Standards of Practice, Ethics and Legislation Flashcards
Regulated Health Professions Act (RHPA)
an Ontario law that was passed in 1991 to regulate 23 health professions in the province of Ontario.
What are the main objectives of the RHPA?
- To protect the public from harm.
- to promote high quality care
- to make regulated health professions accountable to public.
- to give patients/ clients access to health care professionals of their choice
Section 1 of Ontario Regulation 682
defines Medical Laboratory Technician as a person who under direct supervision of an MLT, RT, or MRT performs laboratory tests which require limited technical skill and responsibilities, which do not require interpretation, assessment o the exercise of independent judgement.
MLA’s duties may include:
- blood sample procurement
- sample preparation for analysis
- reagent preparation
- media preparation, smear
- staining of smears
- parasitology examinations planting and streaking of microbiology specimens and including set up of anaerobic and CO2 jars
- urinalysis (excluding microscopic)
- set up of ESR, and micro hematocrits
- routine equipment maintenance
Medical Lab Technician can become licensed after passing a certification exam with which association? (2)
American Society for clinical pathology (ASCP) or Medical Laboratory Professionals Association of Ontario (MLPAO)
National Accrediting Agency for Clinical Laboratory Sciences
(NAACLS)- The premier international agency for accreditation and approval of education programs.
-provides comprehensive services including program accreditation, program approval, consultation and continuing education for students, employers and health care consumers.
Clinical and Laboratory Standards Institute (CLSI)
a national non profit-organization who develops consensus standards for clinical and lab practices and promote their use worldwide including, set the standards for phlebotomy procedures
- formerly called National Committee for Clinical Laboratory Standards (NCCLS)
Competency Statements
are required to judge the quality of being competent and that shape the educational curriculum and structure of health care programs set by NAACLS to describe the entry-level skills.
Competency statements for MLA
- principles of basic and special blood collection procedures
- basic anatomy and physiology and biological aspects of the human body
- preanalytical (re-examination) variables
- standard operating procedures (SOPs) for laboratories
- medical terminology
- regulatory requirements
- patient and personal safety
- infection control
professionalism
the skill, competence or character expected of an individual in a trained profession. There are 4 categories to frame their concept of professionalism:
- respect
- service
- support
- growth
Standards of Practice
All health care workers must conform to a specific standard of care to protect patients.
-standard of care is set by statutes; licensing requirements; rules and regulations of regulatory or professional organizations, internal health care facility, policies, procedures, rules, and regulations.
Specimen Procurement and Handling
R.R.O 1990, REGULATION 682
- basic requirements for quality specimen include:
- examine specimens from humans only
- report test results directly to person who requested it and include the lab name that received the specimen, address and which test was performed
- report all positive lab findings, that indicate the presumptive presence of any communicable disease within the meaning of the Health Protection and Promotion within 24 hours after conducting the test
- using standard precautions, the patient is identified, assessed and prepared properly and medication interference is avoided if possible
- specimens should be collected from the correct patients, using correct techniques and labelled appropriately
Laboratory Director
a person who is responsible for the admin of the scientific and technical operation of a lab including the supervision of tests and reporting of test results
Laboratory Supervisor
a person who under the general supervision of a laboratory director supervises lab personnel and may perform tests requiring special scientific skills
Laboratory Technologist
a person who under general supervision performs tests which require the exercise of independent judgment
Laboratory Technician
a person who under direct supervision performs lab tests which require limited technical skill and responsibilities
Ethics
the moral standards of behavior or conduct that govern an individual’s actions:
- hold in confidence and protect all info relating patients
- work with other health care professionals to provIde quality effective patient care
- promote the image and status of their contributions to the practice of lab medicine by maintaining high standards in their work habits and through active support of the MLPAO
- work within legislated scope of practice and seek direction when required
- endeavor to maintain and improve their skills and knowledge
- use sage work practices at all times
bioethics
the moral issues or problems that have resulted because of modern medicine, clinical research and or technology.
-usually refers to life and death issues such as abortion,. when a patient is allowed to die, and who receives organ donations
Assault and battery
the unjustifiable attempt to touch another person or the threat to do so in such circumstances to cause the other to believe that it will be carried out or cause fear.
- an assault may be permissible if proper consent has been given (ie. to obtain blood specimen)
- the intentional touching of another person without consent; also the unlawful beating of another or carrying out of threatened physical harm