What information should the patient provide prior to consenting to treatment?
Describe what information the patient should be provided prior to consenting to a recommended treatment. 1. The nature of the patient's illness or injury. 2. The name of the proposed procedure or treatment. 3. The purpose of the proposed treatment 4. The risks and probable consequences of the proposed treatment. 5.
What information should a physician provide about treatment options?
A physician should provide information about the treatments options that are available and the potential risks that are associated with each treatment options. The treatment requirement of each patient may vary depending on the age of the patient, mental status and the maturity level. 1. Requires that the consent be informed consent.
How do you treat a patient in a hospital setting?
Pay attention to the person's concerns. Sit down near the patient. Gain trust. Show respect and treat each person with compassion and without judgment. Determine your patient's readiness to learn. Ask your patients about their outlooks, attitudes, and motivations.
How do various codes of professional ethics Address a patient's right?
Describe how various codes of professional ethics address a patient's right to informed consent and self-determination. The codes of professional ethics play a vital role to the patient's right to informed consent and self-determination.
What are the standards of patient care?
Standard of care can be defined as "…not a guideline or list of options; instead, it is a duty determined by a given set of circumstances that present in a particular patient, with a specific condition, at a definite time and place" [2]. In other words, standard of care is sensitive to time, place, and person.
What does CFR 42 stand for?
42 CFR Part 2 (“Part 2”) is a federal regulation that requires substance abuse disorder treatment providers to observe privacy and confidentiality restrictions with respect to patient records.
What information does 42 CFR Part 2 Protect?
The 42 CFR Part 2 regulations (Part 2) serve to protect patient records created by federally assisted programs for the treatment of substance use disorders (SUD).
What are 3 major things addressed in the HIPAA law?
The components of 3 HIPAA rules include technical security, administrative security, and physical security. These rules can enhance the efficiency of the healthcare system, improve the portability of healthcare insurance, and ensure the safety of patient information.
What is the Code of Federal Regulations used for?
The Code of Federal Regulations (CFR) presents the official and complete text of agency regulations in an organized fashion in a single publication. The CFR is updated by amendments appearing in the daily Federal Register. Used together, these two publications establish the latest version of any given rule.
What title of the Code of Federal Regulations CFR can you find the Medicare regulations?
Title 42.Chapter IV.
What does 45 CFR stand for?
United States Code of Federal RegulationsCFR Title 45 - Public Welfare is one of fifty titles comprising the United States Code of Federal Regulations (CFR). Title 45 is the principal set of rules and regulations issued by federal agencies of the United States regarding public welfare.
What does CFR stand for?
The Code of Federal Regulations (CFR) is the codification of the general and permanent rules published in the Federal Register by the executive departments and agencies of the Federal Government. It is divided into 50 titles that represent broad areas subject to Federal regulation.
Which of the following would be considered client identifying information under CFR 42 Part 2?
42 CFR Part II protects client identifying information... that would identify a client as an alcohol or drug client, either directly or indirectly and any information, whether oral or written, that would directly or indirectly reveal a person's status as a current or former client.
What is minimum necessary standard HIPAA?
The Minimum Necessary Standard, which can be found under the umbrella of the Privacy Rule, is a requirement that covered entities take all reasonable steps to see to it that protected health information (PHI) is only accessed to the minimum amount necessary to complete the tasks at hand.
How do you explain HIPAA to a patient?
The best way to explain HIPAA to patients is to put the relevant information in the Privacy Policy, and then give the patients a synopsis of what the policy contains. For example, explain to the patient: They have the right to request their medical records whenever they like.
Is it Hippa or HIPAA law?
No, HIPAA compliance. HIPAA is the Health Insurance Portability and Accountability Act of 1996. HIPPA is simply a typo. Probably in part because English would typically put two Ps together in the middle of a word (think oppose or appear), HIPAA is often wrongly spelled as HIPPA.
Why is admission to a hospital justified?
Admission to the hospital would be justified by the risk of patient danger to self or others. The other patients have issues that can be handled with less restrictive alternatives than hospitalization.
When is hospitalization justified?
Hospitalization is justified when the patient is a danger to self or others, has dangerously decompensated, or needs intensive medical treatment. The distracters do not necessarily describe patients who require inpatient treatment. 2.
What is the role of nursing staff in milieu management?
Nursing staff are responsible for all aspects of milieu management. The observations mentioned in this question directly relate to the safety of the unit. The other options, although part of the nurse's concerns, are unrelated to the observations cited.
What is biopsychosocial assessment?
Assessment of biopsychosocial needs and general ability to live in the community is called for before any other action is taken. Both nutritional status and income adequacy are critical assessment parameters. A patient may be able to maintain adequate nutrition while eating only one meal a day. The rule is to assess before taking action. Hospitalization may not be necessary. Smoking cessation strategies can be pursued later.
