Quiz 1 Flashcards
What does HIPAA stand for
Health insurance portability and accountability act
Who enforces HIPPA
Enforced by office of civil rights
What does PHI stand for?
Protected health information
What classifies as PHI
Name of patient, relatives, employer, household members, all ages over 89, telephone, fax numbers, email address, ss#, MR#, health plan #, accounting #, drivers license, test results, physical/medical conditions,
same rights as individual except in cases where abuse, or neglect is suspected
POA
need parent or guardian signature
Minors
order must be from a judge, not a lawyer
Subpoenas, court orders
Do not leave messages on answering machines unless given permission to do
so and ensure that you have the
Proper number
When facilitating informed consent, explain
Procedure, risks, alternatives, minors need guardian, medical interpreter
Lack of consent=
Considered battery (not covered by malpractice insurance )
person can indicate their wishes if at some point in time they are
unable to make decisions for themselves due to illness or incapacity.
Living will
Often requires two MDs signatures to verify incompetency before
executing a living will
Living will
Must be established upon each hospital admission, does not carry over from one admission to another
DNR
DNR orders done in the hospital are generally not discussed or acknowledged in outpatient clinics Must have
Out –of-Hospital DNR order/designation
Routinely screen
Every patient
“I recognize domestic abuse is an issue in our society, I ask all my female patients these questions”
Are you safe in your home , are you safe in your relationship
Controlling behavior, overly concerned, answers questions for patient, hostile/demanding, insists on stalling with patient throughout the visit , monitors victims responses to questions
Common characteristics of abusers
PA - Child Protective Services Law - Individuals required to report:
Licensed psychologists, osteopaths, medical examiners, coroners, funeral
directors, dentists, optometrists, chiropractors, podiatrists, interns, nurses, and hospital personnel (including PTs)
◦ Members of the clergy
◦ School administers, school nurses, social workers, any daycare or child care worker,
◦ Mental health professionals
◦ Peace officers and law enforcement officers
New healthcare license
3 hours
Renewal of healthcare hours
2 hours CEU
Mandatory Reporting of Elder Abuse Older adults protective services act - PA
Older adult – 60+ years of age Protection from:
Abandonment Abuse – physical, verbal, sexual Neglect Exploitation Intimidation What might be signs of abuse or neglect?
Mandatory Reporting – Department of Aging 1-800-490-8505 Report Elder Abuse (pa.gov)
First 2 components of an interview
Introduction and verification of patients name and dob
During the patient interview (after verification), talk about
Establish rapport (small talk), ask open ended questions (what brings you in to PT today), be a good listener, don’t lead the witness, acknowledge patient fears/complaints, explain your role and your plan, get consent
Explaining what you will be doing, in non-technical words
Consent
Being transparent with what you will or will not be doing, “truth
telling”
• Be honest, if it might be painful, warn them
• Inform them of what might happen (good or bad)—don’t scare them
unnecessarily (risks & benefits)
• Give them the chance to ask questions
Consent
May I proceed
CONSENT
Level of alertness
Normal, filament, lethargic, stupor, coma, unresponsive
Cognition can be determined by A & O x4
