Term
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Term
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Term
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Definition
| professional ethical & unethical behavior |
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Definition
| behavior that all rational persons should put forth to govern their behavior |
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Definition
| ideas about what is right & wrong |
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Term
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Definition
1) Standards – honesty, respect for others, conscientiousness
2) Principals - responsibilities
3) Rules – specify specific duties/conduct |
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Definition
| judgments concerned with what an individual/group believes is right in a given situation |
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Definition
| when values, rights, duties, and loyalties conflict and not everyone is satisfied with a particular decision |
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Definition
- unjustifiable violations to the moral rules or failing to follow moral ideals when it can be done so justifiably
Ex: taking the money from a wallet found on the ground |
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Definition
- justifiably obeying the moral rules or justifiably following moral ideals
Ex: returning a lost wallet fully intact to its owner |
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Definition
| attempt to determine what moral standards should be followed |
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Definition
| critical study of majority moral precepts that is correct for all autonomous rational beings (how to act) |
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Definition
| application of normative theories to practical moral problems (what to do) |
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| Descriptive ethics (comparative ethics) |
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Definition
| what people believe is right or wrong |
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Definition
| understand ethical terms, theories and application |
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Definition
- The morally right action is whatever action leads to the maximum balance of good over evil (greatest good for the greatest number)
- Actions/consequences |
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Definition
- Moral worth is solely determined by its contribution to overall usefulness (greatest good for most)
- Moral worth of action is determined by its outcome (end justifies the means) |
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Definition
- Doing the right thing may not always lead to the good and right thing sought after
- Duty to others & others’ rights
- Telling the truth & keeping promises |
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Definition
- Denies consequences
- Right & wrong are based on intrinsic properties |
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Term
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Definition
1. Autonomy – self rule
2. Beneficence – PAs act in best interest of patient
3. Nonmaleficence – “do no harm”
4. Justice - pts in similar circumstances receive similar care |
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Term
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Definition
- PAs should act in the patient’s best interest
- Doing good, Demonstrating kindness, Showing compassion, Helping others
- Balancing risks and benefits
- Requires knowledge of beliefs, cultures, values & preferences |
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Term
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Definition
| individuals or institution (political, military, organizational, religious) knows what’s best for others and makes the decisions |
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Definition
- physicians making choices for a patient by with-holding medical information
- Paternalism - in today’s medical system is often considered “unjustified” |
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Definition
- “First, do no harm”
- To impose no unnecessary or unacceptable burden upon a patient |
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Term
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Definition
- Right of a person to make one’s own decisions
- Actions of one person must not infringe upon the rights of another
- Every adult of sound mind has a right to determine what shall be done with his/her own body
- Without patient’s consent – assault & liable for damages |
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Definition
- A fair distribution of resources, benefits, risks and cost
- Patients in similar circumstances should receive similar care |
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Definition
- Those times where a person’s beliefs and values can change as circumstances change
- People contradict what they believe is right and do what is wrong |
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Term
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Definition
| Morality is relative to the norm’s of one’s culture |
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Term
| 6 Elements of Professionalism (Altruism) |
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Definition
| the principle or practice of unselfish concern for or devotion to the welfare of others |
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Term
| 6 Elements of Professionalism (Accountability) |
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Definition
| the state of being accountable, liable, or answerable |
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Term
| 6 Elements of Professionalism (Excellence) |
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Definition
| the state, quality, or condition of excelling; superiority. |
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Term
| 6 Elements of Professionalism (Duty) |
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Definition
| something that one is expected or required to do by moral or legal obligation.(example: informed consent) |
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Term
| 6 Elements of Professionalism (Honor and Integrity) |
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Definition
always doing that which is right.
