Nbcot Review Ch 2: Professional Standards And Responsibilities

Front 1

Don't memorize the code and specific principles.

Back 1

Instead, use the outline to think of different examples and solutions that have been heard or observed.

Front 2

BENEFICENCE

Back 2

Demonstrating a concern for the safety and well-being of recipients of OT services (patients, clients).

E.g.
-Fair and equitable services addressing the cultural aspects of the person.
- Fees are fair and reasonable.

Front 3

NON-MALEFICENCE

Back 3

Avoid imposing or inflicting harm upon the recipient of OT services.

E.g.
- No pt. exploitation via physical, emotional, sexual, financial, etc.
- Avoid relationships that interfere with judgement/objectivity
- Bring unprofessional concerns of colleagues to appropriate authority.

Front 4

AUTONOMY, CONFIDENTIALITY

Back 4

To respect the rights of the recipients.

E.g.
- Collaborating in setting goals
- Pt. fully informed of nature/risks/outcomes of intervention
- Obtain informed consent (research)
- Respect the right of refusal for services
- Protecting all privileged confidential information.

Front 5

DUTY

Back 5

To achieve and continually maintain high standards of competence.
E.g.
- Holding all appropriate credentials
- Conforming to AOTA standards of practice
- Maintaining competence via professional development
- Critically examine new knowledge and keep current
- Protect pts. by ensuring duties by personnel match competencies
- Providing appropriate supervision
- Consult with other service providers / referring when appropriate.

Front 6

JUSTICE

Back 6

To comply with laws and Association policies of OT.

E.g.
- Abide by local, state, and federal laws
- Abide by institutional rules
- Make employers aware of ethical obligations
- Reporting and documenting all info accurately and in a timely manner (part of laws).

Front 7

VERACITY

Back 7

To provide accurate information about services.

E.g.
- Accurately represent credentials, education, experience, training, competence
- Disclose any potential conflict of interest
- Refrain from use or participation of any form of communication that is deceptive, false, fraudulent, unfair statements or claims
- Accept responsibility for any acts that reduce the public's trust in OT

Front 8

FIDELITY

Back 8

To treat colleagues and other professionals with fairness, discretion, and dignity.

E.g.
- Protect confidential information about colleagues unless otherwise mandated by law
- Critically represent the qualifications, views, contributions, and findings of colleagues.
- Take measures to discourage, prevent, and expose any violation of the Code of Ethics and report any breach of COE to appropriate authority
- Familiarize self with methods of handling concerns (e.g. COE - report violations to organizations having jurisdiction over OT practice).

Front 9

Ethical Distress

Back 9

When a therapist knows the correct actions to take but an existing barrier prevents the therapist from taking this course of action.

Front 10

Ethical Dilemma

Back 10

When there are 2 or more potentially morally correct ways to solve a problem, but the solutions are exclusive.

Front 11

Child Abuse Prevention and Treatment Act

Back 11

Mandates professionals to report abuse and neglect to law enforcement officials of a child less than 18 years of age.

Front 12

Signs of patient/client abuse:

Back 12

- Frequent unexplained injuries or complaints of pain w/out obvious injury
- Burns or bruises,
- Passive, withdrawn, and emotionless behavior
- Lack of reaction to pain
- STDs or injury to the genital area
- Unexplained difficulty sitting or walking
- Fear of being alone with caretakers
- Obvious malnutrition
- Lack of personal cleanliness
- Habitually dressed in torn or dirty clothes
- Obvious fatigue and listlessness
- In need of medical or dental care
- Left unattended for long periods
- Bedsores and skin lesions

Front 13

The Ethics Commission

Back 13

Part of AOTA, responsible for the Code of Ethics and the Stands of Practice. The Ethics Commission is responsible for informing and educating members about current issues, upholding practice and education standards, monitoring behavior of members, and reviewing allegations of unethical conduct.

Front 14

NBCOT

Back 14

The national credentialing agency for OTs.

NBCOT has jurisdiction over all NBCOT certified OTs as well as those eligible for NBCOT certification.

NBCOT has investigatory and disciplinary action procedures in place for incompetence, unethical behavior, and/or impairment.

Front 15

State Regulatory Boards (SRBs)

Back 15

Responsible for protecting the public from potential harm that might be caused by incompetent or unqualified practitioners.

SRBs discipline members of a profession if the public is determined to be at risk due to malpractice.

They limit their review of complaints to those involving illegal acts directly connected with professional practice (fraud, misappropriation of funds).

Front 16

Disciplinary Actions

Back 16

Reprimand: the private communication of the respective agency's disapproval of a practitioner's conduct.

Censure: a public statement of the respective agency's disapproval of a practitioner's conduct.

Ineligibility: the removal of eligibility for membership, certification, or licensure by the respective agency for an indefinite or specific time period.

Probation: the requirement that a practitioner meet certain conditions to retain membership, certification, or licensure by the respective agency.

Suspension: the loss of membership, certification, or licensure for a specific time period.

Revocation: the permanent loss of membership, certification, or licensure.

*All of the above (except reprimand) are made public by the respective agencies. Once made public, an investigation can be conducted by another agency (e.g. first NBCOT then SRB).

Front 17

Negligence

Back 17

Failure to do what other reasonable practitioners would have done under similar circumstances, doing what other reasonable practitioners would not have done under similar circumstances, the end result was harm.

Supervisors assume liability if they provided faulty supervision.

The institution assumes liability if the individual was harmed as a result of an environmental problem (i.e. slippery floors, lack of grab bars).