Objectives 20-36 Flashcards
Abandonment*
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
Assault*
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
Battery*
Actual act of harmful or unwarranted contact
Operate on patient without consent
Doctrine of corporate negligence*
An organization fails to ensure that acceptable level of patient care is provided
Doctrine of reasonably prudent person*
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
Iatrogenic injury*
An injury resulting from the action of health care professionals
Amputate wrong leg
Take out the wrong kidney
Invasion of privacy*
Disclosure of private information without consent
Liability*
an obligation to do or not do something; being held legally accountable for our actions
Malpractice*
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
Negligence*
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
Res ipsa loquitur*
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
Respondeat superior*
“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.
Tort*
A civil wrong; intentional or unintentional
EXAMPLES OF UNINTENTIONAL TORTS THAT COULD OCCUR IN SURGERY
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
General consent
The patient’s agreement to be admitted to hospital for routine services