Patient care Flashcards
■ 2.1 CAMRT description of practice
- Professionalism
- Patient and family-centered care
- interprofessional collaboration
- commitment to education and life-long learning
- Commitment to the profession
- Acting within legal and ethical boundaries
- Expertise in Medical imaging
- Quality Patient care
- A safe environment
■ 2.2 CAMRT’s Best Practice Guide Line
- continuing Education and life-long learning
Reflective practice
people learn from their own professional experience
■ 2.3 misconduct for MRTs
- failure to obtain consent for treatment
- practice while impaired by a substance
- fraud
- misrepresentation of qualification
- sexual and other forms of abuse
- breach of patient confidentiality
■ 2.4 Ethics vs Morals
Ethics - rules e.g. codes of conduct in workplaces
Morals - an individual’s own principles regarding right or wrong
Ethics
Deals with the philosophy
Ethics are external standards
Social system or a framework
Define correct moral behavior
3 ethical philosophies
- Utilitarianism (consequentialism) right act - best outcome. ways to achieve it
- Deontology - duty, acting according to duty/ obligation
- Virtue Ethics - understand and live a life of moral character, utilize wisdom rather than emotional or intellectual problem solving
Ethical Dilemma
two or more alternatives are morally correct, but both options cannot be exercised
Ethical Distress
know what the right course of action is, but a barrier prevents implementation of that course
Dilemma of Jusice
distribution problems, the problem of providing for fair and equal distribution of health care
◎ Ethical Principles
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Beneficence
doing what is in the patient’s best interest
Non-maleficence
no harm
Justice
treated equally or receiving equal benefits
confidentiality
PHIA
double effect
produce a good and bad effect, abortion, euthanasia
fidelity
faithful to the promises the made
Paternalism
Parent knows Best
Sanctity of life
human life is sacred holy and precious
veracity
truth telling
Patient-centered care
- Advocating and collaborating for optimal patient care
- Involving patients in their own care
- Respecting patient dignity and rights
- Protecting confidentiality
Maintaining competence
- Performing only the procedures for which the MRT has acquired competence
- Engaging in lifelong learning to maintain a consistent level of competence in their disciplines of practice
Evidence-based and reflective practice
Delivering care based on professional judgements that consider their clinical experience and the patient’s needs
-Remaining current on MRT trends, basing their practice choices on evidence, and applying this knowledge to the clinical
Providing a safe environment
- Maintaining current knowledge of safety standards
- Ensuring a safe environment and taking steps to minimize the exposure to potential risks
Acting with professional integrity
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■ 2.6 Legal issues
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Law
all rules of conduct established and enforced
Patients’ Bill of Rights
page 34
■ 2.6 Legal issues
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Patients’ Bill of Rights
page 34
Civil torts
the right between individuals in non-criminal actions
Intentional torts - a purposeful deed committed with the intention of producing the consequences
- False Imprisonment ( use of physical restrains without physician’s order)
- Invasion of privacy
- Defamation of character (slander and libel)
- Assault - threat of touching ( remain still!!!!)
- Battery - unlawful touching
Unintentional Torts
- Negligence - omission of reasonable care
- Malpractice - an act of negligence in the context of a relationship between a MRT and patient.(gross negligence)
Claim of Malplractice
- a patient must prove the loss or injury
- MRT is partly responsible for the loss
- loss is due to negligence or malpractice
Criteria for Valid Consent
- Voluntary and genuine consent
- informed consent
- consent to act performed
- capacity to consent
- competency to consent
Simple consent
- Express consent
- Implied consent - in emergency
Informed consent
- to obtain permission
- include potential risks, benefits, consequences
- blank must be filled before being signed
- ignorant consent = inadequate consent
Exams requiring informed consent
- Angiograms
- interventional procedures
- CT requiring contrast
- MRI requiring contrast or anesthetics
Consent for minors
- 18 years of age, has full legal capacity and can make all decisions.
- 16 years of age, has some limited legal capacity; has right to make decisions relating to medical treatment
- under 16, mature minor rule “ minor who has a full appreciation of the nature and consequences of medical treatment may consent to medical treatment”
- typically, their parents must do so on their behalf
Good Samaritans Law
law protects people who give medical aid to others in an emergency
■2.7 Medical Records ( chart)
page 40 review
Diagnostic images
are considered part of the patient’s medical record and can be used as legal evidence in the event of lawsuit
factors needed on image
Pt name and DOB date of exam identification number name of the facility correct sequence and parameters
Incident reports and disclosure
written reporting is imperative
■2.8 Computer applications
eChart, RIS, PACS, EPR (electronic patient record)
■2.9 Confidentiality and Privacy
PHIA
