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  • Material Saftey Data Sheet (MSDS)

    • information that is compiled by manufacturers about product saftey; ie, names of hazerdous ingredients, safe handling procedures, precautions, and flammability warnings

  • Drug Enforcement Agency (DEA)

    • enforces the Comprehensive Drug Abuse Prevention and Control Act of 1970

  • subpoena duces tecum

    • requires a witness to appear in court and bring certain records

  • Health Insurance Protection and Accountability Act (HIPAA)

    • passed in 1996 and applies to employer-based and commercially issued group health insurance

  • Protected Health Information (PHI)

    • what HIPAA protects; any part of a patient's health information that is linked to information that identifies the patient

  • 4 d's of negligence

    • duty -

    • derelict -

    • direct cause -

    • damages -

  • res ipsa loquitur

    • "the thing speaks for itself"; references foreign bodies being left in clients and instruments slipping up during procedures

  • Intimate Partner Violence (IPV)

    • violence/abuse between spouse or former spouse

  • Occupational Saftey and Health Act (OSHA)

    • prevents workplace disease and injuries

  • Family and Medical Leave Act (FMLA)

    • provides up to 12 wks of protected unpaid leave for family and medical reasons

  • Bloodborne pathogen standard

    • reduces occupational-related cases of HIV/AIDS and hepatitis B and C amoung healthcare workers

  • Americans with Disabilities Act (ADA)

    • eliminate discrimination

  • Clinical Hygiene Plan (CHP)

    • addresses training, information requirements, and probvisions that must be implimented for chemical exposire in a ambulatory hc setting

  • phenylketonuria (PKU)

    • congenital diease resulting in serious neurological deficits in infancy

  • preimplantation genetic diagnosis (PGD)

    • used to detect genetic abnormalities prior to IVF

  • Chrionic Villus Sampling (CVS)

    • catheter detection of chromosomal defects

  • Uniform parentage act (UPA)

    • modernice the law for  determining the legal parents of children

  • blastocyst

    • early embryonic cluster of cells that attaches to the uterus wall and develops into the actual embryo

  • physicians directive

    • a states response to the living will; sometimes called the natural death act

  • patient self-determination act

    • federal law requiring institutions to inform clients of their option of living wills and durable power of attorney

  • TEAR

    • common definition of grief work

      • T - to accept reality of loss

      • E - experience the pain

      • A - adjust to the new environment

      • R - reinvest in a new reality

  • Uniform Anatomical Gift Act

    • persons 18 and older of sound mind may make gifts of any or all body parts

  • beneficence

    • "doing good to others"

  • nonmaleficence

    • "not harming others"

  • malfeasance

    • commission of an unlawful act

  • misfeasance

    • improper performance of an act that results in an injury to another

  • patient self determination act

    • madates all health care facilities recieving any type of federal aid comply with requirements

  • Health Service Delivery

    • transplantation and anatomy act 1979

    • health rights commission act 1991

    • anti-discrimination act 1991

    • workplace health and saftey act 1995

    • information privacy act 2009

    • child protection act 1999

    • civil liabilty act 2003

    • powers of attorney act 1998

    • guardianship and administration act

  • Problem oriented medical records

  • global gag rule

    • no funds to be given to any agency

  • three step ethical model

    • is it legal

    • is it balanced

    • how does it make me feel

  • seven step decision model

    • who? where? when?

    • precise ethical issue

    • major principals, rules and values

    • alternatives

    • compare values and alternatives

    • assess consequences

    • make decision

  • clinical model

    • gather info

    • clarify ethics

    • resolve dilemma

  • SOAPER

    • Subjective impressions

    • Objective clinical evidence

    • Assessment or diagnosis

    • Education for patient

    • Response of patient

  • Title VII of Civil Rights Act of 1964

    • protects employees from sexual harassment

  • preimplantation genetic diagnosis (PGD)

    • used to detect genetic abnormalities prior to in IVF

  • Residents Bill of rights

    • list of resident rights honored by long term care facilities

  • Joint Commission on Accreditation of Healthcare Organizations

    • examines the policies and procedures of the organization being accredited

  • prudent person rule

    • must provide information that a prudent reasonable person would want before making a decision about treatment or refusal of treatment

  • statute of limitations

    • the time within which a case must be commenced

  • gaurdian ad litem

    • an adult to act in the court on behalf of a child in litigation

  • health management organization (HMO)

    • a type of managed car plan in which a range of healthcare services are made available to plan members for a predetermined fee per member

  • preferred provider organization (PPO)

    • a plan in which the patient uses a medical provider who is under contract with the insurer for an agreed fee in order to recieve copayment from the insured

  • exclusive provider organization (EPO)

    • a new managed care concept that is a combination of HMO and PPO concepts

  • parens patriae authority

    • authority occurs when the state takes responsibility from the parents for the car and custody of minors under the age of 18

  • borrowed servant doctrine

    • a special application of respondeat superior in which an employer lends an employee to someone else

  • res judicata

    • the thing has been decided

  • age discrimination in employment act

    • 1967 law that prohibits discrimination of employees 40 yrs and up

  • rehabilitation act of 1973

    • extended protection to those with physical or mental handicaps

  • employment retirement income security act (ERISA)

    • regulates employee benefits and pension plans

  • doctrine of professional discretion

    • means that a physician may determines based on their best judgement, if a patient with mental or emotional problems should view the medical record

  • hippocratic oath

    • protects the rights of clients and appealed to the inner and finer instincts of the physician without imposing penalties

  • geneva convention code of medical ethics

    • WMA in 1949

    • refers to colleagues as brothers and states that religion race and other such factors are not a consideration for care of the total person

  • nuremberg code

    • 1946-49 suggests guidelines for human experimentation and is directed to the world

  • declaration of helsinki

    • 1964-75

    • guidelines for both theraputic and scientific clinical research

  • american medical association

    • principles of medical ethics