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Army Medical Health Care Ethics IIHealth Care Ethics IILesson AssignmentLesson 1: Patient ConsentInformed ConsentFailure to Obtain Consent (Battery).The Physician Obtains ConsentImplied ConsentPresumed Consent in Certain Emergencies. Express ConsentConsent Not Required to Treat Service MembersConsent no Defense Against NegligenceConsent, Voluntary and Authorized.Figure 1-7. Elements of informed consent, further specified.Purpose and Form of Routine Written ConsentModels of Informed ConsentMedical RecordFigure 1-9. Levels of informed consent.The Role of Disclosure in the Institutional Model of Informed Consent.Does the Patient want Autonomy or Beneficence (Paternalism), or BothExercises, Lesson 1, Section 1Exercises, Lesson 1, Section 1-cont.Exercises, Lesson 1, Section 1-cont.Exercises, Lesson 1, Section 1-cont.Exercises, Lesson 1, Section 1-cont.Exercises, Lesson 1, Section 1-cont.Solutions to Exercises, Lesson 1, Section 1Solutions to Exercises, Lesson 1, Section 1-cont.Section II. DisclosureReasonable Person (Material Risk) Standard.Objective test. Hybrid Standards.Figure 1-12. Standards of disclosure.Elements of DisclosurePurpose of DisclosureExercises, Lesson 1, Section IIExercises, Lesson 1, Section II-cont.Exercises, Lesson 1, Section II-cont.Solutions to Exercises, Lesson 1, Section IISection III. Exceptions to DisclosureFigure 1-14. Therapeutic privilege.Limitations on Therapeutic Privilege.EmergenciesPatient Waiver and Prior Patient KnowledgeConsent Not Required for Tests Under Police OrderExercises, Lesson 1, Section IIIExercises, Lesson 1, Section III-cont.Exercises, Lesson 1, Section III-cont.Solutions to Exercises, Lesson 1, Section IIISection IV. Decision Makers in Consent SituationsPatient's Best InterestIncompetent AdultsCategories of Incompetence. Temporarily Impaired Judgment. Consent for/By MinorsEmergency Care. Mature Minors.Parental or Guardian Consent.Consent From Other Than PatientExercises, Lesson 1, Section IVExercises, Lesson 1, Section IV-cont.Exercises, Lesson 1, Section IV-cont.Exercises, Lesson 1, Section IV-cont.Solutions to Exercises, Lesson 1, Section IVNotesLesson AssignmentLesson 1: The Patient's Right to RefuseCommon-Law-Bodily IntegrityThe Right ot PrivacyRefusal on Behalf of A MinorRefusal for an Incompetent AdultRisk Benefit AnalysisObjective Best Interests Standard AppliedCriteria to Consider for Incompetent AdultsOral Directives.Durable Power of Attorney for Health Care.Deduced From Religious Beliefs.Do Not Resuscitate OrderConfidential Do Not Resuscitate Orders.Withdrawal of Life SupportRefusal in an Emergency Exercises, Lesson 2, Section IExercises, Lesson 2, Section I-cont.Exercises, Lesson 2, Section I-cont.Exercises, Lesson 2, Section I-cont.Exercises, Lesson 2, Section I-cont.Exercises, Lesson 2, Section I-cont.Solutions to Exercises, Lesson 2, Section ISolutions to Exercises, Lesson 2, Section I-cont.Section II. Limits on the Right to RefuseInforming a Competent, Nonterminal Patient of All Options for Alternative CareCompetent Patient Who Is Not Terminally Ill.Life-Saving Treatment for Minors and Incompetent Patients.Preserving the Sanctity of All Life: Public Safety and WelfareEthical Responsibility-cont.Protecting Innocent Third Parties (Dependents)Public Safety: Obligatory VaccinationThe Ethical Integrity of the Health Care ProfessionExercises, Lesson 2, Section