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Final exam > Legislation > Flashcards

Legislation Flashcards

1
Q

How many PN visits does a MW do? How many at home

A

Minimum 7
Min 5 at home

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2
Q

When does a MW visit at home

A

At home, before end of day after dx (or 24hrs after discharge)

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3
Q

When do claims need to be submitted by

A

6mths
(Then start paying fine 6-12mths)
No claim paid >12mth

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4
Q

What needs to be on a prescription

A

Prescriber - full name, reg #, full address, ph, designation, sign and date

Woman- title, full name (incl middle name), residential address, dob (if <13yrs), funding code

Medication
Generic name and strength
Dose
Freq
Route
Instructions
Amount dispensed
# repeats

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5
Q

What are rules around urgent px

A

Mw can communicate px orally to pharmacist
Must provide written px within 7 days
(Except tramadol, must be supplied within 4 days writing)

MW can use PSO supply (write ‘for practitioners supply only)

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6
Q

How long can MW prescribe for?

A

3mth supply - pregnancy
6wk- PN
1mth- tramadol

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7
Q

what is definition of miscarriage

what legal requirements exist?

A

<20 wks
<400g

no legal requirements

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8
Q

what is definition of stillbirth
what are the legal requirements

A

> 20wks / <400g
-born with no signs of life

legally requires ‘Notice of birth’ + ‘Registration of birth’
don’t routinely report to coroner, but may be reported if cause of death unknown + coroner can decide whether to investigate

hospital issues a ‘certificate of stillbirth’

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9
Q

what is definition of ‘infant death’
BDM requirements

A

death up to 1 year old
birth Notification / registration of birth/ registration of death /coroner report

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10
Q

what is definition of ‘neonatal death’
what are BDM requirements?

A

death between birth- 28 days
requires birth notification (MW), registration of birth (parents), notice of death, report to coroner

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11
Q

what is perinatal death

A

death between 20 wks gestation - 7 days post partum

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12
Q

what is perinatal related death

A

death between 20 wks - 28 days post partum

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13
Q

what is a fetal death

A

any baby that dies before birth (stillborn /miscarriage)

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14
Q

what is early + late neonatal death

A

early- baby that shows signs of life at birth, then dies before 7 days post birth

late- baby that shows signs of life at birth, then dies before 28days post birth

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15
Q

what is requirement for notice of birth

A

required for stillbirth +live birth
completed by hospital / MW (homebirths)
must complete <5 working days of birth

includes- mum’s contact details, gestation length, weight + ethnicity

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16
Q

what is requirement for birth registration

A

completed by parents <2mths post birth
required for live + stillbirth
include- mum’s name, address, live / stillborn / gender

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17
Q

what is requirement for death registration

A

required for live birth only (NOT stillborn)
completed by funeral director / parents
<3 days after burial / cremation

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18
Q

what is definition of maternal death

A

maternal death during pregnancy / 42 days post partum
must report to coroner

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19
Q

what is included in ‘parity’

A

# of births (multiples = 1, includes stillbirth)

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20
Q
A
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21
Q

what access must maternity provider give to MoH

A

<24hrs:
access to all records, premises where care is provided, premises where documentation is kept

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22
Q

how much notice must LMC give, when wihtdrawing providing primary maternity services

A

at least 4wks written notification

23
Q

what are reporting requirements as part of maternity notice?

A

woman-
height / weight
smoking status at booking + 2wks post natal
BF status (2 wks post natal)

24
Q

when can you claim additional PN visits?

A

> 12 visits

25
Q

when will HealthPac return improperly completed claims?

A

within 5 working days

26
Q

what must be covered in the care plan

A

respective responsibilities of LMC and any other delegated practitioners
inform woman of AN education + availability of paid parental leave

27
Q

when will healthPAC pay claims

A

within 22 working days from receipt

28
Q

what are LMC responsibilities with well child

A

written referral <4wks
transfer (from LMC to wellchild provier) <6wks

29
Q

how many AN visits are required

A

12-15visits

30
Q

what is the principal purpose of HPCAA act

A

to protect health and safety of the public by providing mechanisms to ensure health professionals are competent and fit

