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Med Law Unit 3

Med Law Unit 3 Review

QuestionAnswer
How do we made a correction in a patient's chart? One line through Initial Date Write "error" Write the correction
In which cases can medical records be released to a 3rd party without permission? Worker's Comp Emergency
The law that effectively waives consent in medical emergencies: The Good Samaritan Act
Under the doctrine of professional discretion a doctor may do this: Refuse to show certain notes to a patient
Who cannot give consent? (4) Minors, Mentally Challenged, Language Barriers, Under the Influence
What mandates certain standards for electronic transmission and storage of healthcare information: HIPAA
Who determines the time frame for retention of medical records: State Statutes
The legal basis for a patient's permission for medical treatment: Doctrine of Informed Consent
The medical record belongs to: The Facility
The medical information belongs to: The Patient
6 components that are to be introduced in informed consent: Proposed modes of treatment Why treatment is necessary Risk involved in the proposed treatment Available alternative treatments Risk of alternative treatments Risk if treatment is refused
5 Cs to follow when entering medical records: Concise Complete & Objective Clear & Legible Correct Chronologically ordered
What are some barriers with informed consent? Religion Diversity Language Comprehension
Code sets must be uniform throughout the country? T/F True
When is the FDA entitled to PHI? (3) Safety Issue Product Recall Adverse events related to drugs
What are the responsibilities of the privacy officer? Train employees Help develop notice of privacy practice Must know HIPAA very well
Who must sign a NPP? Patient or Parent/Guardian
Created by: jruhde
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