A) Honor - fairness, or integrity in one's beliefs and actions
B) Integrity - adherence to moral and ethical principles; soundness of moral character (example: doing the right thing even when people are not watching) |
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Term
| 6 Elements of Professionalism (Respect for others) |
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Definition
| be truthful, honest and courteous. Treat them the way that you would want to be treated |
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Term
| Professional Structural Attributes |
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Definition
1. Specialized body of knowledge and skill
2. Unique socialization of student members
3. Licensure/certification
4. Professional associations
5. Governance by peers
6. Social prestige
7. Vital service to society
8. Code of ethics
9. Autonomy
10. Equivalence of members
11. Special relationship with clients |
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Term
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Definition
1. Use of professional organizations as a major reference
2. Belief in service to public
3. Belief in self-regulation
4. Sense of calling to the field
5. Autonomy |
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Term
| Behavioral Attributes (civility) |
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Definition
1. Tolerance
2. Respect
3. Proper conduct
4. Diplomacy |
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Term
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Definition
- Late for class
- Reading newspaper
- Surfing the web
- Sleeping during class
- Inappropriate dress
- Failure to introduce oneself as a PA or PA-S |
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Term
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Definition
- Talking back
- Talking negatively about peers
- Vulgar language
- Cheating on tests
- Copying fellow student’s paper
- Taking Rx samples
- “White lie” |
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Term
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Definition
| knowing one’s own emotions, managing one’s own emotions, motivating oneself, recognizing emotions in others, handling relationships |
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Term
| Covey’s Habits of Highly Effective People |
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Definition
1. Be proactive
2. Begin with the end in mind
3. Put first thing first |
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Term
| Recognizing Emotions in others |
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Definition
- Without self-awareness “other awareness” is difficult
- Required for empathy and ability to connect with other people |
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Term
| Recognizing Emotions in others |
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Definition
- Managing out reactions to the emotions of others is key
- “Flooded” patient – person who is overwhelmed with emotion. They do not hear clearly, cannot think rationally and resort to primitive emotional reactions |
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Term
| How to Handle other's emotions |
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Definition
- Listen actively
- Validate
- Empathize, if possible
- Maintain one’s own sense of control & self-restraint |
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Term
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Definition
- Catalyst for change (not responsible for it)
- Altering your thoughts (to change your feelings)
- Listen and then make a dx
- Make an agreement with the pt
- Education & Follow Up
- Reach out & discuss your feelings after seeing the pt with trusted attendings/peers/colleagues |
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Term
| Characteristics of a Difficult Patient (physical) |
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Definition
| multiple symptoms involving multiple body systems, poor response to normal tx, terminally ill patients |
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Term
| Characteristics of a Difficult Patient (Behavior) |
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Definition
| rambling, unfocused, pts who miss appts, over demanding, under appreciative, resistant to provider’s recommendations, non-compliance |
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Term
| Characteristics of a Difficult Patient (Psychological) |
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Definition
| unrealistic expectations of cure, undue concern with minor symptoms, excessive preoccupation with physical disease |
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Term
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Definition
| individual’s right to make his/her own decisions about health care (accept/refusal of care) |
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Term
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Definition
Roe vs. Wade
- Abortion is the premature termination of pregnancy whether spontaneous or induced |
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Term
| Spousal consent for abortion |
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Definition
| unconstitutional in the state of Florida |
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Term
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Definition
Roe vs. Wade
- Abortion is the premature termination of pregnancy whether spontaneous or induced |
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Term
| Abortion Decision based on trimester |
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Definition
- First: between woman and physician
- Second: protecting woman’s health
- Third: potentially viable human life, preservation of life of health of the mother (determined if fetus can survive outside the womb or not) |
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Term
| Universal precautions for HIV/AIDS |
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Definition
- Infected providers must not engage in activities that create the risk of transmission
- It is theoretically possible and therefore foreseeable (surgery or procedural injuries) |
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Term
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Definition
a) Must tell the patient if the HIV screening test comes back positive & then get the Western Blot test
b) Inform public health (legal issue)
c) If a FALSE-negative, repeat in 3-6 months |
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Term
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Definition
- injection of seminal fluid into a woman to induce pregnancy
- Must have consent signed by both parties or else it is considered battery |
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Term
| HIV/AIDS informed consent |
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Definition
| must have informed consent prior to testing with pre & post test counseling |
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Term
| Homologous Artificial Insemination |
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Definition
| woman’s egg and husband’s semen is used |
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Term
| Heterologous Artificial Insemination |
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Definition
| donor other than the husband |
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Term
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Definition
- Clear duty to warn pt of risks/benefits/alternatives
- Written consent from each person in the clinical trial |
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Term
| Research, Experimentation, and Clinical Trials |
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Definition
