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23 Cards in this Set
- Front
- Back
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causes of impairment in physician:
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drug/alcohol, physical/mental illness, old age
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4 Ds of malpractice
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dereliction (negligence), duty, damages and directly
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funds given to reimburse pt for medical bills, lost salary and compensate for pain and suffering
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compensatory damages
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funds designed to punish physician and set an example
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punitive (exemplary) damages
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what type of malpractice damages are covered by ins?
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compensatory only
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Good Samaritan law criteria for doctor
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employ procedures that are standard and generally accepted, actions are within competence and training, cannot be paid, must stay with pt until another DR can take over
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exceptions for those over 18 yo who legally competent
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psychotic, suicidal or in coma
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emancipated minor must be:
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self supporting, in military or married; also if they have children
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can the mentally ill or retarded who is incompetent in other areas of life (ex finances) meet the legal standard for legal competence?
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yes
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do those who are confined to mental health facilities (voluntary or not) retain most of their civil rights?
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yes
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crime requires both ___ and ____
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evil intent and evil deed
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what are the requirements for someone to not be fit to stand trial?
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doesn't understand charges against her or can't cooperate with counsel
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determines whether the person understands the nature and quality of his actions and whether he knows that the actions were wrong
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M'Naghten tests for legal insanity; strictest
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determines whether the person appreciates the wrongfulness of behavior; determines whether the person is able to conform conduct to law
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Am Law Institute Model for legal insanity
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evaluates whether person's criminal behavior is product of mental illness
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Durham criteria for legal insanity; most lenient
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components of informed consent (5)
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health implications of dx
risks/benefits of tx/procedure alternative to tx likely outcome if doesn't consent withdraw consent at any time |
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restrictions on using living minor as donor (4)
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only possible source
cannot result in serious risks to minor provides clear benefit to pt who should be close family member procedure must be standard |
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mentally retarded adult (or minor) wants to donate skin to sibling; good chance of success; can he donate?
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yes, as long as he won't be harmed, parents don't object, and there's no other source
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14 yo refuses to donate bone marrow to sister who will die otherwise; can he be compelled to donate? what if he was over 18?
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yes, he can be compelled to donate if he's the only source and he won't be harmed; if he were 18 he could not be compelled
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16 yo whose parents died in accident wants to donate organs of 8 yo dead bro; can he?
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yes if he has knowledge that his parents would have wanted him to
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reportable illnesses in all states (8)
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varicella
hepatitis measles mumps rubella salmonellosis shigellosis TB |
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reportable STDs in all states (4)
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syphilis
gonorhea chlamydia AIDS (but not HIV +) |
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absence of what is considered to define brain death?
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response to ext events/painful stimuli
spontaneous resp cephalic reflexes electrical potentials cerebral blood flow for more than 30 min |
