Objectives 20-36 Flashcards

1
Q

Abandonment*

A

Act of leaving a patient who is dependent on the caregiver’s presence; applies to all surgical patients
Leave patient alone in operating room or at any time during transport
Leave patient with transport stretcher side rails down and walk away

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2
Q

Assault*

A

Act that causes a person to fear that he/she will be touched in an offensive, insulting, or physically injurious manner; A simpler definition: assault is a threat (or perceived threat)
Surgeon threatens to harm you

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3
Q

Battery*

A

Actual act of harmful or unwarranted contact

Operate on patient without consent

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4
Q

Doctrine of corporate negligence*

A

An organization fails to ensure that acceptable level of patient care is provided

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5
Q

Doctrine of reasonably prudent person*

A

Act is measured by determining what a reasonably prudent person would do in the same situation; we should perform an action as any reasonably prudent person would

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6
Q

Iatrogenic injury*

A

An injury resulting from the action of health care professionals
Amputate wrong leg
Take out the wrong kidney

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7
Q

Invasion of privacy*

A

Disclosure of private information without consent

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8
Q

Liability*

A

an obligation to do or not do something; being held legally accountable for our actions

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9
Q

Malpractice*

A

A negligent act that results in patient harm; a person’s wrongful conduct
Lack of attention to surgical counting results in item left in patient
Medications not labeled, wrong med given

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10
Q

Negligence*

A

A breach of duty; doing something a reasonable person would NOT do or failing to do something that a reasonable person WOULD do; does not necessarily cause harm to patient
Lack of conscientiousness in aseptic technique
Lack of attention to surgical counting procedures
Not labeling medications on back table

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11
Q

Res ipsa loquitur*

A

Latin for “The Thing Speaks for Itself”; a legal concept indicating that the harm caused was obvious
Sponge/instrument left in
Wrong leg amputated; wrong kidney removed

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12
Q

Respondeat superior*

A

“Let the Master Answer”; your employer is responsible for your actions (as long as you are functioning under your job description limits); borrowed servant doctrine sometimes overrides this.

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13
Q

Tort*

A

A civil wrong; intentional or unintentional

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14
Q

EXAMPLES OF UNINTENTIONAL TORTS THAT COULD OCCUR IN SURGERY

A
Patient misidentification (wrong patient)
Performing wrong procedure (wrong site)
Retained foreign objects
Patient burned
Improper specimen handling or loss
Injury due to equipment malfunction
Loss or damage to patient property
Harm due to break in sterile technique
Abandonment
Medication error
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15
Q

General consent

A

The patient’s agreement to be admitted to hospital for routine services

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16
Q

Special informed consent

A

Additional permission that is required for any procedure with more than normal risk
Must be acquired for any procedures that demands risk, such as implants or any surgical procedures.

17
Q

EXAMPLES OF PROCEDURES THAT REQUIRE SPECIAL INFORMED CONSENT.

A
Any surgical procedure
Administration of anesthesia
Any surgical procedure that will affect one’s ability to reproduce
     Vasectomy
     Hysterectomy
     Tubal ligation
Chemotherapy
18
Q

ITEMS THAT MUST BE CONTAINED ON A PROPERLY WRITTEN INFORMED CONSENT FOR SURGERY.*

A
Patient’s legal name
Surgeon’s name, not the signature
Name of surgical procedure
Patient’s signature
Witness signatures
Date and time of signatures
19
Q

IDENTIFY CONDITIONS UNDER WHICH A PATIENT IS ABLE TO GIVE INFORMED CONSENT.*

A

Patient has capability and authority
Patient is of legal age (includes an emancipated minor)
Patient is mentally alert
Patient is legally competent

20
Q

options for obtaining consent for surgery in emergency situations.

A

Telephone
Electronic
Administrative consent

21
Q

rules for legally proper surgical documentation.*

A

Correct spelling and eligible handwriting
Must be written using standard terminology and approved abbreviation.
Factual in nature and not subjective
Written records corrected with single line drawn through and initialed
Legal signature used; in ink

22
Q

Expectations of THE AHA’S PATIENT CARE PARTNERSHIP’S

A

High quality Hospital care
Clean and safe Environment
Protection of patient privacy

23
Q

High quality Hospital care

A

Qualified providers
Educated and certified or licensed
Up to date, properly functioning equipment
Following established Standards of Practice (evidence-based)

24
Q

Clean and safe Environment

A

Proper cleaning of operating room between patients
Protection from equipment hazards
E.g.; grounding pad with ESU
No cross-contamination
Health care workers free of communicable disease

25
Q

Protection of patient privacy

A

HIPAA requirements

The only information that is shared is that which is necessary to provide care

26
Q

State the purpose of a hospital’s risk management program.

A

The main purpose of the risk management program in the healthcare setting is ensure patient safety and reduce medical errors that jeopardizes the hospital’s ability to achieve its mission and protect against financial liability.

27
Q

examples of sentinel events reported within a hospital’s risk management program.*

A
Falls (from wet floors or objects)
Wrong patient, wrong site, wrong procedure
Medication errors
Intraoperative burns (surgical fires)
Loss of specimen
Violence in the workplace (harassment, threats, bullying)
Retained foreign bodies 
Malfunctioning equipment
28
Q

IDENTIFY ORGANIZATIONS USED AS RESOURCES FOR CURRENT INFORMATION ON REDUCING MEDICAL ERRORS IN SURGERY.*

A

Nationally:
Association of Surgical Technologist (AST)
The joint commission
The council on surgical and perioperative safety (CSPS)
No thing left behind

29
Q

OBLIGATIONS REQUIRED BY THE SAFE MEDICAL DEVICE ACT.

A

Device tracking
Report all incidents in which a medical device or user error may have caused or contributed to the death or serious injury to the patient

30
Q

EXPLAIN THE IMPACT OF THE CONFIDENTIALITY STANDARD OF HIPAA ON SURGICAL TECHNOLOGY PRACTICE.*

A

The only information we are allowed to share is what is necessary to continue a patient’s care. Everything else is confidential.
The confidentiality standard of HIPAA means that we can’t share patient information unless it is needed to care for a patient. It applies to everyone in the operating room. I cannot discuss what I observed in surgery with anyone outside of my closed classroom in a learning environment. I can’t talk about what I saw that day with my friends or in the student lounge. If I do, then I am not demonstrating ethical conduct and failure to keep information confidential may result in immediate removal from the clinical site setting and dismissal from the program.

31
Q

MORAL PRINCIPLES USED TO GUIDE ETHICAL DECISIONS.

A
Benevolence (for good)
Trustworthiness
Honesty
Justice (fair and equitable treatment for all patients)
Prevention of harm (do no harm)
Refusal to take unfair advantage
32
Q

FACTORS TO CONSIDER IN MAKING AN ETHICAL DECISION.

A
Accountability/responsibility
Corporate integrity
Cultural beliefs
Religious beliefs
Personal (moral) values
33
Q

Accountability/responsibility

A

Are you willing to be accountable/responsible for your decisions/actions

34
Q

Corporate integrity

A

The facility administration guards integrity of facility; corporate values

35
Q

Cultural beliefs

A

Your personal decisions; respect others’ for their decisions

Don’t have to agree with their decision, but respect their right to make it based on their cultural norms

36
Q

Religious Beliefs

A

We can’t force ours on others

37
Q

Personal (moral) values

A

we can’t force our morals on the patient. We must respect a patient’s right to make their own decisions based on their moral values, but we don’t have to agree with their decision.