a) Tuskegee Study of Syphilis
b) Military Tribunal for War Crimes
- German physicians – crimes against humanity
- Nuremberg Code – Voluntary Consent
c) International Code of Medical Ethics
- Prevents exploitation of unwilling prisoners |
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Term
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Definition
| infected providers must not engage in activities that create the risk of transmission |
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Term
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Definition
- must tell patient if it comes back pos. then get western blot test and tell public health
- if false negative repeat in 3-6 mos. |
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Term
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Definition
| parents claim that there was a breach of duty by defendant (doctor) in that he did not perform a proper sterilization. |
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Term
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Definition
| harm suffered as a result of being born. Child sues parents. Not successful in court usually |
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Term
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Definition
| claims for damages sustained by parents of an unexpected child based on an allegation that the conception of the child resulted from negligent sterilization procedures or a defective contraceptive device |
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Term
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Definition
| a method of reproduction whereby a woman agrees to give birth to a child she will not raise but hand over to a contracted party, who is often unable to conceive a natural child of her own |
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Term
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Definition
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Term
| Genetic Information Nondiscrimination Act (GINA) of 2008 |
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Definition
| - prohibits discrimination from health/life/disability insurance, employers or long term care based on genetics |
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Term
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Definition
C - cut down on your drinking
A - annoyed if people criticize your drinking
G - guilt about your drinking
E - eye opener needed/wanted first thing in the morning for the hangover |
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Term
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Definition
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Term
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Definition
| heroin, cocaine, meth, crack, LSD, ecstasy, opium, pot, mushrooms, PCP |
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Term
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Definition
Impairment - PAs have ethical responsibility to protect patients
Sexual relationships - don't sleep with your preceptor, patients, etc... aka keep it in your pants. |
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Term
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Definition
| intentional commission of an act (giving a lethal drug) |
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Term
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Definition
| lifesaving treatment (respirator) is removed/withheld allowing patient to die |
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Term
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Definition
Adverse effects – slows heart rate & respiration
Withdrawal – seizures |
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Term
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Definition
| Physicians are obligated to use reasonable care to preserve health & to save lives |
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Term
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Definition
| Duty & liability of physician who must decide to continue or initiate treatment of a comatose or terminally ill patient |
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Term
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Definition
| No duty to continue if it becomes futile and ineffective to do so in the opinion of qualified medical personnel |
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Term
| Death with dignity act of 1994 |
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Definition
| terminally ill residents of Oregon w/n 6 months of death are allowed to obtain a legal dose of medicine from their doc |
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Term
| Patient determination Act of 1990 |
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Definition
| patients have right to formulate advanced directives regarding health care decisions before becoming capacitated |
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Term
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Definition
| Legal document describing those treatments an individual wishes or does NOT wish to receive should they become incapacitated (ventilators, hydration) |
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Term
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Definition
| signed and dated by patient and 2 witnesses |
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Term
| Durable Power of Attorney |
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Definition
| allows a person (principal) to give another person (primary agent) the authority to act on behalf of the principle regarding health issues |
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Term
| Durable power of attorney |
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Definition
- not activated until principle becomes incompetent
- signed by principal, primary agent, and 2 witnesses |
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Term
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Definition
| an agent makes a decision in one particular case |
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Term
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Definition
| a form of surrogate decision-making where the surrogate attempts to establish what decision the patient would have made if the patient were competent to do so |
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Term
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Definition
| when the court declares a person incompetent and appoints a guardian |
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Term
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Definition
| allows a person to appoint an agent to make decisions, but doesn't require the agent to know all situations and decisions that could arise |
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Term
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Definition
| When a physician recognizes that the effect of tx will be of no benefit to the pt |
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Term
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Definition
| - in the event of cardiac or respiratory rest, no resuscitative measures are to be taken |
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Term
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Definition
| orders cover a short period of time and must be reviewed periodically to determine if the patient's condition or other circumstances have changed |
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Term
| Purpose of a Health Care Ethics |
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Definition
| Address legal and ethical issues that arise during the course of a patient’s care and treatment, they do not make the decision |
