Ethical and legal aspects; Patient care Flashcards
Key words for patient care
-Pediatrics
-Trauma
-Geriatrics
Patient care tips
-common sense
-know protocols and standards
Consent
-Written
-oral
-implied
For an invasive procedure
-written/signed consent form
-Physicians responsibility to give patient all information to make informed consent
-They need to go over all the risks prior to the procedure and they have to sign off on it
Non Invasive
-When we take x-rays
-Oral consent
-When the patient follows your instructions during and x-ray that indicated implied consent
Confidentiality
HIPAA
Health insurance portability accountability act
Privacy
receive privacy practices, restrict the use of personal health information (PHI)
extent of care
Consent or refuse treatment
-DNR(Do not resuscitate)
-DNI (do not intubate)
Autonomy means
the right to refuse medical treatment
-you decide what happens to you
-peds: your parents decide
Access to information for a pt.
You have the right to review your medical records
Documents expressing patient wishes when the time comes…
-Living will
-health care proxy
-advanced directives
Research participation
The patient has the right to decline or except the research participation
Living will
written statement detailing a person’s desires regarding their medical treatment in circumstances in which they are no longer able to express informed consent, especially an advance directive.
Health care proxy
A health care proxy (also called a health care agent or Power of Attorney for Health Care) is the person you choose to make health care decisions for you if you’re too sick to make them for yourself .
American hospital Association(AHA) Patient care partnership (Patient’s Bill of rights)
-How you would be expected to be treated during your hospital stays
-high quality hospital care
-A clean and safe environment
-Involvement in your care
-Protection of your privacy
-Help when leaving the hospital
-help with billing claims
Orders must be written by…
MD or his/her agent
-Ordering MD responsible for ordering the CORRECT EXAM
-Results go to that MD who ordered it!
Required Requisition information… hint theres 5
- The patient to be examined
- The exact region or part to be radiographed
3.The suspected or existing diagnosis - The ordering physician
- Date of the requisition
Verification and Patient Identification
-Correct patient (2 identifiers)
-Correct body part
-Correct side
Assault
Threat
-words and tone
(A before B)
Battery
Touching
-x ray the wrong patient or the wrong body part
Invasion of privacy
HIPAA
Confidentiality
False imprisonment
Patient not allowed to leave
Restraints vs. Immobilization
Immobilization- used in x ray to reduce motion (sponge or tape). Used temporarily
Restraints- requires and MD orders, restricts patients freedom
Negligence
failing to provide reasonable care and caution
-you forget to put the bed rails up or forget to lock the wheel chair and then the patient falls
Tort
Act causing injury (unintentional or intentional)
Libel
written defamation