Legal and Ethical Issues Flashcards
civil rights of patients
right to receive care
right to vote
due process of law
specific rights of patients
informed consent
right to refuse treatment
right to least restrictive environment
participation in care plan
confidentiality
release upon completement of treatment plan
beneficence
act of doing good
ex: providing emotional support to patient
nonmaleficence
obligation to not inflict harm
ex: hold medication and contact doctor if patient reports allergy
autonomy
patient’s right to make own decisions
ex: patient right to refuse medication (unless court ordered otherwise)
justice
fair and equal treatment
fidelity
loyalty to patients and duties
ex: follow through on what you tell patient
veracity
honesty when dealing with client
ex: medication education and explaining interventions
what is an ethical dilema?
decision between two unfavorable alternatives
When can we overrule confidentiality?
5 Cs
Consent of patient
Court order - judge signs that records need to be released for court case
Continued treatment - handoff from one clinic to another
Comply with law
Communicate a threat - patient threatens self or others. tell physician and police
what is competency?
legal term for ability to process information at a specific time
what is capacity?
patient’s understanding of medical procedures and potential outcomes
determined by providers
required for informed consent
deescalation approaches
verbal
diversion or redirection
calm environment
PRN medications
patient requests timeout
restraints as last resort
who is qualified to place restraints?
RN, LNA, EMT, security officers
assessment of a restrained patient
requires 1:1
document circulation and airway
provider must be immediately notified and assess patient for 1 hour after placement of restraints
undress patient
