (DI)

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26
Q

What is not a requirement for an emergency licence for an emergency temporary mortuary?

A

A suitable SLA is in place

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27
Q

What are sevice level agreements?

A

Official contracts that include
- The parties involved
- The purpose of the agreement
- The duration of the agreement
- specification of services provided
- Price and payment
- Monitoring and quality checks
- Confidentiality
- Data Protection
- Conflicts of interest
- Responsibilities of everyone
- Points of contact
- Signatories to the agreement

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28
Q

What is resource management

A

Resource management is the process of using an organisations resources in the most effective, efficient and economical way possible

29
Q

What is relevant material?

A

Material that had come from a human body and consists of or includes human cells

30
Q

What are the types of SLA used by trusts/organisations

A

-corporate level
-service level
-customer/individual level

31
Q

Are people/staff considered a resource to an organisation

A

Yes

32
Q

What factors need to be considered with regards to resource management?

A
  1. People
  2. Materials
  3. Equipment
  4. Knowledge
  5. Time
33
Q

What should you do when dealing with complaints?

A
  1. Treat complaints with respect and courtesy
  2. ensure users are not treated adversely
  3. understand the complaints
  4. ensure everyone has access to the complaints procedure
  5. Co-operate fully on complaints and investigations
  6. Learn from complaints
34
Q

What are the critical functions of a mortuary?

A
  1. deceased storage
  2. post mortem service
  3. viewing and ID of deceased
  4. Transport of deceased
  5. practical bereavement support
35
Q

What should all SOP’s contain

A
  1. Author of SOP
  2. implementation/Review date
  3. unique file name
  4. introduction
  5. procedural steps
  6. staff grades authorised
  7. required equipment
  8. quality control procedures
  9. results/ reporting procedure
  10. health and safety
  11. References
36
Q

What are the 7 Caldicott principles

A
  1. Justify the purpose
  2. Don’t use patient identifiable information unless necessary
  3. Use the minimum necessary identifiable information
  4. Access to patient information should be on a need to know basis
  5. everyone with access to patient information shpuld be aware of their responsibilities
  6. understand and comply with the law
  7. Duty to share information is as important as the duty to protect information.
37
Q

what are the ratings of severity to interruption of services?

A
  1. Minor (part of one service area)
  2. Significant (affects one service area entirely)
  3. Major (affects a number of service areas)
38
Q

What act controls how your personal information is used by organisations, businesses or the goverment?

A

The Data Protection Act 2018

39
Q

why are emergency temporary storage units set up to relieve undertakers, not subject to licensing?

A

because these bodies are not being stored for a scheduled purpose.

40
Q

what does the A stand for in UKAS

A

Accreditation

United Kingdom Accreditation Service
U.K.A.S

41
Q

how long should mortuary traceability records be stored for?

A

30 years.

42
Q

In regard to HTA legislation which individual has the highest qualifying relationship to a deceased person?

A

Spouse

43
Q

what are the 6 data protection principles?

A
  1. used fairly and lawfully
  2. used for specified purposes
  3. used in a way that is adequate, relevant, and limited
  4. accurate and kept up to date
  5. kept for no longer than is necessary
  6. secured appropriately
44
Q

True or false?

Dignity is one of the four guiding principles on which the work of the HTA is founded

A

True- The four guiding principles are Dignity, quality, honesty and openness

45
Q

True of false

Consent is essential to the lawful removal, storage and use of body parts, organs and tissues?

A

True

46
Q

What does Consent mean in terms of the HTA

A
  1. Human tissue/bodies should be used in accordance with the expressed wishes of donors/relatives
  2. donors and relatives should be given info to make a decision right for them
  3. those seeking consent should do so sensitively with an appreciation of the circumstances of each case
47
Q

What is meant by appropriate consent?

A

Consent given by the correct person.

48
Q

What is meant by valid consent?

A

Consent that us given voluntarily and consent that is informed

49
Q

True or false

The person giving consent must have the capacity to agree to the activity in question. The person should understand reasonable or variant options.

A

True

50
Q

A person giving consent must under stand what?

A
  1. what the activity involves
  2. reasonable or variant treatment options
  3. where appropriate, what the material risks are
51
Q

True or false

Can a person giving consent place limits on their consent

A

True- Individuals have the right to give or refuse consent to the use of relevant material for scheduled purposes.

52
Q

Can consent be withdrawn after it is given ?

A

Yes, Consent can be withdrawn at any time

53
Q

Is it necessary to obtain consent for material that was already held for use for a scheduled purpose when the HTA act came into force on 1st September 2006

A

No - Consent requirements are not retrospective

54
Q

Is Consent required for a coroners post-mortemm

A

Yes- however, it is not required from relatives and family members

55
Q

Should data be adequate, relevant, and limited to what’s necessary? This is one of the 6 data protection principles

A

Yes

56
Q

What are the 6 data protection principles?

A
  1. Processed lawfully, fairly and in a transparent manner
  2. collected for specific, explicit and legitimate purposes
  3. adequate, relevant and limited to what’s necessary.
  4. accurate and when necessary kept up to date
  5. kept for no longer than necessary
  6. processed in a manner that ensures appropriate security
57
Q

True or False

Consent given prior to death is believed to extend beyond death

A

True

58
Q

True or False

The HTA was established to regulate the removal, storage, use and disposal of human tissue

A

True

59
Q

What are the 3 core legislations of the Department of Health

A
  1. The human tissue act 2004
  2. The EU tissue and cells directives (EUCTD)
  3. The EU Organ donation directives (EUODD)
60
Q

How does the hta ensure that human tissue is used

A

Safely, ethically, and with proper consent

61
Q

What is the definition of a scheduled purpose?

A

The purpose for which consent is required (examples include removal of tissues or organs and determining cause of death)

62
Q

What is relevant material?

A

Material that us made of, or includes human cells other than gametes

63
Q

After how many years do the consent requirements of the HTA cease to apply?

A

100 years- page 32 of code of practice A

64
Q

What are the 7 codes of practice for the HTA

A
  1. Code A- Guiding principles and fundamental principle or consent
  2. Code B Post-Mortem examination
  3. Code C Anatomical examination
  4. Code D Public Display
  5. Code E Research
  6. Code F Donation of solid organs and tissue for transplantation
  7. Code G Donation of allogeneic bone marrow and peripheral blood stem cells for transplantation
65
Q

What are the four broad standards of the HTA

A
  1. consent
  2. Governance and quality systems
  3. Traceability
  4. Premises, facilities and equipment
66
Q

how many HTARi classifications are there?

A

17

67
Q

How quickly do HTARIs need to be reported

A

Within 5 days of the incident

68
Q

who can notify the HTA of a HTARI

A

the PD or DI

APT Level 4 (3 decks)

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