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Cdn Health Care > final review > Flashcards

final review Flashcards

1
Q

British North American Act

A

1867, created the federation union of canada joined by legislation

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2
Q

constitution act

A

1982, charter of rights and freedoms became part of the constitution, allowed canada to amend their own constitution without approval from britain

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3
Q

population density and geographical challenges

A

in some areas, population is very romote making providing accessible health care difficult

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4
Q

charter of rights and freedoms

A

highest law in Canada outlining legislative, judicial and executive structures

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5
Q

liberal democracy

A

democratic system in which rights and freedoms are officially recognized and political power is limited by the rules of law

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6
Q

federal responsibilities

A

tax, post, commerce, military, criminal law, aboriginal people, (funding and enacting CHA)

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7
Q

Provincial responsibilities

A

education, hospitals, prisons, (implementing CHA)

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8
Q

aboriginal governance

A

assembly of first nations, advocacy body representing all chiefs in canada

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9
Q

Indian Act

A

1876, gave authority to federal gov over aboriginal affairs, residential schools, limit spiritual or religious ceremony, who was “indian”

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10
Q

truth and reconciliation

A

a committee dedicated to educating everyone in canada about residential schools, component of the residential school settlement

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11
Q

Canada Health Act (1984)

A

sets out the conditions and criteria of provincial and territorial health insurance plan

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12
Q

CHA criteria

A 
public administration
comprehensive coverage
universality
portability
accessibility
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13
Q

public administration

A

must be admitted by a member of the public health system–non profit

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14
Q

comprehensive coverage

A

health plan must include all medically necessary services

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15
Q

universality

A

all eligible citizens must be covered for the medically necessary services

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16
Q

portability

A

care across canada

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17
Q

accessibility

A

everyone in canada has equal access, reasonable access without paying

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18
Q

federal health care responsibilities

A

they fund CHA, and ensure that all provinces follow the CHA, leadership and advice, interact with the WHO

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19
Q

Provincial Health Care responsibilities

A

they implement the plan how they have interpreted it

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20
Q

Health Canada

A

the federal department of health, headed by health minister, health promotion and disease prevention ensures all provinces are abiding, provides services to military, rcmp, aboriginal, remote communities, refugees

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21
Q

Health Canada branches

A

audit and accountability, chief financial officer, communication and public affair, corporate services, department secretariat, first nations and inuit, healthy environment and consumer, healthy products and food, legal services, pest management regulatory, regions and programs, strategic policy, opioid research, cannabis legalization and regulation

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22
Q

agencies of health canada

A

public health agency of canada, canada institute for research, Canada Institute for Information, patented medicine review board

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23
Q

first nation and Inuit health Branch

A

indigenous services

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24
Q

jordans principal

A

all aboriginal children will receive care and will be paid by the province in which they are being treated and once care is provided then financial matters will be discussed

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25
Q

health environments and consumer safety branch

A

help canadians maintain their health by promoting healthy and safe living, recreational and working environments

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26
Q

Health products and food branch

A

mandate is to manage the health-related risks and benefits of health products and food

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27
Q

opioid research branch

A

help canadians by doing research on ways to eliminate the death and harm caused by opioids

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28
Q

cannabis legalization and regulation

A

determine regulations and laws regarding cannabis

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29
Q

Canada Institute for Health Research

A

provide research for a wide range of subjects to the gov of canada

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30
Q

Canadian Institute for Health Information

A

works closely with the CIHR, provides essential information on the health system and the health of canadians

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31
Q

public health agency of canada

A

works to create new initiatives to promote wellness and prevent disease within the community

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32
Q

Regional health authority

A

health care facilities based in a defined geographical region, helps meet needs of the community (vs centralized)

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33
Q

regional health goals

A

amalgamate services, health promotion and disease prevention, involve public, implement appropriate and effective governance

