Professionalism Flashcards
What are the 4 ehtical principles?
1)justice
2)autonomy
3)beneficence
4)non-malfeasance
define justice
equity, fair distribution of treatment
no discrimination based on any factor
no special treatment
define autonomy
Right to a have a say in ones own care
ie. self governing and function independently
provide all neccesary information that allows patient to make an informed decision about their care
define beneficence
duty to do good
actions should always be in the best intrest of patients
define non malfeasance
do no harm/prevnet harm or remove harm
through treatment (comminsion) or omitting treatment (ommision)
6 steps to resloving an ethical issue
1) identify an ehtical problem
2) identify facts (known benfits/harms) laws (goverment, college), ethical prinicples (autonomy, etc.)
3)consider the impact on stake holders including patient-who does the decision affect
4) find potentional courses of action
5) choose course of action
6) asses action outcome and decide whether further action is needed
-practice adivisor of college (CPM) can help guide you
Describe PT scope of practice
defined by ones education/training and governeing body
PT diagnoses: inclusion of physical funcitoning and impression of functional abilites
eg/ consultations, education, therpeutic exercise, manual therapy, soft tissue technecques, electro-physical agents, mechanical modalities, functional activity training, cardio-resp techniques, prescribing aids and devices
describe some actvities not within PT scope of practice
-diagnosing medical condition and diseases
-prescribing and discussing use of medication (pharmacists)
-other medical interevntions
do you have the training?
do you know the risks and how to manage them?
is there another better suited profession?
define controlled act or restricted activity
healthcare activity that by law should be performed by individuals atuthorized to perform them or by individuals who have been delegated the activity
must know what to do in event of adverse outcome, must have written instructions on how to manage forseable adverse outcomes
PT restricted activities include,
which ones can be deglegated?
-traceal suctioning, delgated to healthcare team and family if long term use
-spinal manipulation-cant delgate
-acupuncture-can’t delgate
-assessing/rehabing pelvic musculature-can’t delegate
-adminstering substance by inhalation-can delegate, especially oxygen
-can not delegate the communication of a diagnosis
define consent
PT’s have legal and ethical obligation to obtain prior to any physio services (Ax Tx, sharing health records to third party)
no minimum age
may be expressed or implied
may be withdrawn at any time
must be documented
only exception is an emergency
what is informed consent?
pt prvided with all neccesary information to make an informed healthcare decision
the Tx, benefits and risks, side effects, consequences of not recivieng treatment, alternate options, goals of Tx, evidence, etc
the four compents of consent are?
1) capcity
2) voluntariness
3) disclosure
4) understanding
describe Capacity (consent)
must have ability to understand interaction and appreciate consequences of their decisions
decision specific
no age determinant
describe voluntariness (consent)
patient must never be coerced or manipulated
persuasion is acceptable
information should not be framed with bias
give professional opioion by present information objectiviely
describe disclosure (consent)
PT must disclose any information a reasonable person in same circumstances would require to make a decsion
nature of treatment, benfits/risks, alternative options, consequences of not receiving treatment
what is a substitute decsion maker?
individual who is authorized to provide and refuse consent on behalf of a person who is incapable of making the decsion.
must be capable, able and willing
16 years old or parent of the child
must follow wishes expressed by pateint while they were capapble
issues presented to consent and capcity review board
can assume-do not need to verify
what is assualt and battery? example.
a criminal charge of physical contact with out consent
eg/ continuing Tx after a patient says stop
what is PIPEDA?
personal information protections and electronic documents act
federal statute governing the collection use and dsiclosure of personal information
describe provincal health information privacy acts
name varies between provinces
regulates the collection use and disclosure of personal health info by health information custodians
define a health information custodian and agents of health information custodians
HIC: someone or orgniztion that is responible for the managment of info ( health care praticioners, hospitals, pharmacies), manage info and its storage
agents of HIC: authorized by HIC’s to use indor to perform their job, not storing info
steps to take in a privacy breach
1) contain breach
2) notify affected individuals
3) notify information and privacy comisioner
4) report to college if displinary action is taken against member
describe duty to warn
may break confidentiallity if there is reasonable grounds to believe that their is imminent risk of harm and danger to patient, themselves or others
plans to commit suicide or severely harm someone
infection prevention and control
identifies and minimizes risks associated with infections
ensure appriprate written protocols are avaiable in practice setting
does documentation made by physio support personal need to be signed?
no becuase they do not have a governing body
Are physiotherpists personally accountabe and responsible for care delegated to PT support personelle
yes!
Support personelle can not (5)
1) assess or resasses patients
2)change treatment plan prosed by supervising physio
3) create treatment plans
4) perform any controllled acts that have been delgated to physio
5) performing restricted activities
Self reporting to college is legally required when:
1- found gulity or charged with any offence
2-a finding or is under current investigation or inquire of malpractice, professional negligence, professional misconduct, incompetence, incapcity, other
mandatory reporting (sexual abuse)
belief resonable grounds that healthcare professional sexually absued a patient
reports require anme of HCP, patient name may only be reported with consent
mandatory reporting (incompetence)
beleif on resonable grounds that HCP at faculty is incompetent. lack of knowledge skilss or judegment
mandatory reporting (incapcity)
beleif on resonable grounds that an HCP is incapcitiated. phyiscal or mental condition that mus warrant need to restrict or forbid practice ability
alcholism, alziehmers
mandatory reporting (holding out)
belief on resonable grounds that a person who is not registeted to practice in given province is. physiotherpist is a protected title
mandatory reporting ( child abuse, neglect)
a suspicion on resonable grounds hat child may be in need of protection, report to chidlrens society immediaitely eg child and family services
mandatory reporting ( abuse/neglect in long term care home)
suspciosn based on resonable grounds that a resident is at risk of harm or has sufferend harm due to improper or incompetent treatment or care, illegal conduct, abuse or beglect
report to registra of the retirement homes regulatory authroity
reporting abuse/neglect people (adults and elders) living in own home
no legal obligation
can only make report with consent
they must make the report if they have the capcity to to so
mandatory reporting (privacy breaches)
unauthroized disclosure, loss of, theft of personal health information
must report to information and pricacy commisioner, affected people (+ right to make a complaint)
mandatory reporting ( prevent harm)
HCP can discllose to preven imminent risks of harm
police
Restricted title Physiotherapist
only those registered with college can use
must use title when engaging in practice
can not use title when practicing outside physio scope
illegal for non members to use titile ie holding out
can not use other restricted titles like Dr, acupuncturist unless registered with those colleges
whatt is a conflict of interest?
in a position where a decision may provide you with personal gain that interfers with professional resposibilities and obligation to patient
-disclose
-inform on alternatives
-document discussion
