Midterm Flashcards
we use ___ to specify the nature of assessment required within each assessment setting
Miller’s pyramid
what is the hierarchy of miller’s pyramid - a tool used to specify the nature of assessment required within each assessment setting
Does
Shows how
Knows how
Knows
What year was the Medical Care Act introduced?
1966
The Canada Health Act is a federal law that sets out principles for health care in Canada. What are the 5 principles/criteria and 2 conditions of the act:
- public administration (run by nonprofit)
- comprehensiveness
- universal (uniform coverage)
- acessibility
- portability
When are provinces and territories entitled to their full canada health transfer?
1. if they fulfill the canada health act
2. if they ensure there are no extra billings and user charges for insured health services
What are professional standards?
- they are based on VALUES, PRIORITIES, and PRACTICE of the profession
- they describe MINIMAL levels of performance against which actual performance can be compared
- they are intended to guide the daily practice of every professional
- dietitians should strive to exceed the minimum requirement
What are the 6 guiding principles/standards that underly the professional standards for RDs?
- use client-centred approach
- dietitians have unique body of knowledge
- dietitians competently apply their knowledge
- must do life-long / continued competence
- must practice ethically
- dietitians are accountable to the public
What is the harm clause in the RHPA (Ontario Regulated Health Professionals Act)
it says that nobody other than the someone within the scope of practice of his profession, can treat or advise someone in circumstances that can cause harm
who was tommy douglas
the father of medicare
What does the scope of practice statement in the dietitian act say?
dietetics is the assessment, treatment, and prevention of nutrition related disorders
how does the RHPA and CDO differ?
CDO regulates actions performed WITHIN the scope of practice
RDs are in breach of the harm clause of the RHPA when practicing outside of the practice scope
what are th 14 controlled acts under RHPA?
- communicating diagnosis
- procedure below the dermis
- casting
- moving the joints of spine
- administrating injection
- psychotherapy
- ordering application of energy
- prescribing, dispensing, selling drug
- vision
- dental
- hearing aid
- labour and delivery
- allergy challenge
- invasive procedure
what are the 4 circumstances in which RDs can do a skin prick?
- to test blood glucose self-management
- for random glucose checks
- for compliance with diet and insulin regimen
- for confirming hypo or hypreglycemia
What is not considered a drug?
- food and drink
- natural health products
- unscheduled items (low dose vitamins and minerals)
- exceptions listed in the provincial regulations of the Drug and pharmacies act (like castor oil)
risk of harm can stem from 3 places:
- the RD - self
- the RD work context
- the environment
what are 4 steps to managing risk at the workplace?
- find source of risk
- explore protective factors
- apply best protective solutions
- evaluate experiences and protective outcomes
ICDEP v 3.0 includes new content through the 7 new PCs, to ensure currency. Currency means?
- up to date content
- any update as required by the college of dietitians of ontario
a modified version of miller’s pyramid is used in ICDEP to
specify the nature of assessment required within each assessment setting
this is true about performance indicators:
they are used to express learning outcome expectations for pre-registereation education and assessment of candidates
they are outcome based abilities that are observable by others
what is the foundation of ICDEP?
domains of competence
the primary use of the ICDEP is the college of dietitians of ontario?
false
what are the 2 main purposes of ICDEP
- to define a minimum set of practice abilities expected of RDs, enabling their entry to practice
- practice competencies (PCs) assessed prior to registration through a candidate’s demonstration of PIs
when was the ICDEP v 3.0 updated?
2020
what does ICDEP stand for?
integrated competencies for dietetic education and practice
What does PIPEDA (2004, federal) stand for
Personal Information Protection and Electronics Document Act
What does PHIPA (2004, provinical) stand for?
Personal health Information Protection Act
What is the difference between PIPEDA and PHIPA?
Pipeda applies to all orgs collecting info
Phipa applies to personal health info in ontario
when would you use PIPEDA instead of PHIPA?
- for info outside of ontario
- if collecting non-health info
Which of these would not be considered personal health information?
- health #
- identifying person’s sustitute decision maker
- donating body parts
- eligibility for health care coverage
- community / home care services
- providing health care to someone
- mental health
- family history
What is the difference between confidentiality and privacy?
confidentiality = we must keep info safe as much as possible
Privacy = info belongs to the client. its broader
Dietitians are just health information custodians!
What are the 10 principles for privacy of personal information, which applies both to PIPEDA and PIHPA regarding how dietitians collect use and disclose info
- accountability - someone in the org must be accountable for the personal info
- identifying purposes - must determine WHY we re collecting the info
- consent - we need consent before collecting, using, or disclosing info
- limiting collection - only collect info that is needed
- limiting use, disclosure, retention - can only use info for for the reason it was collected
- accuracy - personal info must be accurate, complete, and up to date
- safeguards - personal info must be protected using appropriate safeguards
- openness - org needs to be public about how they are handing personal info
- individual access - individuals must be informed of the existence, use, and disclosure of their personal info and be given access to it
- challenging compliance - an individual can challenge an org’s compliance with these principles
Which 3 agencies enforce Canada anti-spam legislation?