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34
Q

categories of health

A

primary, secondary, tertiary, quaternary

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35
Q

primary care

A

services provided by family doctor or in hospital, public access

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36
Q

secondary care

A

requires referral from family doctor

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37
Q

tertiary

A

highly specialized, requires referral from specialist

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38
Q

quaternary

A

very highly specialized, not widely available

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39
Q

covered services

A

medically necessary

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40
Q

health card

A

applicant is assigned a number, must present card when accessing care, if not valid, providers may take it away, wait period may not exceed 3 months

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41
Q

conventional medicine

A

western, more modern medicine, science/ evidence based

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42
Q

complimentary medicine

A

alternative medicine, not generally offered in hospitals

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43
Q

regulation os health care professionals

A

legislation, self-governing professional body, title protection, protect public (educational standards, entry to practice exam, competencies)

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44
Q

NB nurses act- complaints

A

determine complaint legitimacy, report to employer, determine complaint action-dismissal, investigation, disciplinary action

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45
Q

NB Nurses Act- educational standards

A

4 year bachelor program, NCLEX, includes theory and practical, competency based programs

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46
Q

NB Nurses act- licensing

A

RN, nanb in conjunction with educational institutions, almost all require annual renewal

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47
Q

Controlled acts

A

procedures that must be preformed by a qualified practitioner, identified in regulated health professions act,

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48
Q

delegated act

A

regulated health professional transfers legal authority for an unqualified person to preform the task, guidelines vary, delegator carries responsibility

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49
Q

non regulated health care workers

A

no legislation or regulatory body, employer policies defines requirements, may have professional organization, no specific standards

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50
Q

Physicians

A

undergrad, MCAT, med school, residency, specialist

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51
Q

rn

A

registered nurse, 4 yrs

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52
Q

lpn

A

licensed practical nurse, 2 yrs

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53
Q

advanced practice nurses

A

nurse practitioner (NP, masters, can prescribe), clinical nurse specialist (no title, doctoral or another degree)

54
Q

constitutional law

A

charter of rights and freedoms

55
Q

statutory law

A

passed in parliment or provincial legislature

56
Q

regulatory law

A

subordinate legislation, not passed in parliment but through a delegated group or department (the acts)

57
Q

common law

A

canda minus quebec relies mainly on previous cases and past judgements, interpretation of written laws

58
Q

civil law

A

quebec, relies mainly on written law and how judges read/ judged based on them

59
Q

public law

A

matters between individuals and society, (criminal, constitutional, human rights, administrative)

60
Q

Private law

A

matters between individuals and/or legal entities (tort, family, contract)

61
Q

tort

A

harm to property or person that caused damage. (unintentional– negligence, human error, misjudgement or intentional)

62
Q

negligence

A

when HCP unintentionally fail to meet standards of care required by the profession, when duty of care owed to a patient is not met

63
Q

duty of care

A

standard of care that must be provided to a patient through standards and facility policies

64
Q

criminal law

A

criminal code of canada, enforced federally, crimes against property or people and those deemed intolerable by society

65
Q

government jurisdiction

A

authority over a certain designated geographic or legislative area, right to draft, enact and pass laws within their area

66
Q

federal govt

A

criminal law, certain components of CHA, can establish penalties or prohibitions, authority to over rule provincial law in emergency

67
Q

CCOHS

A

Canadian Centred for Occupational Health and Safety (one every province and one federal)

68
Q

OHS

A

right to be aware of potential safety risk and health hazards
right to participate in activities that are aimed at preventing occupational accidents and diseases
the right to refuse unsafe work without fear of unemployment

69
Q

Workers Compensation Board

A

provide support for injured or ill employees

70
Q

WHMIS

A

workers hazardous Material Information System, enfored provincially and federally overseen by CCOHS, applied to every canadian employee

71
Q

controlled drug substance act

A

categories of drugs (schedules), ranked of potential harm and properties

72
Q

dispensing drugs

A

require double lock, documentation, electronically dispensed

73
Q

prescribing drugs

A

need medical doctor signature at pharmacy, only legal for therapeutic reasons

74
Q

opioid crisis

A

joint action by all levels of govt to improve treatment and prevention and harm reduction strategies

