Professional Practice JB

Question 1

EMTALAEMTALA

Answer 1

if facility accepts medicare/medicaid, you are required to perform a medical screening exam on every person that comes in
no refusal
ER must treat everyone
anti-dumping law

Question 2

hepatitis A vaccination

Answer 2

for high risk people
homosexual 
IVDU
international travelers 
feco-oral route

Question 3

legal/ethical autonomy

Answer 3

PA autonomy per state

autonomy of the supervising physician

Question 4

beneficence

Answer 4

having patients best interest in mind

Question 5

chain of custody

Answer 5

law enforcement
when you take forensic data, how does it stay supervised and untampered
ex: rape, child abuse, assault

Question 6

choice of treatment

Answer 6

full disclosure of options from fiduciary perspective

Question 7

legal/ethical consent

Answer 7

informed consent: patient must be of sound mind and adult years to give this implied
in true emergency, you can act without consent as long as it was not withdrawn by the pt beforehand

Question 8

HIPPAA

Answer 8

health insurance portability and accountability act of 1996

data privacy and security provisions for safeguarding medical info

Question 9

hospice criteria

Answer 9

terminal ill
life expectancy of 6mo or less if dz runs its expected course
no tx to prolong life is expected

Question 10

living will

Answer 10

written statement detailing a persons desires regarding treatment in circumstances where they are no longer able to express informed consent, especially in advanced directive

Question 11

medical futility

Answer 11

should not recommend or provide tx that doesn’t help the pt

Question 12

parental refusal of blood products

Answer 12

if parents say no to blood transfusion –> dont give blood

honor religious preferences

Question 13

patients rights

Answer 13

patient has right to impartial access to medical tx or accommodations regardless of race, origin, religion, handicap, or source of payment
pt has right to tx for any emergency medical condition that will deteriorate from failure to provide tx

Question 14

prescribing meds

Answer 14

need documentation of clinical utility

Question 15

prescribing rights

Answer 15

in 44 states and DC, PAs can prescribe meds in schedules II-V.
5 states allow schedule III-V
kentucky is only state that PAs cannot prescribe controlled meds
requires DEA

Question 16

research studies

Answer 16

patient must have knowledge of study and consent to participation
institutional review board monitors the study

Question 17

EMTALA

Answer 17

anyone coming to ER needs to be stabilized and treated regardless of insurance status or ability to pay
unfunded mandate

Question 18

surrogacy in living will

Answer 18

they can fill out form designating surrogate if pt can’t make decisions

Question 19

medical informatics

Answer 19

can’t access chart unless for medical care reasons

Question 20

medical record documentation

Answer 20

accurate for billing and coding purposes

Question 21

stewardship of patient resources

Answer 21

must provide care with resources that patient has and can afford

Question 22

Physician/PA relationship- ethics

Answer 22

PA can only do what supervising physician can do

varies by state

Question 23

physician/PA relationship

scope of practice

Answer 23

can practice only to the scope of our supervising doctor

Question 24

identifying appropriate reference resources

Answer 24

evidence based medicine is our fiduciary responsibility

Question 25

terminal cancer

Answer 25

terminal is by patients definition
help them fight it out if they want comfort/palliative care
no labs or vitals

Question 26

pressure ulcer