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Term
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Definition
- Support, by providing guidance to pts, families and caregivers
- Review cases when there are conflicts
- Discuss alternative and compromises
- promotes rights of patient |
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Term
| Ethics Committee Functions |
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Definition
- Develop policy & procedure guidelines assisting in ethical dilemmas
- Staff & community education
- Conflict resolution
- Case reviews
- Consultation
- Political advocacy |
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Term
| Ethics Committee Decision based on |
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Definition
- expressed choices
- advanced directives
- assessment of risks, benefits, and alternatives
- personal assessment of quality of life |
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Term
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Definition
| “a system of principles and processes by which people in society deal with their disputes and problems, seeking to solve or settle them without resorting to force. |
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Term
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Definition
| deals with relationships between individuals and government |
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Term
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Definition
| deals with relationships between individuals |
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Term
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Definition
a)Common law – derived from judicial decisions
b)Statutory law – derived from federal and state legislatures |
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Term
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Definition
“the thing is decided”
- That which has been previously acted on or decided by the courts |
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Term
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Definition
"let the decision stand"
- Another lawsuit involving an identical or substantially similar situation is resolved in the same manner as the first lawsuit |
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Term
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Definition
- derived from federal and state legislatures
- State law can not violate or conflict with federal law
- can abolish any rule of common law |
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Term
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Definition
Enact laws that may be amendments
Repeal existing legislation
Create new legislation |
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Term
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Definition
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Term
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Definition
- Nation’s highest court
- Only federal court created by the constitution |
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Term
| Executive Branch Function |
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Definition
| administer and enforce the law |
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Term
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Definition
| Acts as Commander-in-chief of state’s military |
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Term
| Negligence (Commission) - unintentional |
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Definition
- administration of wrong med/dosage or to wrong patient
- performing w/o consent
- failure to obtain medical hx |
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Term
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Definition
- an act that a reasonable person would/wouldn't do
- failure to present oral data to preceptor
- failure to review/document medical record |
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Term
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Definition
- departure from standard of care
- One fails to guard against a risk that should be appreciated |
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Term
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Definition
| negligence or carelessness of a professional |
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Term
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Definition
execution of an unlawful or improper act
Ex. performing an elective abortion in the 3rd trimester when it is illegal |
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Term
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Definition
- improperly performing an act, resulting in an injury
Ex. surgery on the wrong leg |
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Term
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Definition
- Duty to Care
- Breach of Duty
- Injury/Actual Damages
- Causation/Proximate Cause |
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Term
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Definition
| a legal obligation of care, performance or observance imposed on one to safeguard the rights of others |
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Term
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Definition
| deviation from standard of care |
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Term
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Definition
- Duty to provide timely care
- Duty to hire a competent staff
- provide care in an acceptable manner |
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Term
| Causation/proximate cause |
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Definition
| a connection or relationship between negligent conduct and the resulting damages/injury |
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Term
| Injury/accidental damages |
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Definition
| includes, but not limited to physical harm, loss of income, loss of reputation or compensation for pain and suffering |
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Term
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Definition
| failure to conform to or departure from required standard of care for a patient |
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Term
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Definition
- Foreseeability and anticipation of harm
– the reasonable anticipation that harm or injury is likely to result from an act or omission of an act |
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Term
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Definition
- Assault and Battery
- False Imprisonment
- Defamation of Character
- Invasion of Privacy
- Infliction of Mental Distress |
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Term
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Definition
| deliberate threat, coupled with the apparent present ability to do physical harm to another |
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Term
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Definition
| the intentional touching of another’s person, in a socially impermissible manner, without that person’s consent |
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Term
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Definition
| unlawful restraining or confining of an individual |
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Definition
| communications to someone other than the person defamed that tends to hold that person’s reputation up to scorn and ridicule |
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Term
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Definition
| – oral form of defamation (nurse aid saying “short staffed”) |
