Ethico Legal Considerations Flashcards
(32 cards)
It considers in a broad general manner what is good or bad, right and wrong
Morals
It uses specific rules, theories, principles, and perspectives to justify a person’s action in a particular situation
Ethics
The primary care provider, Responsible for obtaining informed consent for specific medical and surgical treatment
Physician
Its the systematic study of right and wrong in situations that involve issues of values and morals. Formal process for making logical and consistent moral decisions
Ethics
This person can obtain informed consent for procedures done in dependent interventions. Relies on orally expressed consent or implied consent for most nursing interventions
Nurse
What info does the informed consent contain
- purpose of treatment
- What the client can expect to feel or experience during treatment or procedure
- Intended Benefits of the treatment
- Possible Risks or negative outcomes of the treatment
- Advantage and disadvantages of possible alternatives of treatment
Elements of Informed Consent
- Completeness (Disclosure)
- Comprehension
- Voluntariness
4.Competence
Element of Informed Consent:
when patients need great deal of info to make educated decision
Completeness
Element of Informed Consent:
You must tell everything that the client will consider important in making a treatment decision
Completeness
Element of Informed Consent:
the patient must understand the explanation that he or she is able to describe it with their own words
Comprehension
Element of Informed Consent:
Patient is able to accept and reject treatement. Not pressured or coerced to give consent. No actual or implied threat given if patient wont accept
Voluntariness
Element of Informed Consent:
Patient must have the capacity to understand information to make a decision.
Competence
Three groups that cant provide a consent
- Minors
- Unconscious or Injured
- Mentally Ill
Who can give consent for minors
- Usually, parents or guardians must give the
consent - An adult who has the mental capacity of a
child and who has an appointed guardian - EXCEPTION: minors who are married,
pregnant, parents, members of the military
or emancipated
Who can give consent for Unconscious/Injured
- Consent is usually obtained from the closest
adult relative if existing statutes permit - In a life-threatening emergency, the law
generally agrees that consent is implied to
provide necessary care for the client’s
emergency condition
Consent of the mentally ill
- State mental acts or similar statutes
generally provide definitions of mental illness
and specify the rights of those who have
mental illnesses under the law as well as the
rights of the staff caring for such clients
Nurse’s Role
- collaborate with primary provider
- witness patients signature in consent form
- determine elements of valid informed consent are in place
- Communicate patient’s needs to care provider
- provide feedback if the patient wishes to change her consent
- Make sure that you have patient’s informal verbal for interventions you will perform
- explains procedure of patient and gets consent before executing it
- if patient objects, discuss it further
What to keep in mind while charting
- Be sure to make a record of all interaction
with clients, as well as the patient’s refusal
or noncompliance with treatment - Document telephone conversations with
physicians, including time, content of the
conversation, and the action you took. - Document the facts, do not editorialize (e.g.
do not write “I could not check on the patient as often as ordered because we were
understaffed”
Charting should always be F.A.C.T
Factual
Accurate
Complete
Timely
This report is done when
- standard care breached or unusual incident occurs
- decribes indcident in factual terms
- quotes patent or persons involved if possible
- dont speculate, draw conclusions, or place blames
- identify any witnesses to the event or equipment involved
Incident Report or IR
Give examples of Patient’s right
Right to…..
- Appropriate Medical Care and Humane Treatment
- Informed Consent
- Privacy and Confidentiality
- Information
- Choose Health Care Provider and Facility
- Self-Determination
- Religious Belief
- Medical Records
- Leave
- Refuse Participation in Medical Research
- Corresponence and to Receive Visitors
- Express Grievances
- be Informed of His Rights and Obligations as a Patient
Law that seeks to protect all forms of information, be it private, personal, or sensitive. It meant to cover both natural and juridical persons involved in the processing of personal information
DATA PRIVACY ACT - Republic Act 10173
Any information whether recorded in a material form or not. identity of an individual is apparent or can reasonably and directly ascertained by the entity holding the information
PERSONAL INFORMATION
when put together with other information would directly and certainly identify an individual
PERSONAL INFORMATION