RAD-128-Medical Principles Ethics Ch.2

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anatomy12
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RAD-128-Medical Principles Ethics Ch.2
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2013-10-26 14:49:35
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  1. What are the two organizations of the radiologic technologists?
    ASRT and ARRT
  2. What is the JRCERT?
    are a group of persons appointed by sponsoring organizations to oversee the accreditation process
  3. What career path has an x ray tech evolved from to become a profession?
    vocational career
  4. What is the definition of a profession?
    implies that an occupation requires extended training and education of its members who have skills and serve a specific social need
  5. Do all professions have a code of ethics and professional organizations that control educational practices and requirements?
    yes
  6. What professional organization is the ASRT (American society of Radiologic technologists)?
    State and local organization
  7. What organization requires state licensure and or radiologic technologists?
    the ARRT organization
  8. What are the 7 standards of a profession?
    • responsibility
    • accountability
    • competence
    • judgement
    • ethics
    • professionalism
    • life-long learning
  9. What members deal with the accreditation of certain schools?
    JRCERT (Joint Review Committee Education in Radiologic Technology)
  10. Where are the recommendations forwarded to after it passed to the JRCERT?
    It is forwarded to the CAHEA (Committee on Allied Health Education, where the final accreditation is made
  11. Explain the accreditation process:
    • Starts w/ application from program to JRCERT
    • then a self study must be taken place on the standards by accrediting agency
    • then a team of visitors are sent to the site to verify the info provided in the self study
    • the site visitors then send a report to acc. agency
    • Report is reviewed by agency staff and presented to the board accreditation status
  12. List the accreditation status classifications:
    provisional; 1-,2-,3-,5 and 8-years and probationary
  13. What accreditation did MCC receive?
    8 year accreditation
  14. How long does the accreditation process take from the JRCERT?
    18-21 mnths
  15. What causes the removal of your certification?
    failure to pay or meet continuing educational requirements
  16. What are the title designations for Registered technologist, Radiographer, Radiation therapist, Nuclear medicine, Registered Diagnostic Medical Sonographer?
    • Radiologic tech = (T)
    • Radiographer - (R)
    • Radiation therapist = (T)
    • Nuclear medicine = (N)
    • Registered Diagnostic Medical Sonographer = (RDMS)
  17. List the advanced level examinations, with initials
    • CT = computed tomography
    • CV = cardiovascular
    • IT = Interventional
    • VT = vascular technology
    • M = Mammography
    • QM = quality assurance/management
    • BD = Bone densitometry
    • MRI = magnetic resonance imaging
  18. How many credits are required for radiologic techs for continuing education?How many years
    • 24 credits
    • per 2 years
  19. What are the three main professional societies?
    • ASRT= american society of radiologic technologists
    • ARHA = assocaiation of educators in radiologic sciences
    • AERS = American radiology healthcare administrators
  20. what professions are consisted of the health care team?
    • physicians
    • nurses
    • pharmacists
    • respiratory therapists
    • lab techs
    • paraprofessionals
    • radiologic techs
  21. What are ethics?
    Ethics is defined as a set of moral principles that govern ones course of action
  22. What are moral principles?
    they are a set of standards that establish is right or wrong
  23. List the 7 subactegories of ethics?
    • honesty
    • integrity
    • faorness
    • caring
    • respect
    • fidelity
    • accountability
  24. What are bioethics?
    it is a branch of ethics that was established because of the advanced technical methods of prolonging life

    it pertains solely to the ethics in the field of the health care
  25. What are the 2 parts of the "Code of Ethics"?
    Explain both
    Code of ethics - is intended to assist RT's and candidates in maintaing a high level of ethical conduct and in providing for the protection, safety and comfort to patients.

    rules of ethics - they are mandatory and directive specific of minimally acceptable professional conduct for all RT's and candidates
  26. Can the radiographer display the results of the xray to the patient or the family?
    No
  27. What are the patient responsiblities?
    • Providing accurate health history
    • keeping up with appointments
    • refusal of treatment
    • financial obligations
    • following hospital rules and regulations
    • being considerate of the rights and property of others
  28. what is the tort law?
    exists to protect the violator of a law from being sued for an act of vengeance, to determine fault, and to compensate the injured party.
  29. What are the two classifications of the law?
    criminal law and civil law
  30. What is a tort?
    • involves personal injury or damage resulting in civil action or litigation to obtain reparation for
    • damages occurred.
  31. What are the two types of torts and explain both?
    • Intentional tort = is a purposeful deed
    • committed with the intention of producing the consequences of the deed

    • unintentional tort = when a radiographer is
    • negligent in the performance of patient care and the patient is injured as a
    • result
  32. Explain examples of intentional tort?
    • –Immobilizing a patient against
    • his or her will (false imprisonment)

    • –Falsely stating a patient has
    • AIDS (defamation of character)

    • –Causing extreme emotional
    • distress-resulting illness through outrages or shocking conduct
  33. List examples of unintentional tort?
    • –Improper marking radiographic
    • images

    –Omitting to apply gonadal shielding

    • –Handing the Radiologist the
    • incorrect syringe during a procedure with the incorrect medication

