Ethical considerations Flashcards
What are the Gphc standards?
- Person centred care
- partnership working
- effective communication
- professional knowledge and skills
- professional judgement
- professional behaviour
- confidentiality and privacy
- speaking up about concerns
- leadership
What does confidentiality include?
(what bases it covers)
- Electronic and hard copy data
- Personal details
- Information about a person’s medication (prescribed and non-prescribed)
- Other information about a person’s medical history, treatment or care that could identify
them - Information that people share that is not strictly medical in nature, but that the person
disclosing it would expect to be kept confidential
What does confidentiality NOT cover?
- Anonymous information
- Pseudonymised information
- Information that is already legitimately in the public domain
When would you disclose confidential information?
- Have the consent of the person under your care
- Have to disclose the information by law
- It is in the public interest
- Or in the vital interests of a person receiving treatment or care, for example
- if a patient needs immediate urgent medical attention
What would you do if a person with capacity refuses to give consent for information
to be shared with others e.g. healthcare professionals?
- Limited care, consequences
- Use pseudonymised information
What are the two types of consent?
Explicit and implied
What is explicit consent?
when a person gives a pharmacy professional specific permission, either spoken or written,
to do something
What is implied consent?
when a person gives their consent indirectly
If a pharmacy professional is not sure whether they have implied consent, they should get
explicit consent.
What conditions must be met for consent to be valid?
- Have the capacity to give consent
- Be acting voluntarily
- Have sufficient, balanced information to allow them to make an informed decision.
- Be capable of using and weighing up the information provided.
- Understand the consequences of not giving consent
What does a person need to be able to do to be classed as capable?
- Understand the information provided
- Remember the information provided
- Use and weigh up the information provided, and
- Communicate their decision to the pharmacy professional (by any means).
When might religious beliefs come into certain treatment scenarios?
- contraception (routine or emergency)
- fertility medicines
- hormonal therapies
- mental health and wellbeing
- substance misuse
- sexual health
What are you going to raise concerns about?
- malpractice
- not following the GPhc guidelines
- NO CONCERNS ABOUT PATIENTS (not your business)
*anybody that comes into contact with the patient
Why is raising concerns important?
- duty of care
- public safety
- protecting people recieving care
Where can you report/ raise concerns?
On and off site, including placements
What type of concerns can you report?
- bullying and harassment
- unprofessional practice
- poor patient care
- breach of patient confidentiality
- lack of professionalism online
- irresponsible or illegal prescribing
- a crime, or a civil offence
- a miscarriage of justice
- a cover up of information about any of the above
What are the 6 step mechanism to raising concerns?
- find out the organisations policy
- report without delay
- report to the immediate supervisor
- report to another suitable person in authority or outside body
- keep a record
- maintain confidentiality
What does PIDA stand for?
Public Interest Disclosure Act (1998)
What to do in a dispensing error?
- establish if the patient took any of the incorrect medicine
- inspect the incorrect medicine
- apologise
- don’t try minimise the seriousness of the incident
- make a supply of the correct medicine ordered on the prescription, if appropriate
- establish their expectations
- provide details on how to make a complaint if requested
- try establish what happened and what went wrong
- follow company procedure
- record, review and learn form mistakes
- notify the pharmacist on duty it was not you
- inform insurance
What happens once a patient takes the wrong medication out the pharmacy?
- it is now their property by law
- they can keep it even if the error is resolved (for court etc)
What is a sexualised behaviour?
‘acts, words or behaviour designed to
arouse or gratify sexual impulses or desires’
