Fundamentals Unit 2
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. What would you like to do?
- empatheitic care
- care of supplies and equipment
- participationj in professional activities
Based on lessons of right and wrong.
Behaviors within the accepted principles of right and wrong.
Radiologic tecnhologist are governed by________ established by ________.
- The Standards of Ethics Document
- ASRT and ARRT
What does the Code of Ethics serve as?
A guide for professional conduct evaluation.
Who was the Code of Ethics developed by and why?
- to foster a high level of ethical conduct for radiologic techs.
Who enforces Rules of Ethics contained within the Standards?
What is the Rules of Ethics?
Manditory specific standards of minimally acceptable professional conduct.
What is ethical analysis?
A method of evaluating situations in which the correct action is in question...
What are the basic steps of ethical analysis?
- Identify the problem
- Develop alternate solutions
- Select the best solution
- Defend your selection
List the ethical theories.
- Social Contract Theory
- Ethics of Care(situational ethics)
- Virtue-based ethics
- Rights-based ethics
- Principle-based ethics(principlism)
Ethical theory in which speeding is bad because it is against the law and because it places you and others at risk.
Ethical theory that believes that an action is right if the outcome is good.
Holds that certain persons or groups have relationships that contain inherent expectations, duties, and obligations.
Social Contract Theory
Right actions for one patient in one situation may be wrong for other patients or other circumstances.
Ethics of Care(situational ethics)
This ethical theory places value on virtues-admirable character traits such as caring, faithfulness, trustworthiness, compassion, and courage.
Emphasizes the righs of individuals in a democratic society to be shielded from undue restriction or harm. The rights of some individuals place duties on others.
Widely accepted standard for selecting and defining solutions to ethical dilemmas in healthcare communities
Principle-based ethics (principlism)
What are the 6 ethical principles(principlism)
Goodness; actions that bring about good are considered right.
No evil; an obligation not to inflict harm.
Truth; an obligation to tell the truth
Faithfulness; an obligation to be loyal or faithful
Fairness; an obligation to act with equity
Self-determination; respecting the independence of others and acting with self-reliance
Patients are protected by the Patient's Rights statement, now called___________.
The Patient Care Partnership
Who was the Patient Care Partnership/Patient's Rights Statement established by and what does it do?
- Americal Hospital Association
- Details distinct expectations of the patient as a client of a health care facility.
What must occur for a consent to be valid?
- The pt must be of legal age and mentally competent
- The pt must offer consent voluntarily
- The pt must be adequately informed about the medical care being recommended
What are the 3 types of consent?
- Written or Informed
Informed consent is required when a pt is subjected to what?
Any type of invasive or experimental procedure
Two exceptions in which informed consent need not be obtained prior to an invasive procedure:
- Emergency situations
- Therapeutic privilege
Occurs if the pt is unconsious or otherwise unable to give consent, and harm from failure to treat is imminent
Applies only if risk disclosure poses such a threat to the patient that it will lead to further harm.
What corresponds with Death and Diginity?
- Advance Directives
- Power of Attorney for Healthcare
An outline of specific wishes about medical care to be followed in the event that an individual loses the ability to make or communicate decisions.
Enables a trusted person to act on the pts behalf if and when the pt is unable to communicate his/her wishes.
Power of Attorney for Healthcare
A felony or misdemeanor follows under which law?
Deals with offenses against the state or against society at large.
Deals with the rights and duties of individuals with respect to one another.
A tort belongs under what law?
A civil wrong committed by one individual against the person or property of another.
What kinds of intentional torts are there?
- False Imprisonment
- Invasion of Privacy
- Defamation of Character(libel and slander)
A threat of intended injury
Touching another without permission
Confinement without authorization
Improper release of medical information, including x-rays or exposure of the pt.
Invasion of Privacy
What is talking about a patient? It can be either verbal or written?
Defamation of character(libel-written)(slander-spoken)
What is the legal criteria for the use of restraints?
- To protect the pt, healthcare worker, and/or the property of others.
- Must be the lease intrusive method possible.
- There must be regular reassesment of the need of restraint.
- Must be discontinued as soon as practicable.
What does neligence refer to?
Unintentional torts or unintentional injury
What are the types of unintentional torts(negligence)?
- Gross Negligence
- Contributory Negligence
- Corporate Negligence
"Reckless disregard for life of limb"
The injured party somehow contributed to the injury
The hospital as an entity is negligent
List the 4 conditions of malpractice
- The defendant had a duty to provide resonable care to the pt.
- The pt sustained some loss or injury
- The defendant is the party responsible for the injury
- The loss is altributable to negligence or improper care.
The act (or thing) that speaks for itself
Res Ipsa Loquitur
"Let the master answer"
The libility of one person or agency for the actions of another
Hospital employees are "borrowed" for a purpose-holds the physician rather than the hospital responsible
Doctrine of Borrowed Servant
Each person is liable for his/her own negligent conduct
Rule of Personal Responsibility
What are the responsibilites for record keeping?
- Ordering of Supplies
- Insurance Verification
What should you do when recording on computers?
Prevent unauthorized access to e-charts and confidential pt information
How should you maintain/use paper charts?
- Draw a single line through an entry to delete it
- Always initial and date corrections
- Never leave blanks on forms
- Never insert loose or gummed slips of paper
- Include all four digits of the year(date of birth)
- Date and sign all entries that you make, include department and your title
- Always use military time
What is RIMS?
Radiology Information Management System
What does RIMS allow the tech to do?
Allows access to pertinent and limited information concerning a pt. (allergies, lab values, pt location, and previous imaging procedures and accompanying reports)(allows for ordering and billing of imaging examinations)
What is the order for a diagnosic procedure?
What is included on paper requisitions?
- Pt data
- Brief medical history
- Specific Instructions
Requisitions(orders) and radiologists' reports are scanned into what system with the correlating images?
What does PACS stand for?
- Picture Archiving and Communications System
- (all stations are connected by PACS so assessable all over the hospital or to connected clinics)
Who does diagnostic images belong to?
- the pts medicolegal record
- the institution in which they are made
List the 7 C's of Malpractice
Knowing and adhering to professional stanandards. reduce liability exposure.(know the job duties and be comfortable with the duty)
Knowing policies and procedures in the medical office and hospital avoids pr injuries and litigation.
The neglect of omission of reasonable care or caution
Tampering with medical charts
The one reasonable for implementing the ethical decision.
What would you like to do?
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