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Ethics Final

Rad Tech Freshmen MCC

QuestionAnswer
Rad Tech Scope of Practice Techs may not administer drugs other than part of contrast administration
Prima Facie Duties (W.D. Ross) ethical problems weighed against duties most obligated to perform; intuitive & conditional
6 Prima Facie Duties 1) Fidelity 2) gratitude 3) justice 4) beneficence 5) self-improvement 6) maleficience
Values Personal idea about worth of a given idea or behavior
Utilitarianism (Bentham/Mill) should act to produce the greatest ratio of good vs. evil for all concerned
Job Description Maintain & use equipment & supplies necessary to demonstrate portions of the human body on x-ray film for diagnostic purposes
Morals Distinguish between right & wrong; governed by conscience
Truthtelling Disclosing all information regarding the realities of the x-ray exam only; don't elaborate or fabricate
Whistleblowing Attempt to disclose or call attention to some perceived wrong within an organization
Internal whistleblowing Going over your boss' head
External whistleblowing Going to an agency or the media
Three questions to ask before whistleblowing 1) how serious? 2) strength of evidence? 3) normal channels to resolve?
Paternalism Person(s) in highest authority determine the rules for the "good" of the people
Habeas Corpus "you have the body" protects individual freedom against arbitrary & lawless state action
Captain of the Ship Person in charge responsible for all under their supervision
Respondeat Superior "let the master answer" = employer is responsible for employee
Res ipsa loquitur "let act/thing speak for itself" = obvious negligence
Confidentiality trusted with secret or private information - must safeguard patient info
Patient Self-Determination Act 1991, mandates that healthcare facilities receiving Medicare/Medicaid funding provide written info about patient rights to participate in medical decision making & formation of advance directives
ASRT American Society of Radiologic Technologists
JCAHO Joint Commission on Accreditation of Healthcare Organizations
ARRT American Registry of Radiologic Technologists
RSRT Rochester Society of Radiologic Technologists (local level prof society; provides cont. ed.)
NYSSRS NY State Society of Radiologic Sciences (state level prof society; provides cont. ed.)
NYSDOH NY State Dept of Health
Middle States Middle States Commission on Higher Education
OSHA Occupational Safety & Health Administration
Purpose of regulatory agencies To ensure quality/safety for general public by setting standards, principles, and educational/licensure requirements for health practitioners
Autonomy Capacity for self-determination (make own decisions - informed consent)
Assault Act that causes another person to fear they will be touched in a harmful way without consent or authorization; threats - verbal
Invasion of Privacy Breach of confidentiality; improper covering or unnecessary exposure of patient's body
False Imprisonment Confinement of a person (holding/restraining) against their will
Battery Act of harmful or unwarranted contact without consent of person (touching; taking x-ray after patient said "no")
Negligence Failure to fulfill expected standard of care
Tort Civil action between two parties
Unintentional Tort Negligence, malpractice
Intentional Tort Assault, battery
Quasi-Intentional Tort Slander, libel
Slander False oral statements that damage a person's reputation (3rd person must hear & understand)
Libel False written statements that damage a person's reputation (3rd person must read & understand)
Defamation of Character Violation/invasion of person's good name, reputation or privacy
Rad Tech Scope of Practice Techs may not administer drugs other than part of contrast administration
Prima Facie Duties (W.D. Ross) ethical problems weighed against duties most obligated to perform; intuitive & conditional
6 Prima Facie Duties 1) Fidelity 2) gratitude 3) justice 4) beneficence 5) self-improvement 6) maleficience
Values Personal idea about worth of a given idea or behavior
Utilitarianism (Bentham/Mill) should act to produce the greatest ratio of good vs. evil for all concerned
Job Description Maintain & use equipment & supplies necessary to demonstrate portions of the human body on x-ray film for diagnostic purposes
Morals Distinguish between right & wrong; governed by conscience
Truthtelling Disclosing all information regarding the realities of the x-ray exam only; don't elaborate or fabricate
Whistleblowing Attempt to disclose or call attention to some perceived wrong within an organization
Internal whistleblowing Going over your boss' head
External whistleblowing Going to an agency or the media
Three questions to ask before whistleblowing 1) how serious? 2) strength of evidence? 3) normal channels to resolve?
Paternalism Person(s) in highest authority determine the rules for the "good" of the people
Habeas Corpus "you have the body" protects individual freedom against arbitrary & lawless state action
Captain of the Ship Person in charge responsible for all under their supervision
Respondeat Superior "let the master answer" = employer is responsible for employee
Res ipsa loquitur "let act/thing speak for itself" = obvious negligence
Confidentiality trusted with secret or private information - must safeguard patient info
Patient Self-Determination Act 1991, mandates that healthcare facilities receiving Medicare/Medicaid funding provide written info about patient rights to participate in medical decision making & formation of advance directives
ASRT American Society of Radiologic Technologists
JCAHO Joint Commission on Accreditation of Healthcare Organizations
ARRT American Registry of Radiologic Technologists
RSRT Rochester Society of Radiologic Technologists (local level prof society; provides cont. ed.)
