Law and Health Care Flashcards

1
Q

constitutional law

A
  • charter of rights and freedoms
  • freedom of conscience and religion
  • freedom of though, belief, opinion, and expression, including freedom of the press and other media of communication
  • freedom of peaceful assembly
  • freedom of association
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2
Q

statutory law

A
  • passed in parliament or provincial legislature
  • federal ex: immigration, taxation, divorce
  • provincial ex: education, family, health care
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3
Q

regulatory law

A
  • subordinate legislation
  • not passed in parliament or legislature
  • delegated department or group of people create regulations that are legally binding
  • authority/responsibility to create regulations is assigned through an Act
  • Act must clearly outline authority to implement regulations
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4
Q

common law

A
  • all provinces/territories except Quebec
  • not established within legislature or formally written
  • results from decisions of the courts (case law)
  • may govern in Federal court of Canada which operated in all provinces/territories including Quebec
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5
Q

civil law

A
  • Quebec only
  • based on the French Code Napoleon or Civil Code
  • relies heavily on written law
  • judges often refer to previous case decision and interpret written law
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6
Q

public law

A
  • matters between individual and society as a whole
  • criminal, tax, constitutional administrative, human rights
  • may vary between jurisdiction
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7
Q

private law

A
  • matter concerning relationships between people or entities

- contract and property, inheritance, family, tort, corporate

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8
Q

intentional tort

A
  • harmful act is deliberate
  • physical aggression
  • forcing unwanted care
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9
Q

unintentional tort

A
  • act caused physical or emotional injury or property was damaged, but was not deliberate
  • human error
  • misjudgement
  • negligence
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10
Q

negligence

A
  • malpractice or professional misconduct
  • when a health care provider unintentionally fails to meet the standards or care required of their profession
  • when a duty of care owed a person is not complete
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11
Q

duty of care

A
  • starts as soon as professional relationship begins
  • professional standards
  • HCPs are held more accountable
  • HCPs will face litigation if duty was proven to not be fulfilled
  • facilities can be held responsible to substandard care
  • litigation considers that standard of competency that a reasonable person possessing the required competencies is expected to meet
  • standard must be met by all members of professional association
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12
Q

criminal law

A
  • federal legislation with a few exceptions
  • Criminal Code of Canada
  • crime against people/property and those deemed intolerable with society
  • guilt= performance of a wrongful act + with wrongful intent
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13
Q

government jurisdiction

A
  • authority over specific designated geographic and legislative areas
  • possesses the right to draft, pass, and enact laws within its area of authority
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14
Q

federal

A
  • enforced Canada Health Act
  • provides financial support to provinces & territories
  • specific populations (indigenous, federal inmates, military)
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15
Q

provincial

A
  • health care

- hospital, long term care, home care

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16
Q

federal laws and regulations

A
  • oversees certain components of health care activity covered under the Criminal Code of Canada
  • can establish prohibitions and penalties when violations occur
  • authority to pass legislation to over-ride provincial/territorial (emergency matters, national concern)
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17
Q

occupational health and safety legislation

A
  • OHS
  • the right to be aware of potential safety and health hazards
  • the right to take part in activities aimed at preventing occupational accidents and diseases
  • right to refuse to engage in dangerous work without jeopardizing their job
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18
Q

workers compensation board

A
  • WCB
  • works directly with CCOHS
  • assists injured employees (wage replacement, rehab, training)
  • legislation is provincial/territorial
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19
Q

workplace hazardous materials information system

A
  • WHMIS
  • legislation overseen by CCOHS
  • hazardous products act and controlled products regulations
  • applies to all Canadian workplaces
  • enforce federally and provincially
20
Q

controlled drugs and substances act

A
  • categories of drugs called schedules

- drugs grouped according to its properties and potential for harm

21
Q

dispensing controlled drugs

A
  • most jurisdictions require double lock
  • most hospitals controlled drugs are electronically dispensed
  • each dose recorded
  • may be dispensed by RN or LPN
22
Q

prescribing controlled drugs

A
  • only for legal, therapeutic purposes
  • be alert to potential drug seeking behaviours
  • prescribing or narcotics (combined provincial, federal and territorial legislation)
  • commonly misused drugs (opioids & benzodiazepines) have addictive properties and often sold illegally
23
Q

opioid crisis

A
  • high number opioid related overdoses & deaths in Canada
  • joint action between all levels of govt and stakeholders
  • goal to improve treatment, prevention, and harm reduction strategies
  • reading for more info
24
Q

prescription drug safety

A
  • watch for repeat requests from same person or unfamiliar patients with unusual stories
  • if prescriber suspects drug misuse, they should take action (treatment with another medication, repairing suspected criminal action)
  • if prescribed too liberally, prescribers practice may be reviewed
  • prescribers & pharmacies must keep detailed records
  • patients must present original signed prescription to pharmacy
25
Q

