Professional Practice JB Flashcards
EMTALAEMTALA
if facility accepts medicare/medicaid, you are required to perform a medical screening exam on every person that comes in
no refusal
ER must treat everyone
anti-dumping law
hepatitis A vaccination
for high risk people homosexual IVDU international travelers feco-oral route
legal/ethical autonomy
PA autonomy per state
autonomy of the supervising physician
beneficence
having patients best interest in mind
chain of custody
law enforcement
when you take forensic data, how does it stay supervised and untampered
ex: rape, child abuse, assault
choice of treatment
full disclosure of options from fiduciary perspective
legal/ethical consent
informed consent: patient must be of sound mind and adult years to give this implied
in true emergency, you can act without consent as long as it was not withdrawn by the pt beforehand
HIPPAA
health insurance portability and accountability act of 1996
data privacy and security provisions for safeguarding medical info
hospice criteria
terminal ill
life expectancy of 6mo or less if dz runs its expected course
no tx to prolong life is expected
living will
written statement detailing a persons desires regarding treatment in circumstances where they are no longer able to express informed consent, especially in advanced directive
medical futility
should not recommend or provide tx that doesn’t help the pt
parental refusal of blood products
if parents say no to blood transfusion –> dont give blood
honor religious preferences
patients rights
patient has right to impartial access to medical tx or accommodations regardless of race, origin, religion, handicap, or source of payment
pt has right to tx for any emergency medical condition that will deteriorate from failure to provide tx
prescribing meds
need documentation of clinical utility
prescribing rights
in 44 states and DC, PAs can prescribe meds in schedules II-V.
5 states allow schedule III-V
kentucky is only state that PAs cannot prescribe controlled meds
requires DEA
research studies
patient must have knowledge of study and consent to participation
institutional review board monitors the study
EMTALA
anyone coming to ER needs to be stabilized and treated regardless of insurance status or ability to pay
unfunded mandate
surrogacy in living will
they can fill out form designating surrogate if pt can’t make decisions
medical informatics
can’t access chart unless for medical care reasons
medical record documentation
accurate for billing and coding purposes
stewardship of patient resources
must provide care with resources that patient has and can afford
Physician/PA relationship- ethics
PA can only do what supervising physician can do
varies by state
physician/PA relationship
scope of practice
can practice only to the scope of our supervising doctor
identifying appropriate reference resources
evidence based medicine is our fiduciary responsibility
terminal cancer
terminal is by patients definition
help them fight it out if they want comfort/palliative care
no labs or vitals
pressure ulcer
