What is the pattern of instability in relationships, self-image, identity, behavior, and affects often leading to?
pervasive pattern of instability in relationships, self-image, identity, behavior and affects often leading to self-harm and impulsivity
What does the nurse call a patient in an emergency?
Nursing staff take vital signs and attempt to assist the patient into an Emergency Department bed. At this point the patient becomes agitated, calling out loudly and plaintively "Mamash! ... Mamash!"
How old was the woman who made a loud noise outside her apartment door?
A 32 year old woman believed, without cause, that her neighbors were harassing her by allowing their young children to make loud noise outside her apartment door.
What does the boy on the Guerney call out?
On physical exam this is an athletic young man on a guerney, in apparent distress, whimpering and calling out "Susan!" at intervals. He does not maintain eye contact and responds to orientation questions with only his first name.
How old was Jane Doe when she was picked up?
An unidentified woman ("Jane Doe") approximately 20-25 years of age was picked up by EMT's at the mall after concern was expressed by staff at a coffee shop that she was 'acting strangely.
What happened to a 24 year old man on a flight from Scotland to New York?
A 24 year man becomes loud and disruptive on a flight from Scotland bound for New York. Efforts to calm him by flight attendants and fellow passengers are unsuccessful, and the flight diverts to a local airport where he is removed and brought to the Emergency Department for evaluation.
Is obsessive compulsive disorder the same as obsessive compulsive
Obsessive-compulsive personality disorder (not the same as obsessive-compulsive disorder)
What does an EMT do?
An EMT transports a patient to the emergency department, leaves the patient in the waiting room, but does not advise the ED staff. d. An EMT transports a patient to the emergency department, leaves the patient in the waiting room, but does not advise the ED staff.
What is the purpose of Good Samaritan law?
a. The purpose of Good Samaritan laws is to protect people who are trying to help in an emergency. You respond to the report of an unconscious female patient.
Who presents a DNR order?
c. The patient's caregiver presents a DNR order signed by the patient and his physician.
What are minor rights?
A minor is considered "the individual" who can exercise rights under the rule in one of three circumstances. The first situation—and the one that is likely to occur most often—is when the minor has the right to consent to health care and has consented, such as when a minor has consented to treatment of an STD under a state minor consent law. The second situation is when the minor may legally receive the care without parental consent, and the minor or another individual or a court has consented to the care, such as when a minor has requested and received court approval to have an abortion without parental consent or notification. The third situation is when a parent has assented to an agreement of confidentiality between the health care provider and the minor, which occurs most often when an adolescent is seen by a physician who knows the family. In each of these circumstances, the parent is not the personal representative of the minor and does not automatically have the right of access to health information specific to the situation, unless the minor requests that the parent act as the personal representative and have access.
Why is confidentiality important for adolescents?
2 From both a clinical and a public policy perspective, protection of confidentiality for adolescents has been based on recognition that some minors would not seek needed health care if they could not receive it confidentially , and that their forgoing care would have negative health implications for them as well as society. 3
What is the HIPAA rule?
In August 2002, a new federal rule took effect that protects the privacy of individuals' health information and medical records. 1 The rule , which is based on requirements contained in the Health Insurance Portability and Accountability Act of 1996 (HIPAA), embodies important protections for minors , along with a significant degree of deference to other laws (both state and federal) and to the judgment of health care providers. These provisions represent a compromise between competing viewpoints about the importance of parental access to minors' health information and the availability of confidential adolescent health care services.
What is HIPAA privacy?
The HIPAA privacy rule * creates new rights for individuals to have access to their health information and medical records (referred to as "protected health information"), to obtain copies and to request corrections. 13 It also specifies when an individual's authorization is required for disclosure of protected health information; authorization is generally not required for the use of the information and its disclosure for the purpose of treatment, payment or health care operations. 14 The rule applies to health plans, health care providers and health care clearinghouses (which are all "covered entities"). The vast majority of health care professionals who provide care to adolescents are required to comply.
What is the third situation?
The third situation is when a parent has assented to an agreement of confidentiality between the health care provider and the minor, which occurs most often when an adolescent is seen by a physician who knows the family. In each of these circumstances, the parent is not the personal representative of the minor and does not automatically have ...
How does privacy affect adolescents?
Privacy concerns also influence where adolescents go for health care, 9 can deter them from communicating openly with providers, 10 and can make them reluctant to accept services such as pelvic examinations and testing for STDs. 11
When did HIPAA take effect?
The HIPAA Privacy Rule and Adolescents: Legal Questions and Clinical Challenges. In August 2002, a new federal rule took effect that protects the privacy of individuals' health information and medical records. 1 The rule, which is based on requirements contained in the Health Insurance Portability and Accountability Act of 1996 (HIPAA), ...
What is the privacy rule in mental health?
The Privacy Rule distinguishes between mental health information in a mental health professional’s private notes and that contained in the medical record. It does not provide a right of access to psychotherapy notes, which the Privacy Rule defines as notes recorded by a health care provider who is a mental health professional documenting ...
Can parents access mental health records?
However, parents generally are the personal representatives of their minor child and, as such, are able to receive a copy of their child’s mental health information contained in the medical record, including information about diagnosis, symptoms, treatment plans, etc. Further, although the Privacy Rule does not provide a right for a patient or personal representative to access psychotherapy notes regarding the patient, HIPAA generally gives providers discretion to disclose the individual’s own protected health information (including psychotherapy notes) directly to the individual or the individual’s personal representative. As any such disclosure is purely permissive under the Privacy Rule, mental health providers should consult applicable State law for any prohibitions or conditions before making such disclosures.
Is a psychotherapy note private?
Thus, the Privacy Rule includes an exception to an individual’s (or personal representative’s) right of access for psychotherapy notes.