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Law & Ethic Mid Term
Medical Law & Ethics Mid Term
| Question | Answer |
|---|---|
| Define Ethics | Set of moral standards not laws |
| Define Bioethics | Moral issues that arise as a result of science & technology |
| Define Law | Rule enforced by a governing authority |
| Define professional courtesy / manners / etquette | Customs and courtesies shown to other profes-sionals, involves discounts or waiver of fee |
| Example of professional courtesy | Placing a Dr. on hold & getting your Dr. to the phone |
| Hippocrates wrote what | Oath of Hippocrates, |
| Nickname for Hippocrates | considered the 'Father of Medicine' |
| Who wrote the first official code of ethics for physicians | English physician Thomas Percival |
| Who wrote the Principles of Medical Ethics | American Medical Assication in 1847, it has four sections |
| What is the Principles of Medical Ethics about | Morels not laws / ethical guidelines for physicians |
| What does the ethical problem ethical distress mean | Course of action is indicated but something stops action. (wear gloves to handle blood) |
| Ethical problem - Ethical dilemma (Can be called caught between rock & hard place) | Two choices are acceptable/correct but doing one stops the other - something will be lost |
| What does the ethical problem Dilemmas of Justice mean | Choices about who receives benefits / Organ donation & distribution of scarce meds |
| What does ethical problem - Locus of Authority issues mean | Two authority figures have own ideas but only 1 will prevail/ 1 says surgery 1 Dr. no |
| What is step one of ethical decision making | Gather relevant information |
| What is step two of ethical decision making | Identify the type of ethical problem |
| What is step three of ethical decision making | Determine the ethics approach to use |
| What is step four of ethical decision making | Explore the practical alternatives |
| What is step five of ethical decision making | Completing the action |
| What is Euthanasia | Removing life support when there is no evidence of biologic life with the support |
| Who cannot make the decision to 'pull the plug' | The doctor |
| What kind of ethical problem is euthanasia | Ethical dilemmas |
| What does Durable Power of Attorney in Health care mean | Instructions of health care prior to becoming incapacitated |
| Who does Federal law require get Durable Power of Attorney information | Medicare / Medicaid patients |
| What must a Dr. follow about a Clinical Study & investigation | Due concern for welfare, safety, & comfort of the patient whether they do test or refer |
| What is AMA opinion of Clinical Study & investigation | They recognizes the value of Clinical trials & investigations |
| What does the participant get paid for a Clinical Study | Nothing - Voluntary; written consent required |
| What does interprofessional relationships mean | Dr. is free to choose who they want to treat / can refuse anyone |
| What is step one to drop an established patient | Letter of withdrawl |
| What is step two to drop an established patient | Physician considers patient's illness |
| What is step three to drop an established patient | Consides availability of another physician |
| What can happen if a doctor does not follow proper termination steps | He / she can be charged with abandoment |
| What is something a doctor should consider before refering a patient | Will that person receive competent treatment |
| What is 'News in the public domain' | Information considered public record |
| Who in the medical can release information considered public knowledge or record | Only the Physician |
| What are some examples of public domain | births, deaths, accidents and police cases |
| Examples of personal information included in 'Public Domain' | Name, address, age, sex, merital status, boss, job, next of kin, names of parents |
| Examples of other information considered 'Public Domain' | Nature of accident, Diagnosis, prognosis, Patient's general condition |
| What information is NOT considered 'Public Domain' | Test results, x-ray findings, lab, autopsy reports |
| What fees and charges are allowed | missed appointment if patient knows below and it is posted |
| What is another fee and charges that are allowed | Requiring payment at time of service |
| What fee is unethical | Charge for admitting patient to hospital |
| What is fee splitting | A doctor accepts payment from another doctor for referral of a patient/ lab/ drug co. |
| What is the main requirement of medical advertising | Must be factual information and not misleading |
| What is not allowed concerning advertising | Testimonials or statements regarding quality of care/ subjective considered misleading |
| What is Ghost surgery | Substitution of another physician without patient consent |
| Who owns a patients record | The physician or site where record is generated such as a hospital or clinic |
| Medical records are considered confidential | Must have permission to release info unless required by law |
| What is it called if a patients record is released without permission | breach of confidentiality or invasion of privacy |
| What are some examples of what must be reported to the State by law | Communicable diseases, animal bites, drug/child abuse, violent wounds, fugitive |
| What happens to a patients record if doctor dies, retires or moves | Patient must give consent for record to be transfered |
| If patient can not be reached for consent to transfer record what happens to record | Cannot be thrown away, must stored or destroyed |
| How long must records for patients covered by medicaid or medicare be kept | 5 years |
| What is the Scope of practice | Guidelines that designate the limits of your practice |
| What is part one of the AAMA Code of Ethics | Render service with full respect for the dignity of humanity |
| What is part two of the AAMA Code of ethics | respect confidential information |
| What is part three of the AAMA Code of Ethics | Uphold honor, high principles of the profession & accept its disciplines |
| What is part four of the AAMA Code of Ethics | Continue to improve the knowledge & skills of MA for benefit of pt & colleagues |
| What is part five of the AAMA Code of Ethics | Help with community activies aimed at health and well-being |
| What is part one of the AAMA creed | Believe in the principles & purposes of the profession of Medical assisting |
| What is part two of the AAMA creed | Endeavor to be more effective |
| What is part three of the AAMA creed | Aspire to render greater service |
| What is part four of the AAMA creed | Protect the confidence entrusted to me |
| What is part five of the AAMA creed | Dedicated to the care & well-being of all people |
| What is part six of the AAMA creed | Loyal to my employer |
| What is part seven of the AAMA creed | True to the ethics of my profession |
| What is part eight of the AAMA creed | Strengthened by compassion, courage & faith |