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Confidentiality

QuestionAnswer
Give examples of how patient information is kept confidential •Person in charge of health establishment set up measures to prevent unauthorised access to health records •Dont discuss info if it can be overheard •Dont leave records where they can be seen •Ensure electronic passing of info e.g. fax are secure.
The Act that stipulates the obtaining of informed consent is: National Health Act (61 of 2003)
For informed consent there is certain info that must be given to a patient. How must this information be explained to the patient? •In a language the patient can understand •At a level the patient can understand ( take into account the patients level of literacy) •In private
Explain what the SOP on Confidentiality states about sharing client information with visiting auditors They need to sign the confidentiality agreement form before any information may be shared with them
Discuss legal indications for breaching confidentiality •In terms of a statutory provision (disclosure allowed by a law) •At the instruction of the court •If non-disclosure will put the public at risk •With the express consent of the patient (written or oral consent) •With written consent of a parent
List the information that needs to be given to the patient when obtaining informed consent •His health status/diagnosis •Procedure/treatment options •The benefits, risks, costs associated with each option •The patients right to refuse and the implications of such refusal
According to the SOP on Confidentiality, who is required to sign a “Confidentiality Agreement form?” All staff
Give all the facts regarding informed consent •legal procedure to agree to procedure after given info on procedure, Rx, benefits, costs, risks •explained in language + way understand+ in private •informed if for research/ experiment •may not be forced, can refuse •No health care can be given
Explain the conditions of obtaining informed consent as stipulated by the National Health Act for providing medical care in: an emergency situation •Pt may be treated without consent if a delay in Rx may result in death •Rx must be limited to what is necessary to save life/ avoid deterioration in pt’s health •After emergency, a.s.a pt is sufficiently recovered to understand, should be told + why
Explain what the SOP on confidentiality stipulates with regards to looking up laboratory results •SOP states it is not permissible for employees to look up results when not in the normal course of their duties. •This includes results of family, friends, colleagues etc
According to SOP on Informed consent, what must you do if the patient wants to know why the doctor has requested certain tests? •Refer the patient back to the doctor for more information before collecting the specimen as it is the doctors duty to explain the reason for the test to the patient. (You may ask the patient what the doctor has told them and give general information)
According to SOP on Informed consent, what is the procedure to follow if the patient refuses to give consent? •find out the reason of refusal •if decision is informed it must be respected + dr notified •if due to emotional state/ lack of info - procedure must be explained clearly + an attempt made to reassure the pt •if pt still refuse, notify referring dr
Describe according to the Children’s Act (38 of 2005) the conditions for obtaining informed consent from a child for medical treatment A child may consent to their own medical treatment or to the treatment of their child if the child is > 12 years + child is of sufficient maturity + has mental capacity to understand the benefits, risks and social and other implications of the treatment
Explain what the SOP on confidentiality stipulates about the faxing of confidential documents Confidential documents may be faxed, but personnel must ensure the information is sent to the correct location and that only the intended recipient will have access to it.
Created by: cisca
 

 



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