Legal and Ethical Considerations Flashcards
What are the 4 bioethics principles
Respect for autonomy : pt can act without influence that prevent a decision being voluntary; forms the basis of informed consent + refusal
Non-maleficence : obligation to minimize harm
Beneficence: obligation to care for pt + society
Justice: fair HC resource distribution
What 3 things do you need to ensure a patient knows in order for their consent to be deemed informed consent
- the nature of decision/procedure
-alternatives to this intervention - R + B and uncertainties related to each option
T or F: if a patient accepts + gives consent, this needs to be recorded but if they refuse, we don’t need to document this
F- document both
What doe the ON HC Consent Act Mandate
mandates that consent must be obtained for treatment, tells us who can give consent + how consent is obtained
Who can we get consent directly from
Pt or their legally authorized sub decision maker
Do we need to give time for the pt to ask questions + for us to confirm their understanding in order to get consent
Yes: must have time to ask questions + get answers
- we need to ensure they understand the procedure, its B and R, common Aes, rationale for post admin monitoring + contact info for FU
What is the definition of treatment based on the ON HC Consent Act
anything that is done for a therapeutic, preventative, palliative, diagnostic, cosmetic or HC related purpose
T or F: in ON kids are not able to give consent until they are over 10; Until then, the parent gives consent
F- in ON, a child of any age is capable of providing consent if they have the maturity, intelligence, + capacity to understand the nature + purpose of the proposed HC service
- they must also have the ability to appreciate the reasonable foreseeable consequences of their decision
** if kid meets requirements: don’t need parental consent + P consent doesn’t override kids
What is the Day Nurseries Act
it states that children attending licensed child care centers should be immunized according to immunization schedule or as directed by Medical Officer of Health
What is the Immunization of School Pupils Act
act that requires that all local PHU to maintain the immunization records of all students in all grades at private, public and Catholic schools
In order to attend school in ON, what do kids need to be vaccinated against
diphtheria, tetanus, polio, MMR, meningococcal disease, whooping cough, varicella
T or F: the medical officer of health can suspend students from going to school if they have an incomplete vaccination record or if they have an exemption from their vaccinations if there is an outbreak
T
T or F: there are no ways to get exemptions from the required vaccines needed for school in ON
F- can get exempt for medical or religious reasons
Medical Exemption
must be done by doc or NP
- get exempt from vaccine due to medical reasons (CI or proof of existing immunity)
Religious Exception
parent/guardian must file a form indicating this
- must be sworn before a commissioner for taking affidavits in and for the courts of ON