IIExercises, Lesson 2, Section II-cont.Exercises, Lesson 2, Section II-cont.Solutions to Exercises, Lesson 2, Section IINotesNotes-cont.Lesson AssignmentSection I. The Physical RecordsComponents of a Medical RecordFigure 3-1. The admissions recordExercises, Lesson 3, Section IExercises, Lesson 3, Section I-cont.Exercises, Lesson 3, Section I-cont.Solution to Exercises, Lesson 3, Section ISection II. Privacy and ConfidentialityDeath Ends the Right to Privacy, But Not ConfidentialityAccess vs Secrecy. Confidentiality Vs Intrahospital Access to InformationAdministrative Uses. Confidential and Privileged CommunicationLegitimate Breaching of Confidence-cont.Purpose of Privileged Communications.Confidentiality: Facts and FictionExercises, Lesson 3, Section IIExercises, Lesson 3, Section II-cont.Exercises, Lesson 3, Section II-cont.Exercises, Lesson 3, Section II-cont.Solutions to Exercises, Lesson 3, Section IISection III. Confidentiality and the LawLimitations on ConfidentialityExercises, Lesson 3, Section IIIExercises, Lesson 3, Section III-cont.Solutions to Exercises, Lesson 3, Section IIISection IV. Access to Medical RecordsAvailability and Release of Medical RecordsMedical Records in the Radiology DepartmentDocumentationContrast Media.Exercises, Lesson 3, Section IVExercises, Lesson 3, Section IV-cont.Exercises, Lesson 3, Section IV-cont.Exercises, Lesson 3, Section IV-cont.Solutions to Exercises, Lesson 3, Section IVNotesLesson AssignmentSection I. Technical Knowledge RequiredBasic Curriculum Medical Terminology.Human Structure and Function.Introduction to Quality Assurance.Introduction to Computer Literacy. Exercises, Lesson 4, Section IExercises, Lesson 4, Section I-cont.Solutions to Exercises, Lesson 4, Section ISection II. Putting Your Knowledge Base into PracticePlatform Instruction.Becoming alert to the big picture.Scope of PracticeAdministrative Duties Take Soldier by SurpriseExercises, Lesson 4, Section IIExercises, Lesson 4, Section II-cont.Solutions to Exercises, Lesson 4, Section IISection III. Duties by Skill LevelPerforming Special ExamsAssisting with Prenatal Procedures.Assisting with Pediatric Radiography.Skill Level 2: 91P20 (E-5)Performing Special Exams.Skill Level 3: 91P30(E-6)Inspecting X-ray Clinics.Establishing Work Schedules.Counseling Employees.Skill Level 4, 91P40 (E-7)Skill Level 5, 91P50 (E-8)Exercises, Lesson 4, Section IIIExercises, Lesson 4, Section III-cont.Exercises, Lesson 4, Section III-cont.Solutions to Exercises, Lesson 4, Section IIISection IV. Situations Which May Give Rise to Actions for Liability for NegligenceOn Radiology Personnel to Keep Abreast in a Rapidly Changing FieldA Closer Look at the X-Ray TechnologistMissed Diagnoses and ComplicationsSygman vs Kahn (N.Y., 1985): Missed DiagnosisFailure to X-raySlip-and-Fall InjuriesPregnancyNewer Imaging ModalitiesOverstepping One's BoundsFalling Short of the Scope of One's Duties-cont.An Ounce of PreventionDocument Your Findings Credibly. Exercises, Lesson 4, Section IVExercises, Lesson 4, Section IV-cont.Exercises, Lesson 4, Section IV-cont.Solutions to Exercises, Lesson 4, Section IVNotesAppendix A. Code of Ethics for X-Ray TechnologistsAppendix B. A Model of the Patient's Bill of RightsAppendix B. A Model of the Patient's Bill of Rights-cont.Appendix C. GlossaryAppendix C. Glossary-cont.Appendix C. Glossary-cont.Appendix C. Glossary-cont.Appendix C. Glossary-cont.Appendix C. Glossary-cont.
