Standards Of Conduct

Question 1

–Accountability

Answer 1

•Obligation to disclose details for evaluation; “to be held responsible for”

Question 2

–Affidavit

Answer 2

•Voluntary statement of facts sworn to be true before an authority

Question 3

–Allegation

Answer 3

•Statement one expects to prove true

Question 4

–Bona fide

Answer 4

•In good faith or innocently

Question 5

• Deposition

Answer 5

–A method of pretrial discovery in which questions are answered under oath

Question 6

•Guardian

Answer 6

–Court appointed protector for an individual incapable of making decisions

Question 7

•Iatrogenic injury

Answer 7

–Injury resulting from the activity of healthcare professionals

Question 8

•Liability

Answer 8

–An obligation to do or not do something; an obligation potentially or actually incurred as a result of a negligent act

Question 9

•Malpractice

Answer 9

–Professional misconduct that results in harm to another

Question 10

•Standard of care

Answer 10

–Conduct that is expected of an individual or professional in a given circumstance

Question 11

•Negligence

Answer 11

–Omission or commission of an act that a reasonable and prudent individual would not do under the same conditions; “departure from the standard of care”

Question 12

•Doctrine of borrowed servant

Answer 12

–The one controlling or directing the employee has greater responsibility than the one paying the employee
–Ex: a hospital which has employed a particular ST—is absolved of responsibility when that ‘borrowed servant’ is asked to do something—e.g., by a surgeon

Question 13

•Doctrine of foreseeability

Answer 13

–The ability to see in advance
–Anticipating risk on patients

Question 14

•Doctrine of corporate negligence

Answer 14

–A health institution may be found negligent for failing to ensure that an acceptable level of patient care was provided
–Ex: Improper screening of credentials for doctors and healthcare personnel
–Ex: Specimen loss, miss labeling & improper preparation

Question 15

•Doctrine of personal liability

Answer 15

–Each person is responsible for his or her own conduct
–The healthcare professional is still responsible if he/she fails to carry out a routine task or procedure

Question 16

•Doctrine of the reasonably prudent man

Answer 16

–A person should perform an action as would any reasonable person of ordinary prudence
–Ex. the concept that a ST of ordinary sense will use ordinary care and skill within the scope of practice in meeting the health care needs of a patient.

Question 17

•Res ipsa loquitur

Answer 17

–“The thing speaks for itself”

Question 18

•Primum non nocere

Answer 18

–“Above all, do no harm”

Question 19

•Respondeat superior

Answer 19

–“let the master (owner) answer”

Question 20

•Tort

Answer 20

–Any civil wrong doing
–Intentional / Unintentional

Question 21

•Assault

Answer 21

–Act that causes another person to fear that he/she will be touched in an offensive, insulting or injurious manner

Question 22

•Battery

Answer 22

–Actual act of harmful contact

Question 23

•Defamation

Answer 23

–Damages a person’s reputation

Question 24

•False imprisonment

Answer 24

–Illegal detention

Question 25

•Intentional infliction of emotional distress

Answer 25

Disparaging remarks made about a patient that results in emotional distress

Question 26

Unintentional Torts

Answer 26

•Individuals make mistakes
•Most common type of patient indiscretions by OR personnel include:
–Negligence:
•Breach of duty
–Malpractice:
•Wrongful conduct

Question 27

“Time out” period involving all members of the surgical team should take place immediately before the procedure

Answer 27

•All surgical team members in the O.R. must agree with the:
–Correct patient, correct side/site, and correct procedure

Question 28

•General consent

Answer 28

–General consent for treatment
–Consents to all routines

Question 29

•Special consent

Answer 29

–Surgeries; special procedures

Question 30

•Express

Answer 30

–Direct verbal or written statement granting permission for treatment

Question 31

•Implied

Answer 31

–Manifested by action or inaction of silence that assumes consent has been authorized

Question 32

Written Informed Consent

Answer 32

•Patient’s legal name
•Surgeon’s name
•Procedure to be performed
•Patient’s legal signature – x mark
•Signature of witness
•Date and time of signatures

Question 33

Who Can Give Informed Consent

Answer 33

•Competent adult
•Parent or legal guardian of a minor
•Guardian (permanent, temporary)
•Hospital administrator
•Courts

Question 34

Patient’s Bill of Rights

Answer 34

•Adopted by American Hospital Association
•Requires collaboration between
–Patients
–Physicians
–Other health care professionals
•Establishes patient as a primary decision maker in consumer of health care provided

•High quality hospital care
•Clean and safe environment
•Involvement in your care
•Protection of patient privacy
•Help when leaving the hospital by preparing the patient and family
•Help with bill and insurance claims