How long was a patient hospitalized after a reaction to a psychotropic medication?
A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the case manager learned that the patient received a notice of eviction immediately prior to admission. Select the case manager's most appropriate action. a.
What is tertiary prevention?
Tertiary prevention involves services that address residual impairments, with a goal of improved independent functioning. Restraint is a secondary prevention. Genetic counseling and teaching school-age children about substance abuse and dependence are examples of primary prevention.
When was physical restraint used?
Physical restraint was used after a patient was assaultive toward a staff member.
What information should be provided prior to consenting to a recommended treatment?
Describe what information the patient should be provided prior to consenting to a recommended treatment. 1. The nature of the patient's illness or injury. 2. The name of the proposed procedure or treatment. 3. The purpose of the proposed treatment. 4. The risks and probable consequences of the proposed treatment.
When a patient is clinically unable to give consent to a lifesaving emergency treatment, the law implies consent?
When a patient is clinically unable to give consent to a lifesaving emergency treatment, the law implies consent the presumption that a reasonable person would consent to lifesaving medical intervention.
What is consent in medical terms?
Consent is an agreement made by a person who possesses the ability of mind to make a good choice for him-self or herself and in the process allowing something to be done on him-self or her-self. Consent can take the form of either express consent or implied consent. A person who gives consent for a treatment has the right to withdraw the consent later on. A patient who is told about the treatment process and the risks and alternatives that are available might gibe him consent without pondering too much on all the possible consequences. An individual has the right to withdraw consent at any stage of the treatment.
What is informed consent?
Informed consent. Legal concept that provides that a patient has the right to know the potential risks, benefits; and alternatives of a proposed procedure prior to undergoing a particular course of treatment. It implies that a patient understands a particular procedure or treatment, including the risks, benefits, ...
What is the role of professional ethics in healthcare?
Describe how various codes of professional ethics address a patient's right to informed consent and self-determination . The codes of professional ethics play a vital role to the patient's right to informed consent and self-determination. It is the duty of the healthcare professionals to disclose the benefits, risks and costs ...
What is the purpose of a written consent form?
bc of the function of a written consent form is to preserve evidence of informed consent, that nature of the treatment, the risks, benefits, and consequences involved should be incorporated into the consent form. Discuss informed consent and how it applies the patient's right to self-determination.
What information should a physician provide?
A physician should provide information about the treatments options that are available and the potential risks that are associated with each treatment options.
When administering immunosuppressives such as Cytoxan, should the nurse be alert to manifestations of?
When administering immunosuppressives such as Cytoxan, the nurse should be alert to manifestations of bone marrow suppression and infection. Confusion and sedation are atypical adverse effects. Malignant hyperthermia is a surgical complication and not a possible adverse effect.)
What is a nurse in rheumatoid arthritis?
A nurse is providing care for a patient who has just been diagnosed as being in the early stage of rheumatoid arthritis. The nurse should anticipate the administration of which of the following?
What is the process of recording representations of human thought, perceptions, or actions in documenting patient care?
The process of recording representations of human thought, perceptions, or actions in documenting patient care is known as . 1. INFORMATION CAPTURE . 1. The Joint Commission states that the purpose of the patient record is to identify the patient and to support and justify the patient's , care, treatment, and services.
What is a verbal order in a hospital?
The standards also state that the verbal order must include the date and the names of individuals who gave, received, recorded, and implemented the orders. 1.
Why do we use universal chart order?
The universal chart order saves time in processing discharged patient records because reorganizing is unnecessary, as the record remains in the same reverse chronological date order at discharge as during inpatient hospitalization. 1. List and define the four components of the problem-oriented record.
How to determine the n-------?
ABBREVIATION LIST. 1. To determine the--------- , divide the total number if delinquent records by the number of discharges in the period.
How long does it take to get a patient's medical records?
13. The Joint Commission requires that patient records be completed within 20 days after a patient is discharged.
What is an outpatient record?
The hospital outpatient record, also known as the----------------- , documents services received by a patient who has not been admitted to the hospital overnight and receives lab tests, ambulatory surgery, and so on.
Why do alternate care settings vary?
1. Records maintained by alternate care settings vary because of the types of services delivered ,----------- and state and federal regulations.
Why does a physician explain the benefits of elective hysterectomy to a patient?
a) A physician explains the benefits of an elective hysterectomy to a patient because the patient is afraid.
Who is required to report the birth to a physician who completes the birth certificate?
d) The midwife is required to report the birth to a physician who completes the birth certificate. c) The midwife is required to report the birth and complete the birth certificate. The supervising nurse and another nurse are good friends. The supervisor frequently gives the friend more days off than other nurses.
How many categories of private laws are there?
Private laws can be divided into six categories:
