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Professional Practice 1 > Orders, sexual abuse, and the HCCA > Flashcards

Orders, sexual abuse, and the HCCA Flashcards

1
Q

What two pre-requisites (other than being an MRT) are needed for you to preform an authorized act?

A
  1. You need to have an order
  2. You need to be competent
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2
Q

What legislation mandates who can prescribe an x ray procedure in ontario?

A

The H.A.R.P act

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3
Q

What are the 2 types of orders?

A
  1. Direct order
  2. Medical directive or protocool
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4
Q

What catagory would verbal orders fall under?

A

Direct order

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5
Q

Who are direct orders for?

A
  1. A specific patient
  2. A specific treatment
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6
Q

What needs to be included in a direct order?

A
  1. Dated
  2. Authenticated by order health professional
  3. In writting
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7
Q

What is a verbal order?

A

A direct order communicated over the phone or electronically transmitted.

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8
Q

What must a verbal order contain?

A
  1. Name of health professional ordering it
  2. Date and time it was ordered
  3. Be signed by the individual accepting it
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9
Q

Who is a medical directive order for?

A

A specific treatment for a range of patients that meets that range of criteria

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10
Q

True or false?

A medical directive is always written.

A

True

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11
Q

What is another name for a medical directive?

A

A standing order

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12
Q

Name 3 different things that must be included in a medical directive:

There is over 3, but for test purposes, only name 3

A
  1. A standardized reference number
  2. What the treatment or range of treatments are
  3. Who may preform this proceedure
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13
Q

How are concerns about orders resolved?

A
  1. Discussing the concern directly with the responsible health professional
  2. Identifiying outcomes desired for resolution
  3. Providing a rationale and best practice evidence in support of the concern
  4. Documenting the concern and steps taken to resolve it in the appropriate record
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14
Q

How many controlled acts are MRTs authorized to perform?

A

5

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15
Q

Can you preform a controlled act that you are not authorized to perform?

A

No, but if you are delegated, you can do it

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16
Q

What is delegation?

A

The transfer of authority to perform a controlled act

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17
Q

MRTs may accept delegation of acts provided what?

A

The delegator:
1. Is authorized
2. Not been restricted from performing this act
3. Has knowlege, skill, judgment to perform and delegate task
4. MRT member has competency
5. A written record of transfer of authority
6. MRT complies with any conditions

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18
Q

True or false?

CMRITO members can accept the delegation of a controlled act.

A

True

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19
Q

True or false?

CMRITO members cannot delegate authorized acts to others.

A

True

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20
Q

To complete any type of order, a CMRITO member must be what 3 things?

A
  1. Competent
  2. Accountable
  3. Collaborative
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21
Q

How can we prevent sexual abuse as a profession?

A
  1. Ask for consent
  2. Communication and explain the reason you are doing things
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22
Q

What are the 2 courses of action for discipline for sexual abuse?

A
  1. Reprimand the member
  2. Revoke the members registration if any sexual abuse has occured
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23
Q

How much can the commitee find the member for sexual abuse?

A
  1. Up to $35000
  2. Legal costs incurred by the college
  3. Require the member to reimburse the college for any funding provided for victim
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24
Q

What are 3 communication principles developed for CMRITO members?

More than 3, just name 3

A
  1. Talk before you touch
  2. Treat each patient as an individual
  3. Maintain confidentiality
25
Q

List 3 communication tips set out by the CMRITO sexual abuse prevention program:

(more than 3 just name 3 for testing purposes)

A
  1. Use diagrams or charts
  2. Legitimize the patients feelings
  3. Be tact and considerate
26
Q

What are 3 touching principles developed for CMRITO members?

(more than 3, only name 3)

A
  1. Touch only when nessesary
  2. Respect cultural diversity
  3. Get patients consent
27
Q

True or false?

The RHPA advises that CMRITO members file a written report to the college if the member has reasonable grounds, obtained in the course of their practice to beleive that a patient has been sexually abused by a CMRITO member or any other health professional.

A

False; they REQUIRE

28
Q

True or false?

Failure to report cases of sexual abuse committed by health professionals can lead to penalties.

A

True

29
Q

What information must be included on a report about sexual abuse committed by a health care professional?