75
Q

Cannabis

A

legal 2018, shared fed and prov, act covers distribution, sale and possession. medical policies unchanged

76
Q

provincial cannabis

A

regulation, license and regulate distribution, limit for personal possession and regulations for home growth

77
Q

federal cannabis

A

determines what types and size to be sold, potency, approves packaging and advertising

78
Q

health care as a right- cha

A

if provincial/territories abide by CHA, is a right (Fed govt cant forced but can persuade w $$)

79
Q

health care as a right– constitution

A

nothing specifically said about health care, however some articles can be interpreted to fit the health care lens

80
Q

medically necessary

A

all citizens are ensure for medically necessary services

81
Q

federal govt in emergency situations

A

health canada has power to enact laws during emergencies

82
Q

quarantine act

A

international health regulations, better prepare authorities to deal with threats and risks to health, fed govt can divert aircraft, set up quarantine facilities anywhere in canada, and restrict or prohibit travellers

83
Q

International Health regulations (IHR)

A

strategies to prevent global outbreaks of infectious disease, provides ways to identify gloabl public health emergency and outline measures for quick global warning

84
Q

advanced car directives

A

instructions outlining when someone can no longer speak for themselves, prepared by individual atleast 16 years old and mentally competent
Proxy (who) or instructional (what)

85
Q

2 types of MAID

A

administering or prescribing

86
Q

MAID eligibility

A

18 years old or older, mentally competent, valid health card, serious disease/illness/condition that is irreversible, extreme pain, death is foreseeable

87
Q

MAID consent

A

informed, competent, fully understand options, details of procedures, may be withdrawn at any point, specified time frame (must be given twice at request and procedure)

88
Q

MAID steps

A 
determining eligibility (eligible and consent)
ensuring safeguards (HCP agrees that the client meets criteria)
providing and aiding MAID (prescribing or administering)
filing documents and reporting information (responsible for filing all necessary and relevant documentation)
89
Q

consent

A

permission for something to happen or agreement to do something

90
Q

informed consent

A

informed (accept treatment, desired outcomes, foreseeable risks, aware of available options) and voluntary (not pressured, right to refuse at any time)

91
Q

types of consent

A

written, oral, implied, emergency

92
Q

written consent

A

all major procedures have written consent, dated, signed and witnessed

93
Q

oral consent

A

equally as binding as written, some facilities require 2 hcp to verify

94
Q

Implied consent

A

when client seeks patient from doctors office or emergency room by allowing them to be admitted it is implied consent

95
Q

In an emergency

A

should obtain if possible but if person is incapacitated and HCP feels that delaying action will result in further harm, then they may proceed

96
Q

age of consent for minors

A

14 in quebec, however for the rest of canada it depends on the client and their capacity to make decisions

97
Q

steps to obtaining consent

A

assessing capacity
provide emergency treatment or crisis admission
inform client substitute maker will make decisions
identify substitute decision maker
obtain consent from substitute decision maker

98
Q

consent for organ donation

A

provincial or territorial legislation, 16 years or older, donor card or drivers license, (nova scotia is automatic)

99
Q

health record

A

contains information about individual health and services provided (only HCP in circle of care can access)

100
Q

documentation purposes

A

legislation requires documentation
can be potential evidence
communication w team members
includes services provided, outcomes and knowledge gaps

101
Q

documentation type

A

narrative, focus, charting by exception

102
Q

health information

A

data related to a patients medical experience individuals health info belongs to them (physicians have 30 days to provide), written consent to share, individuals cant take it anywhere, supervision is necessary, can make changes upon agreement of HCP, changes are initialed and dated

103
Q

Canada Privacy Act 1983

A

limits private info being collected by fed govt, restricts sharing between departments, allows individuals to access any info the gov has abt them

