legal and ethical guidelines for safe practice Flashcards
five principles of bioethics
beneficence autonomy justice fidelity veracity
beneficence
The duty to promote good
autonomy
: Respecting the rights of others to make their own decisions
justice
Distribute resources or care equally
Fidelity (nonmaleficence)
Maintaining loyalty and commitment; doing no wrong to a patient
Veracity
One’s duty to always communicate truthfully
admission procedures
- Informal admission—sought by patient
- Voluntary admission—sought by patient or guardian
- Involuntary commitment
who is a involuntary commitment
- Mentally ill
- Danger to self or others
- Unable to acquire basic necessities
what is and who is an Emergency commitment (temporary admission)
how long
PEC: dcotor sign pt. needs to be seen
- Person confused or demented; emergency admission
- Used for observation, diagnosis and treatment
- Generally for 24 to 96 hours
- Court hearing before discharge or next admission
assisted outpatient treatment
ct and ma not included
- court ordered
due process in involuntary commitment (DNTK)
Writ of habeas corpus- a “formal written order” to “Free the person.”
Least restrictive alternative doctrine- mandates that care providers must take the least drastic action to achieve a specific purpose
don’t need to know
discharge procedures (DNTK)
- Conditional release- requires outpatient treatment for a specified period to determine if the patient follows the medication regimen, can meet basic needs, and is able to reintegrate into the community
- Unconditional release- the termination of a patient-institution relationship
- Release against medical advice (AMA)
pt. right under law
Right to treatment
Right to refuse treatment
Right to informed consent
right to informed consent
- Indicates that the patient has been provided with basic understanding of risks, benefits, and alternatives
- Person must voluntarily accept treatment
- To be effective legally, it must be informed and in general a physician or advanced practice provider must obtain the consent.
patients right under law
- Rights regarding involuntary commitment and psychiatric advance directives
- Rights regarding restraint and seclusion
- Right to confidentiality
- adults: 4hr window with restraints
- age 9-17: 2 hr
- under 9: 1 hr