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laws and ethics
chapter 7
| Words | Definitions |
|---|---|
| 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 |
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