Army Medical
Health Care Ethics IIHealth Care Ethics IILesson AssignmentLesson 1: Patient ConsentInformed ConsentFailure to Obtain Consent (Battery).The Physician Obtains ConsentImplied ConsentPresumed Consent in Certain Emergencies. Express ConsentConsent Not Required to Treat Service MembersConsent no Defense Against NegligenceConsent, Voluntary and Authorized.Figure 1-7. Elements of informed consent, further specified.Purpose and Form of Routine Written ConsentModels of Informed ConsentMedical RecordFigure 1-9. Levels of informed consent.The Role of Disclosure in the Institutional Model of Informed Consent.Does the Patient want Autonomy or Beneficence (Paternalism), or BothExercises, Lesson 1, Section 1Exercises, Lesson 1, Section 1-cont.Exercises, Lesson 1, Section 1-cont.Exercises, Lesson 1, Section 1-cont.Exercises, Lesson 1, Section 1-cont.Exercises, Lesson 1, Section 1-cont.Solutions to Exercises, Lesson 1, Section 1Solutions to Exercises, Lesson 1, Section 1-cont.Section II. DisclosureReasonable Person (Material Risk) Standard.Objective test. Hybrid Standards.Figure 1-12. Standards of disclosure.Elements of DisclosurePurpose of DisclosureExercises, Lesson 1, Section IIExercises, Lesson 1, Section II-cont.Exercises, Lesson 1, Section II-cont.Solutions to Exercises, Lesson 1, Section IISection III. Exceptions to DisclosureFigure 1-14. Therapeutic privilege.Limitations on Therapeutic Privilege.EmergenciesPatient Waiver and Prior Patient KnowledgeConsent Not Required for Tests Under Police OrderExercises, Lesson 1, Section IIIExercises, Lesson 1, Section III-cont.Exercises, Lesson 1, Section III-cont.Solutions to Exercises, Lesson 1, Section IIISection IV. Decision Makers in Consent SituationsPatient's Best InterestIncompetent AdultsCategories of Incompetence. Temporarily Impaired Judgment. Consent for/By MinorsEmergency Care. Mature Minors.Parental or Guardian Consent.Consent From Other Than PatientExercises, Lesson 1, Section IVExercises, Lesson 1, Section IV-cont.Exercises, Lesson 1, Section IV-cont.Exercises, Lesson 1, Section IV-cont.Solutions to Exercises, Lesson 1, Section IVNotesLesson AssignmentLesson 1: The Patient's Right to RefuseCommon-Law-Bodily IntegrityThe Right ot PrivacyRefusal on Behalf of A MinorRefusal for an Incompetent AdultRisk Benefit AnalysisObjective Best Interests Standard AppliedCriteria to Consider for Incompetent AdultsOral Directives.Durable Power of Attorney for Health Care.Deduced From Religious Beliefs.Do Not Resuscitate OrderConfidential Do Not Resuscitate Orders.Withdrawal of Life SupportRefusal in an Emergency Exercises, Lesson 2, Section IExercises, Lesson 2, Section I-cont.Exercises, Lesson 2, Section I-cont.Exercises, Lesson 2, Section I-cont.Exercises, Lesson 2, Section I-cont.Exercises, Lesson 2, Section I-cont.Solutions to Exercises, Lesson 2, Section ISolutions to Exercises, Lesson 2, Section I-cont.Section II. Limits on the Right to RefuseInforming a Competent, Nonterminal Patient of All Options for Alternative CareCompetent Patient Who Is Not Terminally Ill.Life-Saving Treatment for Minors and Incompetent Patients.Preserving the Sanctity of All Life: Public Safety and WelfareEthical Responsibility-cont.Protecting Innocent Third Parties (Dependents)Public Safety: Obligatory VaccinationThe Ethical Integrity of the Health Care ProfessionExercises, Lesson 2, Section IIExercises, Lesson 2, Section II-cont.Exercises, Lesson 