104
Q

PIPEDA

A

personal information protection and electronic documentation act– deals with info collected by private sector, how info is used, disclosed, and must have CONSENT

105
Q

confidentiality

A

HCP moral and legal obligation to keep clients information private

106
Q

privacy

A

patients right for their health info to remain confidential

107
Q

nursing informatics

A

refers to the practice and science of integrating nursing information and knowledge with technology to manage and integrate health information

108
Q

health informatics

A

use of information technology in combination with information management concepts and methods to support the delivery of health care

109
Q

consumer informatics

A

focus on information structure that empower consumers ti manage their own health

110
Q

digital health

A

refers ti the use of information technology communication tools, services and processes to deliver health care services to facilitate better health

111
Q

advantages of computerization

A

security, improved communication, real time access to information, legibility, standardization of information collected, data sets

112
Q

disadvantages of computerization

A

security, hackers, employees create risk for breach, labour intensive process to implement

113
Q

nurses role in digital health

A

documentation
communication
utilize digital health information to inform decisions
custodian of information
collaborate with IT professionals regarding nursing specific needs and implementation of digital health solutions
utilize data for research to create nursing knowledge

114
Q

Electronic medical record

A

owned by one facility, only available at one location, contains only information that was provided at that location

115
Q

electronic health record

A

bigger picture, central database, may contain info from multiple sources, may be accessed by HCP providing care, deemed more secure than paper (more ppl involved more opportunity for breach)

116
Q

canada health infoway

A

non profit organization that provides digital health solutions for canada, goal is to improve IT and connectivity across health care system

117
Q

unions, health care and legal implications

A

organization that represents and advocates for its members usually regarding employee-employer issues, has rules, regulations, policies, and protocols. not legally obligated to represent workers unless labour related

118
Q

whistleblowing

A

A whistleblower is a current or past employee or member of an organization who reports another’s misconduct
to people or entities with the power and presumed willingness to take corrective action. often suffer backlash, some protection from criminal code but mainly rely on protection from common law, each province has its own legislation on whistleblowing

119
Q

information and communication technology skills

A

foundational skills expected of students entering university–> device use and application, smartphones, inter/intranet, expectation that you are familiar with certain appliations (excel, email, powerpoint, word)

120
Q

nursing informatics entry level competencies

A

uses relevant information and knowledge to support the delivery of evidence informed patient care, uses ICT in accordance with professional and regulatory standards and work place policies, uses information and communication technology in the delivery of care

121
Q

information literacy

A

is the set of integrate abilities encompassing the reflective discovery of information, the understanding of how information is produced and valued and the use of information in creating new knowledge

122
Q

digital literacy

A

the interest attitude and ability of individuals to appropriately use digital technology and communication tools to access, manage, integrate, analyze and evaluate information, construct new knowledge and communicate other

123
Q

health literacy

A

cognitive and social skills which determine the motivation and ability of individuals to gain access to understand and use information in ways which promote and maintain good health

124
Q

evaluation of health info on the internet

A

ensure you are getting an unbiased and reliable information

125
Q

information and health literacy

A

successful use of communication related technology tools in health care depends on a synthesis of basis literacy, computer literacy, info literacy, digital literacy and health literacy

126
Q

PHIPAA

A

Personal Health Information Privacy and Access Act— provides a set of rules that protects the confidentiality of personal health information and the privacy of the person whose information it relates. Ensures info is available to provide health services to those in need and to monitor evaluate and improve the health system in NB

127
Q

ICTs in health care

A

electronic medical record, point of care technologies, clinical decision support tools, telemedicine applications

128
Q

CPOE

A

computerized provider order entry– input of orders and electronic instruction

129
Q

eMAR

A

electronic medication administration record– tracks medical administration and treatment

130
Q

clinical lab systems

A

used to house and display lab info

131
Q

health and lifestyles app

A

mobile applications that capture activity and lifestyle behaviours, track person health and wellness and come up with individual plans

Cdn Health Care (4 decks)

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