A
  1. Name of person filling report
  2. Name of professional alleged to have committed the abuse
30
Q

True or false?

In cases of any suspected child abuse, regardless of a members professional practice, a report must be done immediately.

A

True

31
Q

What are some x ray signs that can indicate child abuse?

A
  1. Posterior rib fractures
  2. Metaphyseal corner fractures (bucket handle fractures)
  3. Diaphyseal fractures in children under 3
  4. Skull fractures
  5. Multiple injuries at different healing stages
32
Q

What are some phyical signs that indicate a child may be being abused?

A
  1. Cigarette burns
  2. Bruises
  3. Behaviour
  4. Improbable explanations
33
Q

What is the act governing consent to treatment in ontario?

A

The health care consent act (HCCA)

34
Q

What is a course of treatment?

A

A series or sequence of similar tratments administered to a person over a period of time for a particular health problem

35
Q

What are exceptions to getting consent for treatment?

A
  1. Taking a person’s health history
  2. The communication of an assessment or diagnossis
  3. The assesment or examination of a person to determine the general nature of the persons condition
36
Q

Is the use fo ionizing radiation by an MRT considered treatment?

A

Yes. Done for diagnostic purposes

37
Q

Do MRTs need written consent from a patient to preform an x ray?

A

No

38
Q

What are the 2 elements of consent?

A
  1. Consent
  2. Capacity
39
Q

What are 3 requirements of consent for the patient recieving treament?

A

The patient must:
1. Be informed
2. Be voluntary
3. Not be obtained through misinterpretation or fraud

40
Q

When must consent be given?

A

Always BEFORE the proceedure

41
Q

When can patients withdraw consent?

A

Any time before or during the procedure

42
Q

When are patients considered capable to give consent?

A
  1. If they understand the information that is relevant to making a decision about the proposed treatment and;
  2. Appriciate the reasonably forseeable consequences of accepting or refusing the treatment or of making no decsion
43
Q

What are charecteristics that can cause concerns about a persons capacity?

A

-The person appears to be impaired by alcohol or drugs
-The person appears to be severely depressed
-The person is experiencing pain, acute fear or anxiety

44
Q

True or false?

The existence of a phychiatric, neurological diagnosis, or disability are indicators that a person is uncapable to give consent.

A

False; should not be used as grounds for incapacity on thier own

45
Q

True or false?

Capacity is fluid.

A

True

46
Q

What do you do if the patient is incapable of consenting?

A

Provide a substitute decision maker

47
Q

Who are the people that should be contacted to be the substitute decision make if a patient is incapable?

(in order from who should be contact first)

A
  1. Gardian or person appointed by court
  2. An attourney for personal care under power of attorny
  3. Representitive appointed by the consent and capacity board
  4. Spouse/partner
  5. Child of patient, parent or patient, or CAS
  6. Parent with only right of access
  7. Sibling
  8. Any other relative
  9. The public guardian and trustee
48
Q

What are the exceptions to gaining consent prior to providing treatment for an incapable patient

A

If it is considered an emergency (patient severly suffering/at risk of sustaining serous bodily harm)

49
Q

What circumstances must the patient meet in order for the emergency exeption to apply?

A
  1. The patient must be incapable
  2. The delay will prolong suffering or risk serious harm
  3. Communication with a capable patient is not possible due to barriers such as language/disability
50
Q

What are the steps for obtaining consent?

A
  1. Determine the patients capacity
  2. If patient is incapable and its not an emergency, follow the guidelines of your college
51
Q

True or false?

If the patient/someone else intends to apply to the board of consent to make a decision, you must give them time to do so.

A

True, providing not an emergency situation

52
Q

Who gets consent for x ray procedures?

A

Doctors

53
Q

What is our role concerning consent for x ray proceedures?

A

To verify consent

54
Q

What does PHIPA stand for?

A

Personal health information protection act

55
Q

What does PIPEDA stand for?

A

Personal information protection and electronic documents act

56
Q

True or false?

Patient information can be shared within the circle of care if required for practicing.

A

True

57
Q

True or false?

Members can share patient inormation and discuss patient care in a public setting, provided that no names are used.

A

FALSE

58
Q

What is the PHIP act for?

A

For protecting the collection, use and disclosure of personal health information

Professional Practice 1 (9 decks)

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