Service Delivery Components Flashcards
(14 cards)
If a client were to refuse an intervention, it is the OTR’s responsibility to…
allow the patient to refuse intervention and to find an alternative, client-approved intervention to meet the client’s needs.
By allowing a client the right to refuse specific interventions and treatments, which ethical principle is upheld?
Autonomy
Responding to a medical emergency
Clients who experience sudden onset of pain that is out of proportion to the injury can sometimes mean a “medical emergency”-type response is appropriate from the OTR.
Medical emergices require either:
★ Immediate action in attaining assistance from a medical professional
OR
★ Adminstering an appropriate assessment
How to respond to sudden onset of pain during transfer
Appropriate assessments include:
★ Vital signs (e.g. if client had a diagnosis consistent with a breathing issue, cardiac concerns, or a history of fluctuating vital signs)
★ Pain scale measurement
- If pain level is 6/10 of more, OTR can get further assistance to safely transfer the client to the appropriate surface and allow a medical professional (nurse, doctor) to make an assessment
Which ethical principle should be consirdered if a client’s autonomy includes unhealthy choices (potentially partaking in a hazardous or dangerous decision)?
Nonmaleficence
Before initiating an interdisciplinary meeting to address a client’s change in motivation and awareness of the established goals, what should the OT do FIRST?
It is essential to gain additional information from the client first
Standards of Conduct
- Professional integrity, responsibility, accountability
- Therapeutic relationships
- Documentation, reimbursement, & financial matters
- Service delivery
- Professional competence, education, supervision, & training
- Communication
- Professional civility
Standard of Conduct:
Professional integrity, responsibility, accountability
★ OT personnel maintain awareness and comply with AOTA policies, laws and regulations, & employer policies and procedures
★ Report impaired practice
★ Avoid conflict of interest
Standard of Conduct:
Therapeutic Relationships
★ OT personnel develop relationships to promote occupational well-being
★ Respect and honor the desires of the client
★ Do not inflict harm or injury
★ Do not threaten, manipulate, coerce, or deceive clients
★ Do not engage in romantic relationships
★ Do not accept gifts
Standard of Conduct:
Documentation, reimbursement, and financial matters
★ OT personnel maintain complete, accurate, and timely records of client encounters
★ Bill and collect fees justly
Standard of Conduct:
Service Delivery
★ OT personnel strive to deliver quality services that are occupation-based, client-centered, safe, interactive, culturally sensitive, evidence-based, and consistent with OT values
★ Respond to requests for OT services
★ Provide appropriate evaluation, intervention, and outcomes
★ Obtain informed consent
★ Terminate services appropriately
★ Provide information and education to address barriers
Standard of Conduct:
Professional civility
★ OT personnel will conduct themselves in a civil manner during all discourse
★ Treat stakeholders professionally and equitably through constructive engagement
★ Demonstrate courtesy, civility, value, and respect to persons, groups, and organizations
★ Do not engage in actions that are uncivil
Standard of Conduct:
Professional competence, education, supervision, & training
★ OT personnel maintain credentials, degrees, licenses, and other certifications to demonstrate competence in evidence-based OT practice
★ Engage in professional development
★ Maintain credentials
Standard of Conduct:
Communication
★ OT personnel will maintain confidentiality, informed consent, autonomy, accuracy, timeliness, & record management
★ Maintain confidentiality of all verbal, written, electronic, & nonverbal communications in compliance with laws
★ Facilitate understanding & address communication barriers