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Term
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Definition
| written form of defamation (signs, photos cartoon or written) |
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Term
| Infliction of mental distress |
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Definition
| intentional or reckless beyond the bounds of society |
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Term
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Definition
| maintain public order, safety, to protect the individual, to use punishment as a deterrent to crime and to rehabilitate the criminal for return to society |
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Term
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Definition
| punishable by less than 1 year in jail |
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Term
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Definition
| serious crime, punishable by imprisonment in a state or federal penitentiary for more than 1 year |
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Term
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Definition
| formal reading of the charges to the accused (w/ counsel) with the defendant pleads guilty or not guilty. |
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Term
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Definition
| after plea of not guilty, plea-bargaining commences with agreed-on disposition |
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Term
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Definition
| intent to defraud person/entity by false or fraudulent pretenses, representations or promises, and so obtain property from one or more such persons |
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Term
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Definition
| An unlawful killing of another person without malice of forethought, accidentally kill someone. |
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Term
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Definition
| intentionally killing another person “in the heat of passion” which was caused by provocation of the victim |
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Term
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Definition
| when death occurs as the result of a negligent act (reckless driving) |
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Term
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Definition
| unlawful killing of a person with the malice of forethought and the premeditated intent to kill |
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Term
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Definition
| deliberate and premeditated killing of another with malice of forethought |
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Term
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Definition
not deliberate nor is it premeditated
(angel of death) |
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Term
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Definition
| a legal order requiring the appearance of a person and/or the presentation of documents to the court |
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Term
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Definition
| any lack of ordinary care on the part of the person injured that, combined with the negligent act of another, caused the injury |
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Term
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Definition
| relieves health care professional from liability in certain emergency situations |
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Term
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Definition
| imposed time constraints that restrict the period of time after an injury occurs during which a legal action must be commenced |
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Term
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Definition
| common-law doctrine by which federal and state gov’t historically have been immune from liability |
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Term
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Definition
| money awarded based on case (physical disability, emotional distress, physical pain, suffering, economic loss, injury to reputation, loss of companionship, etc) |
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Term
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Definition
| A special kind of agreement, either written or oral, that involves legally binding obligations between two or more parties |
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Term
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Definition
| specify, limit and define the agreement that is legally enforceable |
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Term
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Definition
1. Offer/Communication – 1st party must make an offer to a 2nd party.
2. Consideration – preliminary negotiations are not offers
3. Acceptance to terms and signed |
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Term
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Definition
| Provide a specific service to a specific organization only |
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Term
| Noncompetition Agreements |
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Definition
| Agree not to work for competitor for XX duration of time or w/in XX distance |
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Term
| XIV Amendment to Constitution |
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Definition
| cannot deny any person (citizen) equal protection of law |
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Term
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Definition
| Prohibits racial discrimination |
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Term
| Sherman Anti-trust Act (1890) |
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Definition
- Contracts in restraint of trade among states is illegal
- Monopolies are guilty of a felony |
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Term
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Definition
- Safeguard individual privacy
- Provide individuals access to records |
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Term
| Emergency Medical Treatment & Active Labor Act (1986) |
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Definition
Hospital Emergency Departments
- required to provide appropriate medical screening exam
- forbidden to “dump” patients from one emergency department to another |
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Term
| Health Care Quality Improvement Act (1986) |
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Definition
- Provide professional review bodies limited immunity from damages
- Need to improve quality of medical care
- Facilitate exchange of information among professionals conducting peer review |
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Term
| Agency for Health care Research & Quality (1989) |
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Definition
- Improve quality of health care
- Reduce costs |
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Term
| Ethics in Patient Referral Act (1989) |
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Definition
| Prohibits physicians who have ownership interest or compensation arrangements with clinical lab from referring Medicare patients to that lab |
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Term
| Patient Self-determination Act (1990) |
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Definition
- Right to be informed of rights.
