Professional Roles and Behaviors

professional behavior includes

1. moral

2. legal

3. ethical implications

morals are

rights actions dictated by conscience

ethics are

the systematic application of moral principles

laws are

the means used by government to enforce commonly accepted moral standards in the interests of society.

patient rights include

1. the right to considerate and respectful care

2. the patient has right to information

3. right to privacy and confidentiality

privacy implies

that the patients modesty will be respected and that every effort will be made to maintain the patients sense of personal dignity

confidentiality

HIPAA provides law to protect the privacy rights to patients

HIPAA means

health insurance portability and accountability Act

informed consent

necessary for any procedure that is considered experimental or that involves substantial risk

DNI stands for

do not intubate

advance directive

outlines specific wishes about medical care to be followed incase an individual loses the ability to make decisions

criminal law

offenses against the state or society at large

misdemeanor

a less significant crime and punishable by fine or imprisonment for less than a year

civil law

deals with the rights and duties of individuals with respect to one another

tort

a civil wrong committed by one individual against the person or property of another

plaintiff

the suing party

defendant

the party being sued

civil law seeks x rather than x

damages

punishment

seeks compensation

thefts and drug related crimes tend to be

felonies

violations of laws that regulate practice such as licensure requirements or scope of practice limitations tend to be

misdemeanors

fraud or misrepresentation of credentials or qualifications could be classified as

either felony or misdemeanors

intentional torts in a hospital setting include

assault, battery, false imprisonment, invasion of privacy, libel, and slander

false imprisonment

unjustifiable detention of a person against his or her will

invasion of privacy

may result when confidentiality has not been maintained or when the patients body has been improperly exposed or touched

defamation of character

if the information disclosed reflects negatively on the patients reputation

libel and slander

the malicious spreading of information that causes defamation of character or loss of reputation

libel

written information slander

slander

verbal communication

assault

the threat of touching in an injurious way

can assault occur even if patient isn’t touched

yes

battery

unlawful touching of a person without consent

negligence

the neglect of omission of reasonable care or caution

gross negligence

negligent acts that involve reckless disregard for life or limb

higher degree of negligence with more serious penalties

contributory negligence

an act of negligence in which the behavior or the injured party contributed to the injury

corporate negligence

when the hospital as an entity is negligent

the 7 c of malpractice prevention

1. competence

2. compliance

3. charting

4. communication

5. confidentiality

6. courtesy

7. carefulness

competence

knowing and adhering to a professional standards and maintaining professional competence reduce liability exposure

compliance

with policies and procedures in the hospital avoids patient injuries and litigation

charting

completely, consistently, and objectively can be the best defense against a malpractice claim

communication

injuries and resulting malpractice cases can be avoided by improving communications among health care professionals

confidentiality

protecting information is a legal and ethical responability

courtesy

improve patient rapport and lessen the likelihood of a lawsuit

carefulness

personal injuries can occur unexpectedly on the premises and may lead to lawsuits

charting is done on a

requisition form

charting is

any records you are expected to add to a document

what is a chart

more extensive compilation of the patient medical information

includes info about patient, meds, treatments, labs and imaging results

responsibilities for record keeping

patients get billed accurately

new supplies are ordered

insurance companies receive verification of care

what is a major contributing factor when a defensible court case is lost

poorly kept medical records

what can be used to substantiate or refute charges of negligence or malpractice

the chart (legal document)

how do you delete an entry

draw a line through it, do not erase or use correction fluid

what do you need to do when dating

include all four digits of the year

essential documentations to record

administration of contrast

changes in patient status

reactions to contrast or medications

any treatment received in the radiology department

always include date, time, a specific statement, and your signature

radiographs are owned by x and not x

hospital and not patients

radiographs are legally be kept on file vary with state laws but are usually

5-7 years and 5-7 years after patient turns 18-21