    • –Leaving a patient unattended with
    • bed rails down and having the patient fall off the gurney
  34. What must be obtained first before immobilizing a patient?
    Can patients be immobilized for the convenience of the radiographer?
    What is unauthorized use immobilization technique that can be construed as false imprisonment?
    • physicians orders
    • no
    • tort
  35. when can immobilization of the patient be used?
    The method of immobilization must be one that is the least restrictive to the patient’s movement and freedom
  36. What happens if an injury to a patient or error is made by the RT?
    it must be documented and reported asap and must be factual
  37. What is the patient safety reporting?
    established the framework for which doctors, hospital, and other health care provider’s report voluntary information to patient safety organizations.
  38. What are the good samaritan laws?
    These laws were enacted to protect persons who give medical aid to persons in emergency situations from civil or criminal liability for their actions
  39. What is the informed consent?
    A consent is a contract wherein the patient voluntarily gives permission to perform a service

    • Many procedures performed
    • in the diagnostic imaging departments require special consent forms to be signed by the patient or parent/guardian
  40. What is simple consent?
    obtaining a patient’s permission to perform a procedure, without knowledge of that procedure.
  41. What is express, implied, inadequate consent?
    Express consent occurs when the patient does not stop the procedure from taking place.

    • Implied consent occurs in emergency
    • situations when it is not possible to obtain consent.

    • Inadequate consent – aka- Ignorant
    • consent.  This occurs when the patient
    • has not been informed adequately to make a responsible decision
  42. What is malpractice?
    • is a wrongful act by a physician, lawyer, or
    • other professional which injures a patient or client.
  43. What are medical records?
    What are they known as and what reasons are they kept for?
    medical records (electronic or hardcopy) is kept for each patient who seeks medical treatment

    Known as charts

    • Reasons:
    • History information

    • Patient safety & protection –
    • medical errors

    Medical research

    Protection during litigation

    • Information for The Joint
    • Commission
  44. What is one of the first questions we must ask all female patients within child bearing age prior to taking an xray?
    • when was their last menstrual period
    • must document patients answer and follow department protocol
  45. What factors must be part of the patients medical record when in use of legal evidence in the event of a lawsuit?
    • patients name
    • id number
    • name and facility
    • correct placement of R or L marker
    • Date
  46. What must done prior to the release of patient records
    Can radiographs ever leave the hospital?
    a consent written or signed by the patient or legal guardian

    No
  47. What other factors must the radiographer address prior to the xray when applicable?
    • female - LMP
    • history of allergies
    • vital signs (heart rate blood pressure, breathing rate and body temperature)
  48. What was passed by the congress in 1996?
    HIPPA - enacted to protect the privacy of patients health information
  49. what are ethics
    a set of moral principles that governs one's course of action
  50. what are moral principles
    are a set of standards that establish what is right or good
  51. who are the site visitors of the accreditation process?
    volunteers from the profession who serve without pay
  52. Is the certification of student the educators responsibility?
    no the student has to be responsible of when to take it
  53. what is the fee if a person does not recieve their certification?
    200 bucks
  54. What happens if a person does not meet their continuing education requirements?
    removal of their certification
  55. in what year was the arrt founded
    1923
  56. in what year was the hipaa enacted?
    1996
  57. in what year did become mandated that all RT's must proceed in continued education?
    1995
  58. what is the DEP
    department of environmental protection
  59. what is the national professional organization of radiologic techs?
    asrt
  60. All individuals have a personal code of ethics that are based on what?
    cultural and environmental background
  61. rules of conduct and minimal practice standards are made by who?
    asrt and arrt
  62. what do you do if a combative patient arises?
    call security
  63. when can you use medication to immobilize a patient?
    in extreme cases and done by physicians orders
  64. If a patient is a injured, should you report the situation?
    yes it must be documented in an incident report asap and submitted to department procedure and policy
  65. in what year was the patient safety and quality improvement act was signed by bush?
    2005
  66. in what year was the patient safety and quality improvement final rule issued (same as other one)?
    2009
  67. what is a consent
    • a contract wherein the
    • patient voluntarily gives permission to perform a service.
  68. Can the patient refuse or continue a radiographic procedure?
    and should they be informed about all procedures prior to signing a consent?
    • yes
    • yes
  69. in order to release patient records what must be taken place first?
    written consent or signed by a legal guardian
  70. what are the three computer applications in imaging departments
    List the benefits of these:
    • pacs
    • electronic medical info systems
    • digital image systems



    • –Immediate access to information
    • or images from all areas of hospital or health care network, minimizing lost
    • information

    –Transporting and storage cost
  71. In November 1999, the
    Department of Health and Human Services (DHHS) published:
    proposed regulations to guarantee patients new rights and protection against the misuse or disclosure of their health records.
  72. what was enacted as part of the
    American Recovery and Reinvestment Act of 2009 and signed into law on February
    17, 2009
    • the Health Information
    • Technology for Economic and Clinical Health (HITECH) Act
  73. List the health care delivery:
    •Medicare

    •Medicaid

    •Prospective Payment System

    •Managed Care Organizations

    •Point of Service Plans

    •Physician Hospital Organizations

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