- Right to execute advance directives.
- Right to accept or refuse medical care |
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Term
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Definition
- Privacy of patient information
- Confidentiality of patient information
- Security of patient information |
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Term
| Sarbanes-Oxley (SOX) Act of 2002 - Promoting Due Diligence |
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Definition
- its about self-regulation
- Examining incentives
- Searching for conflicts of interest |
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Term
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Definition
| “authority” is held liable for going beyond its scope of authority |
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Term
| Persons of Authority/responsibility |
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Definition
| are held accountable and liable for decisions made in the corporation |
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Term
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Definition
| a legal doctrine that holds employers liable for wrongful acts of their employees. Employer is answerable for the torts committed by employees. |
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Term
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Definition
| relationship established when a principal has no right of control over the manner in which the agent’s work is performed, therefore contractor is responsible for his/her own negligent acts. |
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Term
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Definition
| the hospital is liable if it fails to uphold the proper standard of care owed to the patient, which is to ensure the patient’s safety and well being while at the hospital. |
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Term
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Definition
| integrity, empathy, truthful, trust |
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Term
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Definition
- Not allowed administration of drugs in some states
- Duty to monitor pt’s medications
- Educate pts on drugs
- Warn about potential OD |
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Term
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Definition
100 total hours
50 Category 1 |
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Term
| one doctor can supervise? |
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Definition
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Term
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Definition
What you can do, based on education, training and/or experience
- b/w you and the doctor |
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Term
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Definition
| After working in a specialty for 3 months |
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Term
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Definition
| A physician shall be dedicated to providing competent medical care, with compassion and respect for human dignity & rights |
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Term
| Code of Medical Ethics II |
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Definition
| A physician shall uphold the standards of professionalism, be honest in all professional interactions, & strive to report physicians deficient in character or competence, or engaging in fraud or deception, to appropriate entities |
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Term
| Code of Medical Ethics IV |
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Definition
| A physician shall respect the rights of pts, colleagues & other health care professionals, & shall safeguard pt confidences & privacy within the constraints of the law – orally presenting pt information |
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Term
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Definition
| A physician shall continue to study, apply, & advance scientific knowledge; maintain a commitment to medical education |
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Term
| Code of Medical Ethics VI |
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Definition
| A physician shall, in the provision of appropriate pt care, except in emergencies, be free to choose whom to serve, with whom to associate, and the environment in which to provide medical care. |
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Term
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Definition
| process for validating the background & assessing the qualifications of health care professionals to provide health care services in an organization |
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Term
| Failure to respond to emergency department call |
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Definition
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Term
| breach of standard of care |
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Definition
| Failure to read nurses’ notes |
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Term
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Definition
- Right to Equal pay for Equal Work
- Gender discrimination prohibited
- Fair wages for work performed |
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Term
| Right to fair treatment in employment |
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Definition
Common-law “employment-at-will” provides employer/employee the option to terminate employment for any or no reason
Exception: contract in place that specifies terms and duration of employment |
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Definition
| Right to Be Free from Retaliation for Filing a Claim or Complaint Against an Employer |
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| Age Discrimination in Employment Act |
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Definition
| - Prevents employers from giving preferential treatment to younger workers |
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| Age discrimination in employment act |
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Definition
| - Only applies to workers 40 y/o and older, and to workplaces with 20 or more employees |
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| Age discrimination in employment act |
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Definition
| Does not prevent an employer from favoring older employees over younger employees |
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Definition
| Governs applicable salary and overtime requirements set out by the federal government |
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Definition
| voluntary agreement by a person who possess sufficient mental capacity to make intelligent choice to allow another person to perform a proposed medical procedure on himself/herself |
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Definition