NYSSRS NY State Society of Radiologic Sciences (state level prof society; provides cont. ed.)
NYSDOH NY State Dept of Health
Middle States Middle States Commission on Higher Education
OSHA Occupational Safety & Health Administration
Purpose of regulatory agencies To ensure quality/safety for general public by setting standards, principles, and educational/licensure requirements for health practitioners
Autonomy Capacity for self-determination (make own decisions - informed consent)
Assault Act that causes another person to fear they will be touched in a harmful way without consent or authorization; threats - verbal
Invasion of Privacy Breach of confidentiality; improper covering or unnecessary exposure of patient's body
False Imprisonment Confinement of a person (holding/restraining) against their will
Battery Act of harmful or unwarranted contact without consent of person (touching; taking x-ray after patient said "no")
Negligence Failure to fulfill expected standard of care
Tort Civil action between two parties
Unintentional Tort Negligence, malpractice
Intentional Tort Assault, battery
Quasi-Intentional Tort Slander, libel
Slander False oral statements that damage a person's reputation (3rd person must hear & understand)
Libel False written statements that damage a person's reputation (3rd person must read & understand)
Defamation of Character Violation/invasion of person's good name, reputation or privacy
Kant (1724-1804) German philosopher - advanced study of ethics - Deontoloty (duty) "treat others as ends & not means only"
Ross (20th c.) Prima facie duties - "feeling within that action is right"
Kant (1724-1804) German philosopher - advanced study of ethics - Deontoloty (duty) "treat others as ends & not means only"
Mill (1806-1873) English philosopher - developed Utilitarianism "end justifies the means"
Bacon (1561-1626) divided medicine into 1) preservation of health 2) cure of disease 3) prolongation of life (primary function)
Hippocrates (460-375 BCE) "do no harm" oath written in 5th c. BCE re: physicians' duty to patient & health care workers
St. Thomas Aquinas (13th c.) based ethics on religion - God given traits of reason & morals = objective truths = Natural Law Ethics
Legal markings/ID on images Patient name, age and/or BD; Institution name; Med record/imaging file #; Date of procedure; Type of procedure; Initials of person performing procedure
Who reports child abuse All medical professionals/personnel mandated in NY (report to supervisor/attending physician)
How long are records/images stored Adults: 5-7 yrs; Minors: 1-7 yrs past age of majority (18-21)
Regulations re: patients viewing charts Patient has right to view/copy own chart & can request amendment if they believe it to be inaccurate
Types of Consent Implied (pt agrees verbally or by actions; emergencies); Informed (gives pt all info about procedure, primary duty of physician)
Incident reports Whenever patient injured during exam - what happened, time, where, who present/witnessed, outcome & necessary actions. In case further treatment needed or litigation arises from incident; avoid recurrence.
Types of drug testing Urinalysis most common
Mill (1806-1873) English philosopher - developed Utilitarianism "end justifies the means"
Bacon (1561-1626) divided medicine into 1) preservation of health 2) cure of disease 3) prolongation of life (primary function)
Hippocrates (460-375 BCE) "do no harm" oath written in 5th c. BCE re: physicians' duty to patient & health care workers
Chemicals of choice for healthcare workers 1) alcohol 2) cigarettes 3) pot 4) cocaine
Employer rights to test employees for chemicals Right to inspect employer-owned property; "for cause" (reason for suspicion) - must have max support info; preemployment; random screenings
Sypmtoms of suspected drug use Behavioral (absenteeism, forgetfulness, decreased performance, frequent mistakes); observable (hygeine, breath odor, increased accidents); physiological (tremors, slurred speech, red/watery eyes)
St. Thomas Aquinas (13th c.) based ethics on religion - God given traits of reason & morals = objective truths = Natural Law Ethics
Legal markings/ID on images Patient name, age and/or BD; Institution name; Med record/imaging file #; Date of procedure; Type of procedure; Initials of person performing procedure
Who reports child abuse All medical professionals/personnel mandated in NY (report to supervisor/attending physician)
How long are records/images stored Adults: 5-7 yrs; Minors: 1-7 yrs past age of majority (18-21)
Regulations re: patients viewing charts Patient has right to view/copy own chart & can request amendment if they believe it to be inaccurate
Types of Consent Implied (pt agrees verbally or by actions; emergencies); Informed (gives pt all info about procedure, primary duty of physician)
Incident reports Whenever patient injured during exam - what happened, time, where, who present/witnessed, outcome & necessary actions. In case further treatment needed or litigation arises from incident; avoid recurrence.
Types of drug testing Urinalysis most common
Chemicals of choice for healthcare workers 1) alcohol 2) cigarettes 3) pot 4) cocaine
Employer rights to test employees for chemicals Right to inspect employer-owned property; "for cause" (reason for suspicion) - must have max support info; preemployment; random screenings
Symptoms of suspected drug use Behavioral (absenteeism, forgetfulness, decreased performance, frequent mistakes); observable (hygeine, breath odor, increased accidents); physiological (tremors, slurred speech, red/watery eyes)
Created by: RoPray