- CRTC - canadian radio-television and television and telecommunications commission (can issue monetary penalties)
- Competition Bureau - administrative monetary penalities or criminal sanctions
- (OPCC) Office of Privacy Commission of Canada - focuses on 2 types of violations: 1. using spyware 3. harvesting electornic addresses
What is the difference between a health information custodian, and an agent?
HIC = collects, uses, and discloses data for the client.
ex: institution, facility, practitioner
Agent = someone authorized BY the HIC to give services
Ex: if you are RD at the hospital, you are the agent
what are 7 steps to develop policies to comply with PHIPA?
- designate a contact person in your org
- take inventory
- identify purpose for why we are collecting info
- develop safeguards
- develop practices regarding access
- establish privacy breach protocol
- implement privacy policy
what are 3 safeguards we might use as a HIC?
- physical measures
- organizational measures (rules at the org)
- technological measures
How long can you keep records for?
adults - 10 years after last client interaction
children - 10 years after the client turns 18 if the client was younger than 18 at last visit
What are the 7 categories of data breaches?
- use or disclose info without permission
- a breach causes further use or disclosure without authority
- theft of personal info
- pattern of similar breaches
- disciplinary action against college member
- disciplinary action against non-college member
- significant breach
What are the 4 levels of Dart and Mccall’s conceptual model for defining professionalism in nutrition and dietetics?
- commitment to lifelong learning
- personal qualities
- interpersonal communication
- approach to practice
what are 3 key aspects of the decision making process?
- situation
- values
- policy and legislation
what are the 4 healthcare ethical principles in the new code of ethics?
- do no harm (non-malifence)
- do good (beneficence) - act in best interest of clients and society
- respect for autonomy - treat clients or their substititude decision makers as self-governing decision-makers
- respect for persons / justice
An ethical decision is choosing the best action given the competing interests, obligations, and values involved in making the decision
what is cornwall’s model of reflection?
- experience
- observe
- reflect
- plan
what are 4 key components of professional judgment?
- knowledge
- client input
- reflective practice
- experience
thinking
speaking to yourself
journaling
are all forms of:
intrapersonal communication
what are 7 key elements of communication?
- people
- messages
- channels
- noise
- feedback
- context
- effect
what are the 4 steps to managing risk in the workplace?
- identify source of risk - RD / Self, RD work context, envrionement
- explore protective factors
- apply best protective solutions
- evaluate experiences
risk management frameworkis based on the following 5 principles:
- safety
- client-centres services
- communication
- accountability
- compliance with regulation
what are the 3 ways something can be delegated?
1.a medical directive - written orders to other prfessionals
2. direct order - relates to 1 client. can be oral, over the. phone
what are the 5 standards around deligating?
- it must be in the best interest of the client
- must have the knowledge, skill, judgment to accept a delegation
- must know laws
- must meet a standard for informed consent and record keeping
- must be aware of accountability, quality assurance and delegation processes
what is the difference between primary care, secondary care, tertiary care
secondary care - dietitians and specialists
tertiary care - most specialized, ICU
according to the canada health act, canada must give healthcare to the following 4 groups:
- first nations
- veterans/military
- refugees
- inmates
______ is a complex and interactive process by which the content of the professional rile is learned and the values, attitudes, and goals integral to the profession
professionalization
professionalization is a social process by which someone transforms into a true professioinal. it includes:
- self regulation
- code of ethics
- ways to distinguish between qualified and unqualified members
- formalized education and training programs
what are the 2 significan sites for professionalization?
formal academic education
clinical training
what are the 3 stages of professional socialization?
- presocialization - influenced by friends, family, etc
- formal socialization
- initial innocence
- labelling recognition of incongruity
- role simulaition
- provision internalization
- stable internalization - post-socialization
- assuming adequacy - belief that you know everything, task oriented
- realizing practice
developing a reputation
what ar the 3 settings for ICDEP?
academic
practicum
CDRE
what are the 7 domains of competency?
- food and nutrition expertise
- nutrition care
- food provision
- population health promotion
- management and leadership
- professionalism and ethics
- communication and collaboration
7 DCs > 50 PCs > 210 PIs
what are the 2 new domains for ICDEP?
food and nutrition expertise
food provision
what are the 7 new PCs?
- canadian diversity
- cultural safety
- risk management
- use of electronic comunication
- knowledge translation
- food literacy
- food skills
according to benner, what are the 5 levels of skill acquisition?
novice
advanced beginner
competent
proficient
expert
According to blake, what are the 4 levels of learning
unconsciously incompetent
consciously incompetent
consciously competent
unconsciously competent