| legal concept that provides a patient has a right to know the potential risks, benefits and alternatives of a proposed procedure |
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Definition
| adult person has the right to decline any and all forms of medical intervention, including lifesaving or life-prolonging treatment |
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Term
| Patient is considered competent unless: |
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Definition
a) Court determines them otherwise
b) 2 physicians declare them incapacity |
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Term
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Definition
- Nature of pt’s illness or injury
- Name of the proposed procedure or tx
- Purpose of the proposed tx
- Risk & probable consequences of the proposed tx |
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Term
| Emergency Consent/Implied Consent |
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Definition
- Immediate tx is required to preserve life or prevent permanent impairment of a pt health
- Pt is unconscious or incapacity
- No representative is found |
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Term
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Definition
- Unexplained or unexpected death
- Development of pressure sores
- Heavy medication & sedation used in place of adequate nursing staff “snowing the pt”
- Occurrence of broken bones |
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Definition
- Bruises, welts, discoloration, & burns
- Dehydration and/or malnourishment
- Hesitation to talk openly
- Implausible stories |
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Term
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Definition
- Missing personal belongings
- Untreated medical conditions
- No opportunity to speak for himself/herself or see others, without the presence of the caregiver |
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Definition
| is less likely to be reported than child abuse |
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Term
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Definition
- Seniors are ashamed to admit that their children or loved one abuse them
- Majority of the abusers are relatives |
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Definition
| a child (<18 y/o) who has suffered intentional serious mental, emotional, sexual and/or physical injury |
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Definition
- Occurrence of broken bones
- Sudden & unexpected emotional outbursts, agitation or withdrawal
- watch how they play with toys
- Bruises, welts, discoloration, & burns |
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Term
| Surveyors of Health Care Organizations |
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Definition
- Whether pts are comfortable with staff
- The # of pts with bruises or other injuries
- Evidence of pt neglect or pt left in urine or feces without cleaning
- The number of pts that are physically restrained |
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Definition
| any willful act or threatened act that results in any physical, mental, or sexual injury or harm that causes or is likely to cause the child’s physical, mental, or emotional health to be significantly impaired |
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Term
| reports that must be referred to child protective investigators |
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Definition
- Injuries to the head, bruises to the neck or head, burns, or fractures in a child of any age.
- Bruises anywhere on a child five years of age or younger.
- Any report alleging sexual abuse of a child.
- Any sexually transmitted disease in a prepubescent child. |
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Term
| reports that must be referred from child protective investigators -> child protection teams |
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Definition
- Reported malnutrition or failure of a child to thrive.
- Reported medical neglect of a child. |
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Term
| reports that must be referred from child protective investigators -> child protection teams |
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Definition
| - A sibling or other child remaining in a home where one or more children have been pronounced dead on arrival or have been injured and later died as a result of suspected abuse, abandonment or neglect. |
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Term
| When are patients told of their rights? |
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Definition
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Term
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Definition
- Pt has the right to make decisions regarding his/her medical care
- Pt has the right to d/c treatment |
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Term
| Amendment 7 (article X, section 25 of the Florida Constitution) |
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Definition
| hospitals must reveal its records of past acts of malpractice |
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Term
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Definition
| beginning with the history, physical and thru the development of the treatment plan, follow-up care and discharge instructions |
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Term
| Right to Informed Consent |
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Definition
- All information necessary to make an informed decision
- Risk
- Benefits
- Alternative care options
- Prospects of recovery |
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Term
| Patient's Right to ask ?s |
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Definition
- Clarify instructions
- Instruction for Rx (frequency, dosing, interactions, contraindications, side effects)
- Explanation of Tx plan |
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Term
| Right to Privacy and Confidentiality |
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Definition
| Care & Tx will be kept confidential and safeguarded |
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Term
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Definition
| decision: risks, benefits and alternative care options |
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Term
| When are disclosures to patient information made? |
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Definition
- Other providers caring for the pt
- Third-party payers
- Avert serious threat to public health or safety
- Workman’s compensation or similar
- Subpoena for legal proceeding |
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Term
| Limitations of Disclosure of Patient Info |
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Definition
- Right to request a list of disclosures released
- Right to amend medical information that is incomplete or incorrect |
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Term
| Patient's Rights to know restriction on rights |
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Definition
| Pt visitors, mail, telephone or other communication |
