Legal & Ethical Flashcards
open threat of bodily harm against another person
Assault
an action that causes bodily harm
Battery
deception with the intent to deprive another person of his/her rights
Fraud
intruding on a patient’s private affairs or disclosure of private information Ex: entering a patient’s room without knocking or having permission
Invasion of Privacy
the negligent delivery of professional services
Malpractice
the failure to do something that a reasonably prudent individual would do under similar circumstances
Negligence
provide a list of organizations within the local community that can assist the situation
Spousal Abuse/Intimate Partner Abuse
report suspected abuse to the provider; it is not an MA’s place to confront the patient or parent
Child Abuse
a civil wrong committed against a person or property
Tort
refers to the chronological documentation showing the paper trail, custody, control, transfer, analysis and disposition of physical or electronic evidence; evidence must be sealed in front of patient
Chain of Custody
sets quality standards and issues certificates for human clinical laboratories; set in place to regulate the testing of human specimens in labs (blood, tissue, other bodily material used to diagnose, prevent and treat various diseases)
Clinical Laboratory Improvement Amendments (CLIA)
the right to inspect, review and to receive a copy of your medical records and billing records that are held by health plans and health care providers covered by the privacy rule -involves health insurance portability access/renewal without preexisting conditions & coordination of care to prevent duplication of services
Health Insurance Portability and Accountability Act (HIPAA)
- to provide continuous health insurance coverage for workers who lose or change their job 2. to reduce the administrative burdens and cost of healthcare by standardizing the electronic transmission of administrative and financial transactions and protects the patient’s personal medical information and confidentiality
Purposes of HIPAA
-a CCMA cannot disclose any patient information unless authorized -discussing a patient’s medical information is breaking guidelines -cannot release patient information to anyone regardless of relationship without consent of the patient
HIPAA Rules
regulates that correctly identifying patients is crucial to improving patient safety
The Joint Commission
federal agency that oversees and regulates health and safety in the workplace through laws, regulations and their enforcement; training provided at no cost to the employee
Occupational Safety and Health Administration (OSHA)
promotes accurate test results
Quality Control (QC)
the MOST IMPORTANT step in ensuring patient safety -always ask patients to confirm their full name and DOB -never confirm patient’s name by speaking their name and DOB to them; always ask them
Patient Identification
agreement implied by the patient for examination and treatment when presenting for a routine visit; also, in an emergency, consent that is assumed the patient would give if they could do so Ex: extending arm for phlebotomy or removing clothing for a medical procedure/examination
Implied Consent
consent given by a patient after all potential treatments and outcomes have been discussed for a specific medical condition/treatment Includes discussing risks, possible outcomes and alternative therapies
Informed Consent
requires patient’s signature in order to perform procedure/treatment
Written Consent
a list of guarantees for those receiving medical care -patients have right to a copy of their medical records -guarantees fair treatment -autonomy over medical decisions and many more rights -active role in health care team -right to be respected -right to confidentiality
Patients’ Bill of Rights/Patient Care Partnership
should always be filled-out in chronological order
Problem Oriented Medical Record (POMR)
-patients have a right to view these at any time -information within them belongs to the patient -physical form where the information is housed belongs to the author
Medical Record