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Law & Ethic ch5-8
chapters 5-8 PHCC
| Question | Answer |
|---|---|
| Liability | Legal responsibility |
| Defensive medicine | Performing medical test and procedure to ward off litigation |
| Incident report | An official statement of an incident |
| An incident report should be completed | whenever anything unusual happens |
| Memorialize | When a health care provider sends a letter, by certified mail, with 30 days notice, to a patient to dissolve their doctor/patient relationship |
| Procedures manual | A reference book explaining medical procedures |
| Affirmative duty | Responding to an incident in a predetermined manner |
| Negotiate (mediate) | A meeting to agree or compromise |
| Negotiation is a very effective way to | settle disputes |
| Arbitrator (arbitration) | A person chosen to decide a disagreement between two parties |
| Risk management | Taking steps to minimize danger, hazard, or liability |
| Quality improvement (QI) | Measures taken to uphold the quality of care AKA quality assurance |
| Liability insurance | Insurance coverage for negligent acts or omissions |
| Vicariously liable | Legally responsible for someone else |
| Respondeat superior | The employer is vicariously liable for acts or omissions of their employees within the scope of their employment |
| Examples of those who are vicariously liable include: | Employers Parents Guardians etc |
| Statute of limitations | A time limit within which one person can sue another |
| The statute of limitations for filing a medical malpractice lawsuit is usually | 2 years |
| Layperson | One who does not have training in a specific profession |
| Against medical advice (AMA) | When a patient leaves the hospital without their physician’s permission |
| Tolerance | A respect for those whose opinions, practices, race, religion, or nationality differ from our own |
| The number one insult between medical professional and their patients is | waiting |
| Nonverbal communication | Body language |
| Aggressive | Hostile rather than assertive |
| Preventive medicine | Medical practices designed to ward off litigation |
| Assertiveness | Positive communication to prevent litigation |
| Silence is considered the most | effective communication technique |
| Look the client in the | eyes |
| Lean toward the | client |
| Listen and be | attentive and interested |
| Speak clearly in a | low tone and at moderate speed |
| Your voice should be | warm, friendly, and sincere |
| Give feedback such as: (name(7) | nodding the head, UH huh, Go on, I see, Really? Please continue, Tell me more |
| Apologize even: | if it is not your fault |
| Handle complaints | immediately |
| Use touch to convey | warmth and caring |
| Considerate and respectful care | The Patient Bill of Rights |
| Complete information concerning diagnosis, treatment, and prognosis. | The Patient Bill of Rights |
| Informed consent | The Patient Bill of Rights |
| Refusal of treatment | The Patient Bill of Rights |
| Privacy | The Patient Bill of Rights |
| Confidentiality | The Patient Bill of Rights |
| Reasonable response to a request | The Patient Bill of Rights |
| Relationships to affiliated facilities | The Patient Bill of Rights |
| No human experimentation without permission | The Patient Bill of Rights |
| Continuity of care | The Patient Bill of Rights |
| Explanation of bill | The Patient Bill of Rights |
| Explanation of hospital rules and regulations | The Patient Bill of Rights |
| If the physician is running late, Ask the patients who are waiting if they | want to reschedule their appointment |
| If the physician is running late, Telephone patients who have not arrived for their appointment, | inform them of the delay, and ask if they want to reschedule |
| If the physician is running late, Have a variety of current | magazine available |
| If the physician is running late, Have a variety of | DVDs available |
| If the physician is running late, Offer | refreshments |
| If the physician is running late, have | Video games. |
| Offer your hand to help but | don’t force it |
| Be Kind. Remember everyone you meet is | fighting a hard battle |
| Do not use the phrase | "How are you?" unless you are prepared to listen intently to their answer, no matter how long it takes |
| Commandment #1 of a truly civilized society is: | Let people be different! |
| It is your obligation as a healthcare professional to treat all clients equally and fairly regardless of their | a. appearance b. behavior c. level of education d. econonmic status |
| Not everyone will express | appreciation for your efforts |
| The satisfaction you obtain from your work must be based on what you give to others, not on what you | receive from them |
| Good communication techniques must be used in order to: | 1. Maintain customer base and encourage it to grow. 2. Decrease the incidence of litigation. |
| People are less likely to sue you | if they like you |
| Satisfied customers will tell | 4 other people about your company |
| Dissatisfied customers will tell | 10 other people about your company |
| Barrier to Effective Communication | 1. avoid using slang slang includes: a. bye bye b. so long c. see ya d. toddles e. What's up f. Honey g. Sweetie h. Dear i. Darlin |
| Do not be impatient because many of our clients are: | a. ill b. elderly c. HOH (hard of hearing) |
| Avoid nervous habits such as: | a. jiggling your leg(s) b. tapping and /or clicking your pen c. playing with your hair |
| Avoid making pained | facial expressions |
| Do not give advice | Instead of advice give information |
| consent | Permission |
| Informed consent considerations include: | consent obtained after the client understands the situation completely |
| Informed consent includes: | Informed consent includes: 1. Proposed treatment details. 2. Why the treatment is necessary 3. Risk involved 4. Available alternatives 5. Risks of alternatives 6. Risks if treatments is refused. |
| Informed consent includes: cognitive | pertaining to the mental processes of comprehension, judgment, memory, and reasoning |
| mentally incompetent | lacking reasoning faculties to understand ordinary concerns AKA mental incapacity |
| Reasons for individuals to be judged mentally incompetent include: | 1. Insanity 2. Senility 3. Being mentally challenged (MR) 4. Influenced by drugs or alcohol |
| fiduciary duty | an obligation of trust |
| delegated | to appoint as one's legal representative |
| agent | a person legally authorized to act for another |
| custodian | an agent delegated to care for an incapable person or property |
| guardian | an agent delegated to care for an incapable person AKA a conservator |
| guardian ad litem | an agent delegated to represent the rights of an incapable person |
| mental incapacity | the inability to understand ordinary concerns AKA mentally incompetent |
| The order of authority to make medical decisions for a person who is mentally incapacitated: | 1. Spouse 2. Oldest adult child 3. Parents 4. Oldest adult sibling |
| implied consent | consent evident by conduct |
| The five Cs for correctly entering information into a medical record are: | 1. Concise 2. Complete 3. Clear (legible) 4. Correct 5. Chronological |
| Medical information is the property of the | Patient |
| Guidelines for correcting errors in a medical record include: | 1. Draw one line through the entry 2. Write "error" and the reason for the error above or below the entry or in the margin 3. Write the date and time the correction was made 4. Signature and title of yourself and a witness |
Created by:
Urania
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