Cannais in Canada

A
  • recreational use legalized in 2018
  • shared responsibilities between federal and provincial govt
  • cannabis act covers production, distribution, sale, and possession of cannabis for recreational use
  • policies and procedures for medical use remain unchanged (access to cannabis for medical purposes regulations)
  • realties especially for people distributing to younger people
  • reading for more info
26
Q

federal role in cannabis

A
  • determines type and size of products to be sold
  • approves packaging and advertising
  • potency in products
27
Q

provincial/territorial role in cannabis

A
  • difference in regulation among provinces/territories
  • license and regulate distribution and sale
  • determine min age for purchase
  • sets limits for personal possession
  • rule for home-grown cannabis
28
Q

health Canada emergency powers

A
  • federal govt has power to enact laws to manage health related emergencies
  • recent experiences made changes to quarantine act necessary
  • global society (air travel, import/export of food items)
29
Q

quarantine act

A
  • complement international health regulation
  • better prepare authorities to deal with threats and risks to global public health
  • federal govt can: divert aircraft/cruise ships to alternative landing/docking location, designate quarantine facilities, restrict of prohibit travellers
  • environment health officers & screening officers
30
Q

international health regulations

A
  • IHR
  • strategies to prevent global outbreaks of infectious diseases to minimize disruption to world economy
  • provides ways to identify global public health emergency and outline measures for quick gathering and distributing information and global warnings
31
Q

health care right: Canada health act

A
  • all jurisdictions are expected to abide
  • all jurisdictions do comply=health care is a legal right
  • limited by principles and conditions CHA
  • interpretation of CHA leads to variances in its application between jurisdictions
32
Q

health care right: Canadian constitution

A
  • jurisdictional divisions of power mean federal government cannot legally force
  • federal government can leverage funding power
33
Q

medically necessary

A
  • insured for health care that is deemed medically necessary by providers for their health and well-being
  • decreasing financial & Human Resources impact the interpretation
  • strained resources=long wait times
  • some Canadians have turned the the charter of rights and freedoms to gain access
34
Q

Canadian Charter of rights and freedoms

A
  • guarantees certain rights & freedoms
  • does not specify health care
  • demands health care be provided to all persons equally and fairly
  • section 7 and 15 challenged with regards to health care
35
Q

advanced care directives

A
  • instructions outlining wishes regarding health care decisions when no longer able to speak for self
  • prepared by individual at least 16 years old and mentally competent
  • must be honoured by HCPs
  • physicians can disregard decisions of patients substitute decision maker if decision is made against patients wishes
36
Q

instructional advanced care directives

A
  • specific or general

- specific instructions are detailed and explicit outlining individuals wishes

37
Q

proxy advanced care directives

A
  • general instructions include principles to be followed

- decision maker has power to make decisions on a situational basis

38
Q

medical assistance in dying

A
  • MAID
  • 2 sections of criminal code struck down (helping someone end life, requesting assistance to end ones life)
  • provincial & territorial variances
  • anticipated challenges (criteria of sound mind and advanced decision making for people with dementia)
39
Q

provincial & territorial variances in MAID

A
  • interpretation and application of law
  • related training for physicians/nurse practitioners
  • application and approval process
  • protocols leading up to and actual procedure
40
Q

pathway for providing MAID step 1

A
  • determining eligibility
  • only NPs or medical practitioners can provide and determine eligibility
  • nurses should check record for written request and provide info to client on request
  • MAID should not be encouraged
41
Q

pathway for providing MAID step 2

A
  • ensuring safeguards are met
  • ensure person is informed
  • confirmed by medical practitioner
  • 10 days between request and MAID
  • give opportunity to withdraw
42
Q

pathway for providing MAID step 3

A
  • providing and aiding in MAID
  • administer medication to a person or prescribe the medication and have them take it themselves
  • review with client
  • ensure all conditions have been met
  • nurse is not allowed to provide medication under any circumstance
43
Q

pathway for providing MAID step 4

A
  • filing information and reporting requirements
  • complete all necessary documents
  • request and criteria signed by medical practitioner stating person is eligible must be included in chart
44
Q

eligibility for MAID

A
  • 18
  • sound mind
  • grievous medical condition
  • made request for MAID
  • given informed request
45
Q

whistleblower

A
  • a current past employee that reports another misconduct to those in power
  • often suffer backlash