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27 Cards in this Set

  • Front
  • Back

Laws

Rules for our safety and maintain order

Ethics

A sense of morality right from wrong

Euthinsia

The right to die

Etiquette

Courtesy and manners

AMA

American Medical Association

ama

Against medical advice

Defenedant

Person being sued

Plaintiff

Person who is suing

Protocol

Procedure to follow

Reciprocity

Accepts a license of a different state

3 reasons why physician license can be revoked or suspended

1. Falsifying records


2. Sexual misconduct


3. Illness

Patients rights

1. To choose own physician or health center


2.to refuse treatment

Patient Responiblities

1. HIPAA


2. To follow physicians instruction

Physicians Right

1. Not bound to make correct diagnosis


2. Not bound to restore patients to his/her original state.

Physicians Responibilities

1.ask about medication or allergies


2. Take every precaution to prevent the spread of contagious disease.

2 guidelines for physicians and others

1. maintain confidentiality/ HIPAA


2. Document accurately

3 suggestion for maintaining HIPAA

1. Do not use patients full name in public


2. Do not leave any personal information out in public view


3. Do not leave detailed voice message

4 D's of Negligence

1. Duty= responsibility


2. Dereliction = A breach of duty


3. Direct cause = the reason


4. Damages = Proof


JCAHO

To maintain patients safety and prevent medical mistakes

Summons

Legal document to go to court

Subponea

A legal document for a reason or thing as a witness in court

Testimony

Fact expert

Fact testimony

Witness

Expert testimony

Somebody who has education skill knowledge and experience

5 Key points for documenting Medical Records

1. referral


2. Missed appointments


3. Dismissals


4. Treatment Refusals


5. All other Patient contact

Entries

A medical record is a legal document that can be subpoenaed without the patients permission.


What you record is a serious as what you omit.

Malfeasance

Totally wrongful act