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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
when will HealthPac return improperly completed claims?
within 5 working days
26
what must be covered in the care plan
respective responsibilities of LMC and any other delegated practitioners inform woman of AN education + availability of paid parental leave
27
when will healthPAC pay claims
within 22 working days from receipt
28
what are LMC responsibilities with well child
written referral <4wks transfer (from LMC to wellchild provier) <6wks
29
how many AN visits are required
12-15visits
30
what is the principal purpose of HPCAA act
to protect health and safety of the public by providing mechanisms to ensure health professionals are competent and fit
31
what is MCNZ's role with cultural competence
* 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
how does MCNZ discuss tiriti
founding document basis of the 'bicultural relationship btwn Maori + other NZer's
33
what is cultural competence
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
what is cultural safety
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
who are nga maia
national organisation of MW's and whanau formed 1993 to promote and support maori birthing charitable trust
36
what is turanga kaupapa
guidelines on cultural values of maori provide cultural guidelines for MW practice to ensure cultural requirements are met for maori during pregnancy + childbirth
37
what is meaning of whakapapa
geneology whanau + wahine are acknowledged helps to place maori in among their ancestors / lands / tribes
38
what is principle of karakia
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
what is principle of whanauungatanga
relationship / sense of connection wahine and whanau can involve others in her brithing program
40
what is principle of te reo maori
wahine and her whanau may speak te reo maori ## Footnote mana
41
what is the principle of mana
the digntiy of the wahine, her whanau, the MW and others involved is maintained
42
what is the principle of tikanga whenua
maintains the continuous relationship to land life and nourishment and the knowledge and support of kauatua (elderly) and whanau is available
43
what is the principle of te whare tangata
"the house of humanity" (womans womb) the wahine is acknowledged, protected, nurtured and respected as te whare tangata
44
what is the principle of mokopuna
"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
what is the principle of manaakitanga
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
what is the principle of hau ora
the physical, spiritual, emotional and mental wellbeing of teh wahine and her whanau is promoted and maintaiend
47
What is the period of supply for prescriptions
3mths except 6mth supply allowed for oral contraceptives
48
what name of drug do you use when prescribing
generic only (except for oral contraceptives)
49
what are MW responsibilities re. alcohol in pregnancy
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
What are MW's responsibilities re. child safety act
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
what are MW responsibilities under family violence act
* 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
what are MW responsibilities under OT act
MW must provide info if request is made by CE of OT/ constable (unless info is protected by legal professional privileges)
53
what are legal requirements to bury stillborn
>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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