2, Section II-cont.Solutions to Exercises, Lesson 2, Section IINotesNotes-cont.Lesson AssignmentSection I. The Physical RecordsComponents of a Medical RecordFigure 3-1. The admissions recordExercises, Lesson 3, Section IExercises, Lesson 3, Section I-cont.Exercises, Lesson 3, Section I-cont.Solution to Exercises, Lesson 3, Section ISection II. Privacy and ConfidentialityDeath Ends the Right to Privacy, But Not ConfidentialityAccess vs Secrecy. Confidentiality Vs Intrahospital Access to InformationAdministrative Uses. Confidential and Privileged CommunicationLegitimate Breaching of Confidence-cont.Purpose of Privileged Communications.Confidentiality: Facts and FictionExercises, Lesson 3, Section IIExercises, Lesson 3, Section II-cont.Exercises, Lesson 3, Section II-cont.Exercises, Lesson 3, Section II-cont.Solutions to Exercises, Lesson 3, Section IISection III. Confidentiality and the LawLimitations on ConfidentialityExercises, Lesson 3, Section IIIExercises, Lesson 3, Section III-cont.Solutions to Exercises, Lesson 3, Section IIISection IV. Access to Medical RecordsAvailability and Release of Medical RecordsMedical Records in the Radiology DepartmentDocumentationContrast Media.Exercises, Lesson 3, Section IVExercises, Lesson 3, Section IV-cont.Exercises, Lesson 3, Section IV-cont.Exercises, Lesson 3, Section IV-cont.Solutions to Exercises, Lesson 3, Section IVNotesLesson AssignmentSection I. Technical Knowledge RequiredBasic Curriculum Medical Terminology.Human Structure and Function.Introduction to Quality Assurance.Introduction to Computer Literacy. Exercises, Lesson 4, Section IExercises, Lesson 4, Section I-cont.Solutions to Exercises, Lesson 4, Section ISection II. Putting Your Knowledge Base into PracticePlatform Instruction.Becoming alert to the big picture.Scope of PracticeAdministrative Duties Take Soldier by SurpriseExercises, Lesson 4, Section IIExercises, Lesson 4, Section II-cont.Solutions to Exercises, Lesson 4, Section IISection III. Duties by Skill LevelPerforming Special ExamsAssisting with Prenatal Procedures.Assisting with Pediatric Radiography.Skill Level 2: 91P20 (E-5)Performing Special Exams.Skill Level 3: 91P30(E-6)Inspecting X-ray Clinics.Establishing Work Schedules.Counseling Employees.Skill Level 4, 91P40 (E-7)Skill Level 5, 91P50 (E-8)Exercises, Lesson 4, Section IIIExercises, Lesson 4, Section III-cont.Exercises, Lesson 4, Section III-cont.Solutions to Exercises, Lesson 4, Section IIISection IV. Situations Which May Give Rise to Actions for Liability for NegligenceOn Radiology Personnel to Keep Abreast in a Rapidly Changing FieldA Closer Look at the X-Ray TechnologistMissed Diagnoses and ComplicationsSygman vs Kahn (N.Y., 1985): Missed DiagnosisFailure to X-raySlip-and-Fall InjuriesPregnancyNewer Imaging ModalitiesOverstepping One's BoundsFalling Short of the Scope of One's Duties-cont.An Ounce of PreventionDocument Your Findings Credibly. Exercises, Lesson 4, Section IVExercises, Lesson 4, Section IV-cont.Exercises, Lesson 4, Section IV-cont.Solutions to Exercises, Lesson 4, Section IVNotesAppendix A. Code of Ethics for X-Ray TechnologistsAppendix B. A Model of the Patient's Bill of RightsAppendix B. A Model of the Patient's Bill of Rights-cont.Appendix C. GlossaryAppendix C. Glossary-cont.Appendix C. Glossary-cont.Appendix C. Glossary-cont.Appendix C. Glossary-cont.Appendix C. Glossary-cont.
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