Healthcare Professional Boundaries

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Introduction
Healthcare is one the largest, innovative contributors to the economy. It is the system whereby medical professionals provide prevention, wellness, medicine and education to people. Physicians in particular are held to an extremely high degree of professionalism. The Hippocratic Oath is a commitment in part that patients’ health, safety and well-being come above all. The administrator facilitates education and safeguards necessary to minimize risks for medical misconduct. It is essential to know state and federal laws in the unfortunate event of medical malpractice or non-compliance.
Position as Top Administrator
While it is assumed each employee is honest and of integrity, each also contributes individual beliefs, norms and
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Boundaries protect both the doctor and the patient. They diminish the opportunity to exploit sexually or financially, usurp authority and imposition of personal beliefs. There are several signs that would indicate one is crossing boundaries: Is the activity or behavior within the scope of medical practice? Is it self-serving or sole benefit of the patient? Is it secretive, covert or gratuitous? Answering these questions honestly could reveal compromising the boundaries of ethic and medical conduct.
Ethics defined as a system of moral principles specifically applies to autonomy, nonmaleficence, beneficence, and justice in the medical arena. The ramifications of having any area compromised can be extensive, affecting the health care worker, the facility, the patient and or family. Consequences for the health care worker ranges from minor discipline action to the imprisonment. The organization who is responsible for its employees could be fined or shut down. The consequences for the patient or family will result in mistrust of medical personnel and other psychological effects, guilt and in some instances
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“Medical malpractice is defined as any act or omission by a physician during treatment of a patient that deviates from accepted norms of practice in the medical community and causes an injury to the patient” (Bal, 2008). A plaintiff must be able to prove four elements in order to prove medical negligence, duty to care, and breach of duty, injury, and causation.
The patient must first provide evidence there was ‘duty to care’ by establishing a relationship was in effect with a health care provider at the time of allegation. Secondly, the patient must be able to prove the doctor failed to perform standard care. The burden of proof rests on the patient. If breach of duty is not obvious as in the removal of wrong limb, then it can be difficult to prove and may require witnesses. After the patient has proven the doctor failed to provide standard care, evidence of injury has to be provided; which includes physical harm, pain, suffering, and loss of income or reputation. The fourth element must determine the doctor’s negligence caused the injury.
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