Midterm Exam (copy)

Law - rule of conduct or action prescribed or formally recognized as binding or enforced by a controlling authority. (pg. 8)

Etiquette - standards of behaviors considered to be good manners amount members of a profession as they function as individuals in society. (pg. 14) Government does not enforce etiquette.

Protocol - a code prescribing correct behavior in a specific situation such as a situation arising in a medical office (pg. 14)

Etiquette Rules - in the workplace is called protocol

Code of Ethics - a list of principles intended to govern behavior here the behavior of those entrusted with providing care to the sick (pg. 10)

Litigious - prone to engage in lawsuits (pg. 3)

Plaintiff - the person bringing charges in a lawsuit (pg. 4)

Defendant - the person or party against whom criminal or civil charges are being brought in a lawsuit (pg. 4)

Code of Hammurabi -earliest medical codes written by Babylonians around 2250 BCE. The document discusses the conduct expected of physicians at that time including fees that can be charged. (pg. 10)

Hippocratic Oath - a pledge for physicians influenced by the practices of the Greek physician Hippocrates (pg. 10)

Liability - legally responsible or obligated (pg 4 & 101)

Precedent - decisions made by judges in various courts that become rule of law and apply to future cases even though they were not enacted by legislature also known as case law. (pg. 4)

Ethics - standards of behavior developed as a result of one’s concept of right and wrong. An illegal act is always unethical but an unethical act is not always illegal based on morals. (pg 9)

Bioethics - a discipline dealing with the ethical implications of biological research methods and results especially in medicine. (pg. 11)

Justice - providing what is due to an individual (pg. 35)

Veracity - truth telling (pg 37)

Beneficience - acts performed by a health care practitioner to help people stay healthy or recover from illness.

Negligence - an unintentional tort alleged when one may have performed or failed to perform an act that a reasonable person would or would not have done in similar situations

Nonmaleficence - the duty to do no harm

Nonfeasance (NONE -no action) - the failure to act when one should

Malfeasance - (malicious= completely wrong unlawful) the performance of a totally wrongful and unlawful act

(Mis) i = illegal BUT lawful miss = Mistake misfeasance - performance of a lawful act in an illegal or improper manner.

Concepts

Critical Thinking Steps Pg 16.17

  1. Identify the Problem

  2. Gather Information

  3. Evaluate the evidence

  4. Consider alternatives and implications

  5. Choose and implement the best alternative

People Skills pg 15

  • relaxed attitude when meeting new people

  • Understanding and empathy of others

  • Good communication skills

  • Patience when dealing with others

  • Tact or sensitivity

Technical Skills PG 16

  • computer literacy

  • English science mathematics

  • Willingness to learn new skills

  • Aptitude for working with the hands

  • Ability to document well

  • Ability to think critically

The "three C's PG 14,15

  • courtesy

  • Compassion

  • Common sense

Medical Practice Acts - established in all 50 states to govern the practice of health care professionals. State laws of 55

Moral Values - ones personal concept of right and wrong called moral values

Mcintyre Theory of Virtue ethics - refers to the theory that people who have moral virtues will make the right decision. The loyalty to the role we play helps us make our decisions. Pg 32

Risk Management - taking of steps to minimize danger hazard or liability

Quality Assurance - a program of measures taken by health care providers and practitioners to uphold the quality of patient care

  • identify areas where improvement is needed

  • Determine which da tat to collect to find out if improvement has been achieved

  • Decide which changes create the most improvement

  • Implement the action

  • Evaluate the results

Paternalism - what the physician thinks is best is not always what is best for the patient. Pg 34

Principles of Healthcare Ethics

  1. Autonomy

  2. Beneficence

  3. Nonmaleficence

  4. Justice

  5. Confidentiality

  6. Role fidelity

  7. Veracity

Licensure - a mandatory credentialing process established by law usually at the state level ex nurses

Certification - voluntary credentialing process applicants who meet specific requirements may receive a certificate

Reciprocity - process by which a professional licensee obtained in one state may be accepted as valid in other states by prior agreement without reexamination

Grounds for revoking Licensure/Certification

  • sexual misconduct

  • Substance abuse

  • Professional discipline

  • Fraud and misrepresentation

  • Patient abuse

  • Medication violations

  • Unethical behavior

  • Poor documentation

  • Unlicensed practice

Copayment - fees are flat fees that insurance plan subscribers pay for certain medical services

Coinsurance - amount of money insurance members must pay out of pocket after insurance has paid its share

HIPAA - the first federal law to deal with the privacy of medical records 1996 also ensured health professionals would be able to keep their health insurance when switching jobs

President of US Powers, highest law in the country, branches of government

  • pg 71

Criminal Law - law that involves crimes against the state

Civil law - law that involves wrongful acts against persons

Physician/Patient Relationship - exercise ones best professional judgment in all cases particularly those in which considerable doubt is involved

Respondeat Superior - let the master answer - employer is responsible for any unjuries the employee while dealing with a third person

Res Ipsa Loquitor - the thing speaks for itself

Standard of Care - the level of performance expected of a health care practitioner in carrying out professional duties

4 C's of medical malpractice prevention pg 132

  • Caring

  • Communication

  • Competence

  • Charting

Statute of Limitations - the period of time established by state law which a lawsuit may be filed (2 years in Florida)

Informed Consent - SHORT ANSWER 118

Who can not give informed consent

  • minor persons

  • Mentally incompetent determined by the court

  • Persons who speak limited or no English family member can not translate

Good Samaritan Act - protects people from getting sued for trying to help a victim in an emergency situation. Give care in good faith. Act within the scope of their training and knowledge. Do not bill for services.

SHORT ANSWER 184 - identify four guidelines that should be in place for - photo copy and printers

Fax etiquette -

  • verify phone number when sending confidential information

  • Do not leave confidential material on the fax for others to read

  • Use cover sheet with confidential to adresssee only

  • Return if received in error

  • Shred unused copies

copier Machine Etiquette - do not leave confidential papers on copier shred discarded copies even ones in a paper jam

Computer Etiquette - protect monitor from unauthorized eyes never leave monitor on with confidential information visible, if computer is recycled or sold destroy hard drive first.

Telemedicine - 170 remote delivery of healthcare services and clinical information

Statutory period for medical Malpractice - 142 - the day the negligence act was committed

patient portal - 167 secure online site give patients 24 hour availability

medical records - 159 - info in the hospital record the patient owns

legal document 156- medical records serve as legal documents