31
Q

what is MCNZ’s role with cultural competence

A
  • cultural competence is integrated into competencies for entry
  • competencies require MW to apply principles of cultural safety to mw partnership
  • integrate turanga kaupapa within partnership and practice
32
Q

how does MCNZ discuss tiriti

A

founding document
basis of the ‘bicultural relationship btwn Maori + other NZer’s

33
Q

what is cultural competence

A

ability to interact respectfully and effectively with people with background different from yours
more than awareness / sensitivity to others culture

1) recognising impact of your culture and beliefs on MW practice
2) being able to acknowledge / incorporate each woman’s culture into provision of individualised care

having knowledge, skills, attitude to understand effects of power within healthcare relationship

applies frameworks of partnership, cultural safety and turanga kaupapa

34
Q

what is cultural safety

A

effective MW care of woman by MW’s who have undertaken process of self reflection

unsafe cultural practice- any action that demeans or disempowers the cultural identity and wellbeing of an individual

35
Q

who are nga maia

A

national organisation of MW’s and whanau
formed 1993
to promote and support maori birthing
charitable trust

36
Q

what is turanga kaupapa

A

guidelines on cultural values of maori
provide cultural guidelines for MW practice to ensure cultural requirements are met for maori during pregnancy + childbirth

37
Q

what is meaning of whakapapa

A

geneology
whanau + wahine are acknowledged
helps to place maori in among their ancestors / lands / tribes

38
Q

what is principle of karakia

A

whanau + wahine may use karakia
for many maori- karakia is an essential element in protectign wairua (spirit), hinengarao (pscyological, tinana (physical) + wellbeing
offer patient+whanau/ allow time for karakia

39
Q

what is principle of whanauungatanga

A

relationship / sense of connection
wahine and whanau can involve others in her brithing program

40
Q

what is principle of te reo maori

A

wahine and her whanau may speak te reo maori

mana

41
Q

what is the principle of mana

A

the digntiy of the wahine, her whanau, the MW and others involved is maintained

42
Q

what is the principle of tikanga whenua

A

maintains the continuous relationship to land life and nourishment
and the knowledge and support of kauatua (elderly) and whanau is available

43
Q

what is the principle of te whare tangata

A

“the house of humanity” (womans womb)
the wahine is acknowledged, protected, nurtured and respected as te whare tangata

44
Q

what is the principle of mokopuna

A

“grandchild / great neice or nephew”
symbolizes the continuation of whakapapa (geneology)
the mokopuna is unique, cared for, and inherits teh future, a healthy environment, wai u and whanau

45
Q

what is the principle of manaakitanga

A

the MW is a key person with a clear role and share with the wahine and whanua the goal of a healthy safe birthing outcome

46
Q

what is the principle of hau ora

A

the physical, spiritual, emotional and mental wellbeing of teh wahine and her whanau is promoted and maintaiend

47
Q

What is the period of supply for prescriptions

A

3mths except 6mth supply allowed for oral contraceptives

48
Q

what name of drug do you use when prescribing

A

generic only (except for oral contraceptives)

49
Q

what are MW responsibilities re. alcohol in pregnancy

A

MW’s required to
* ask all pregnant women about alcohol consumption
* advise women of potential risks
* recommend women stop drinking alcohol
* offer primary referral + early referral for baby PN if FASD is concern

50
Q

What are MW’s responsibilities re. child safety act

A

MW’s are ‘core children workers’ under the children’s act
need to complete safety check 3yearly (legal prequirement + requirement to make claims from MoH)

51
Q

what are MW responsibilities under family violence act

A
  • MW can, but is not required legally to provide info.
  • can only provide info to “social services practitioner” / government agency
    • Always verify identity in writing
  • try to first gain consent (if they don’t consent, you need to notify them the info was shared)
  • only share relevant ifnormation
  • check the info is accurate
  • document decision to share info
52
Q

what are MW responsibilities under OT act

A

MW must provide info if request is made by CE of OT/ constable
(unless info is protected by legal professional privileges)

53
Q

what are legal requirements to bury stillborn

A

> 20wks / 400g

legally required to register birth, bury or cremate them in a registered place
death must be registerd within 3days of burial/cremation

if baby is <20wks /400g, you are not legally required to bury baby, you may bury in a place of your own choice - ensure it’s at least 1m deep

Final exam (18 decks)

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