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laws and ethics

chapter 7

Vital Statistics Numbers collected for the population of live births, deaths, marriages, divorces, abortions, or any change in civil status during an individuals lifetime
When filling out birth certificates you should: print or type legibly, leave no entries blank, avoid corrections or erasures
All live births must be reported to who? state registrar
After a person is pronounced dead, the attending physician must complete a certificate of death which includes: Disease, injury, or complication that caused death, how long the decedent was treated for the condition befor edeath occurred, date and time of death, place of death, if female presence or absence of pregnancy, whether or not an autopsy was performed
autopsy a postmortem examination to determine cause of death
forensics a division of medicine that combines medicine and law and involves medicla proof at trials having to do with malpractice, crimes, or accidents
the attending physician CANNOT sign a death certificate if: possibly due to criminal causes, not attended by a physician for a specified amount of time, due to undetermined causes, violent or suspicious
if any conditions apply that prohibit the attending physician to sign the certificate, who must sign it? the coroner, or medical examiner
in most states the death certificate must eb signed within 24-72 hours
If the deceased was not under a physicians care at time of death who must complete the death certificate? the appropriate county health officer, usually coroner or medical examiner
coroner public health official who hold sinquests over those who die from unknown or violent causes, not necissarily a physician
medical examiner a physician who investigates suspicious or unexplained deaths
the medical examiner can also do what? hold or request autopsies
Public health statutes provide for: guarding against unsanitary conditions in public facilities, inspecting where food/drink are served/processed, exterminating pests/vermin that can spread disease, checking water quality, requiring healthcare workers to file certain reports
the list of reportable diseases... is long and varies with each state
requirements for reporting diseases by mail are available from: county and state health departments
communicabel diseases most likely to have madated reporting are: diptheria, cholera, meningococcal meningitis,plague, smallpox, tuberculosis, anthrax, aids, brucellosis, hepatitis, leprosy, malaria, ruboela, polio, psittacosis, rhumatic fever, rubella, typhoid, trichinosis, tetanus
reportable stds differ w/states but generally include: gonorrhea, syphilis, chlamydia, chancroid, and hpv, aids
administer to instill a drug into the body of a patient
National Childhood Vaccine Injury Act federal law passed in '86, created a no-fault compensation program for injuries resulting from childhood vaccinations as an alternative to suing
child abuse prevention and treatment act federal law passed in 74 that requires physicians to report cases of child abuse and try and prevent future cases
who must report suspected child abuse? teachers, physicians and othe rhealth care practicioners
anyone who reports child abuse is granted absolute immunity form any criminal or civil liability resulting from the incident
spousal abuse does not have mandatory reporting in many states
reportable injuries child abuse, spousal abuse, and elder abuse
Amendments to the older americans act 87 federal law definign elder abuse, neglect, and exploitation, but does not deal with enforcement
In identifying abuse the personnel must not jump to conclusions and make unsubstantiated reports
ways to identify abuse unexplained fractures, repeated injuries, burns with unusual shapes, friction burns, bite marks, malnutrition/dehydration, torn or bloody underwear, pain or bruising in genital area, unexplained vernereal disease
behavior signs of abuse include: illogical or unreasonable explainations for injuries, frequently changing physicians, attempts to hide injuries, frequent anxiety, depression, or loss of emotional control, changes in appetite, problems at school or on the job
what are soem indicators that may identify an abuser? smellign of alcohol, penisve or obsessive behavior, seems inappropriately emotional, or shows aggressive or otherwise suspicious body language toward patient
FDA food and drug administration, department of health and human services, oversees drug quality and stadardization and must approve drugs before theyre released for public use
DEA drug enforcement agency, branch of us department of justice, that regulates the sale and use of drugs
Controlled substances act federal law giving authority to the dea to regulate the sale and use of drugs
prescribe to issue a medical prescription for a patient
dispense to deliver controlled substances in some type of bottle, box, or other container to a patient
Any physicians who prescrive, dispense, or administer controlled substances must: register with dea, keep records concerning meds given for at least 2 years, note on patients chart when meds are given, make a written inventory every 2 years, keep drugs in locked cabinet or safe, report thefts immediatly to dea and local police
Schedule 1 narcotics drugs with no proven acceptable medicinal use and a high abuse potential, including heroin, thc, marijuana, peyote, mescaline, lsd and others, used for research only
Schedule 2 narcotics drugs with a high potential for abuse but with currently acceptable medical use in treatment,, including opiates, cocaine, methadone, mephedrine
Schedule 2N nonnarcotic drugs w/high abuse potential, such as amphetamines, phenmetrazine, methylphenidate, and short acting barbituates
Schedule 3 narcotics Narcotics in combination with other non narcotic drugs,such as codeine combined with acetominephen or aspirin, phenacetin, and caffiene
Schedule 3N narcotics non narcotic central nervous system depressants such as glutethimide, methyprylon, and barbituates not listed in other schedules
schedule 4 narcotics narcotics in combination with other non narcotics, such as antidiarrheals, mild cns depressants, mild cns stimulants
schedule 5 narcotics drugs containing small amounts of narcotics, such as cough medicines with codeine, and drugs used for diarrhea, such as lomotil and donnagel
drugs in schedule 1 and 2 require: properly executed, manually signed prescription
whenever prescriptions are written for controlled substances a copy should be filed in the patients record
when controlle ddrugs are dispensed, the physician or employee whos charged with disposal should contact the dea and the responsible state agency for disposal information
state laws may be _____ than federal laws governing controlled substances stricter
when a state law is stricter than the federal law, which one is to be followed? the stricter one
the role of the medical assistant regarding dea compliance includes: reminding physician of renewal dates, keep accurate records for scheduled drugs, maintain an accurate inventory and inventory records, and assure the security of scheduled drugs kept in the office
Created by: bloody