Ethics and healthcare reverse Flashcards
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concepts
goals
ideals
behaviors
Values
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produced and instilled in people by
firends
family
culture
environment
education
life experiences
value effectors
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lifelong process
may change as you age
value changes
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“Do no harm”
respect patients rights to make decision
aware and sensitive to ethical dilemmas
Basic ethical concepts
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religious
social
cultural influences
Ethical dilemmas creation
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may have moral objection
respect decision of patient and physician
sonographers beliefs shoul dbe respected as well
Abortion/Selective Termination
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do not try to dissuade, encourage or punish the patient
communicate with supervisor
once accepting responsibility to patient never refuse to carry out procedure
sonographer duties/obligations
abortion and selective termination
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pros and cons
policy established for providing patients with hard copy images
nothing on patient images that was not seen in study
video taping obstetric exam
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mid 1990’s many imaging depts abandoned the practive of giving pictures to patients
patients demanded a return to this practice
enterprising physicians and sonographers created a niche for nondiagnostic fetal imaging
patients returned to trendy ultrasound portrait studios
“Womb with a view”
“Body and Sole”
Nondiagnostic uses of ultrasound
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fetal packages in 2D, 3D, 4D tapes and CD’s complete with music
machines produced higher TI and MI
operators with limited training
SDMS, AIUM issued warnings against this practice
awaiting FDA guidelines or regulations
ethical dilemma, support closure of all or no opposition to these practices
Belly and Sole
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right to privacy
HIPPA
Sonographer, Physician and patient
take history in private
must report a disclosure that would prevent harm to others
Patient Confidentiality
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ethical obligatoin to perform competent complete exam and provide accurate and reliable information
obtained through continuing education and thorough training to ensure level is matintained
registry by AART, ARDMS
Competency
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duty to bring attention to radiologist if an error in the interpretation of study, technique or faulty equipment
suspent of drug/alcohol impairment of coworker
Professional disclosure
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being involved in and worthy of high standards of prefession
integrity, honesty and compassion
aware of patients behaviors, interactions and standards of conduct as well as developing technical knowledge and skill
Professionalism
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unique opportunity due to amout of time spent with patient
patients bring some degree of anxiety to exam
off reassurance and explanation of procedure and reporting process
maintain patients modesty during exam
SDMS code of ethics
patient interactions
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thoroughly explain procedure and what is expected of patient
work with extreme care
questino abnormal instructions
maintain records and documents for later referal
use common sense and judgment and always practice with limits of abilites and teachings
Things to DO
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perform procedures you were not taught
fail to meet established standards for safe patient care
fail to prevent injury to coworkers, other employees or visitors
DO NOT do
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2 forms
Battery
Negligence
Midico-Legal aspects of
Sonography
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patient is injured during exam by assault or inadequate care
failure to stop exam if patient changes their mind
failure to obtain patients informed consent
Battery
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exam performed below the standard of care
Negligence
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way in which a reasonable and prudent physician or sonographer would act in same circumstances
Standard of Care
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`expert witnesses testify as to guidelines such as the AIUM pracice gidelinesfor the performance of antepartum obstetric exams of the ACR national standards
Local hospital, radiology or obstetric policy statements aslo set standard of care
Stan dard of Care
establishment
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physician reporting study is responsible for the accuracy and quality of report even is they have never actually seen the patient
Accurately describe the findings including pertinent negative finsing with a clinical conclusion about presence or absence of abnormality
suggestions about additional procedures
problems in performance of study (obesity or suboptimal patient position)
Physician or Sonographer responsibilites
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not condisered legally hazardous as long as sonographer does not make diagnoses
if working with radiologist not responible for errors in study, providing tge study is performed according to standards set by radiologist
no liable if technique creates images that look like a pathology but is not
Sonographer responsibilities in reporting
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pseudohydronephrosis=result of full bladder
sludge filled GB=result of overgained image
not following up on pathologic finding,
missint pancreatic mass by not trying different scanning techniques such as erect scanning or patient drinking water
missing gall or kidney stones due to failure to use high Freq transducer
although not legally responsible, moral/ethical issue
Examples of misleading findings
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any sonographer performing freelance work
hospital empoloyed generally do not need to purchase as they are covered by employer
Malpractice insurance
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best protectoin is to practice sonography in safe, ethical and competent manner
Legal Jeopardy