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Term
| Patient's rights to special needs addressed |
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Definition
- Interpreter
- Physical/mental disabilities
- Hearing/Vision impairment
- Diet |
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Term
| Patient's Right to discharge |
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Definition
| Can’t be detained in a health care facility for inability to pay |
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Term
| Patient's right to transfer |
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Definition
| To the appropriate facility to meet the pt’s particular needs |
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Term
| Patient's Right to access medical records |
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Definition
| Obtain a copy of records, labs, x-rays and other diagnostic tests |
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Term
| Patient's right to compassionate and sensitive care |
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Definition
- Right to be free from harassment
- Right to be free from verbal and/or physical abuse |
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Term
| Patient's right to know the provider |
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Definition
| Pt know who is treating them by name, discipline, role & responsibility in their care plan |
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Term
| Patient's Right to pain management |
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Definition
- Pain assessed by pain scale (0-10)
- Location of pain
- Type of pain – burning sensation, throbbing, dull, achy, stabbing, numbing, sharp, shooting
- Duration
- Risks, benefits & alternatives |
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Term
| Patient's Responsibilities |
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Definition
- Pt must conform to rules and regulations of the hospital
- Keep appointments
- Follow Tx plan |
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Definition
| assures the public that certified PAs meet professional standards of knowledge and skills |
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Term
| Breaches of principles in the PA code of Conduct |
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Definition
| in disciplinary review & actions (fines, revocation of certification) |
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Definition
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| Foundation of Medical Ethics |
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Definition
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Term
| If you disagree with a physician's order... |
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Definition
| seek clarification from ordering physician |
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Term
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Definition
- Independent of state & federal guidance
- Varies depending on risk associated with profession |
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Term
| License in Florida requires |
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Definition
- Graduated from an accredited PA Program
- Pass the NCCPA – PANCE/PANRE exam |
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Term
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Definition
- Taking a detailed or problem oriented Hx
- Performing a physical exam
- Ordering diagnostic tests (labs, radiology, etc)
- Formulate Tx plan |
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Term
| Practicing outside of your scope |
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Definition
| has both ethical & legal concerns |
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Term
| Your license can be revoked if: |
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Definition
| you don't pay your taxes or child support |
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Term
| Professional Code of Ethics |
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Definition
| provides guidance when facing an ethical dilemma |
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Term
| How long to you have to wait until you are allowed to "get it on" with a patient |
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Definition
| after 6 months of termination of medical relationship |
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Term
| 4 most common misdiagnosed conditions |
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Definition
1.Cancer
2.Infections
3.Fractures
4.Myocardial Infarctions (MI) |
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Term
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Definition
- Failure to diagnose (20%)
- Delay in diagnosis |
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Term
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Definition
- Habitual abuse of alcohol or other substance abuse
- Signing a blank undated Rx form
- failure to submit body fluids for exam to detect alcohol/drugs
- failure to use PA-C when prescribing |
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Term
| What is a "critical breakdown" |
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Definition
| neglect portion of the pt’s history |
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Term
| What med is considered most deadly due to medical error? |
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Definition
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Term
| percent of doctors that suffer emotional distress after lawsuit |
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Definition
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Term
| 4 main bioethical Principles |
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Definition
- Autonomy
- Beneficence
- Nonmaleficence
- Justice |
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Term
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Definition
| Providing pts in similar circumstances similar care and fair distribution of risk |
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Term
| Who are difficult patients? |
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Definition
- pts w/ psychosocial problems & lower social status (15% prevalence)
- Disposition of certain emotions in certain situations (personality trait) |
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Term
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Definition
| failure to exercise care & diligence ordinarily exercised by a comparable physician/PA |
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Definition
| what a reasonable provider would do under the same/similar circumstance |
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Definition
- Victim of intimate partner violence
- Perpetrator of intimate partner violence |
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Term
| Leading cause of death among pregnant women? |
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Definition
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