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LEGAL, REGULATORY, AND
ETHICAL ISSUES
ANES 1501
Introduction to Anesthesia
Technology
College of DuPage
COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
LEARNING OBJECTIVES
Define negligence as it applies to caregivers
Discuss informed consent
Describe the importance of patient care documentation
COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
LEARNING OBJECTIVES
List several methods of documentation of patient care
Identify three potential events that could lead to litigation
Describe the role of JCAHO in the promotion of patient safety
COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
HISTORICAL BACKGROUND
Code of Hammurabi
Medical malpractice suits
COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
LEGAL ISSUES
Liability
Negligence
Malpractice
COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
LIABILITY
Prevention of liability
Liability insurance
Borrowed servant rule
Independent contractor
COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
LIABILITY
Doctrines
Reasonable man
Res ipsa loquitor
Respondeat superior
Corporate negligence
Extension doctrine
COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
LIABILITY
Assault and battery
Invasion of privacy
HIPAA
Abandonment
COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
JCAHO AND SENTINEL EVENTS
Root cause analysis
Institutional reporting
COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
CONSENT
General
Informed
 Liability
 Patient rights
 Responsibilities
COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
CONSENT
Validation
Witnessing
Right to refusal
Advance directives
COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
PERIOPERATIVE DOCUMENTATION
Purpose
Use
Components of facility documentation
Benefits
COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
STANDARDS AND METHODS OF
DOCUMENTATION
Charting modalities
Computerized documentation
Components of perioperative documentation
Incident reports
COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
DRUGS AND MEDICAL DEVICES
Pure Food and Drug Act
Food, Drug, and Cosmetic Act
Kefauver-Harris drug amendments
Medical device amendments
Reclassification
Mandatory device reporting
Safe Medical Devices Act
MedWatch program
COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
ETHICAL ISSUES
AST Code of Ethics
ANA Code for Nurses
Universal moral principles
COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
ETHICAL DILEMMAS
Reproductive sterilization
Abortion
Human experimentation
Fetal tissue/stem cell
HIV/other infections
COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
ETHICAL DILEMMAS
Quality of life
Euthanasia
Right to die
Organ donation
Death and dying
COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.

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ANES 1501 - M11 PPT: Legal, Regulatory, and Ethical Issues

  • 1. LEGAL, REGULATORY, AND ETHICAL ISSUES ANES 1501 Introduction to Anesthesia Technology College of DuPage COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
  • 2. LEARNING OBJECTIVES Define negligence as it applies to caregivers Discuss informed consent Describe the importance of patient care documentation COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
  • 3. LEARNING OBJECTIVES List several methods of documentation of patient care Identify three potential events that could lead to litigation Describe the role of JCAHO in the promotion of patient safety COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
  • 4. HISTORICAL BACKGROUND Code of Hammurabi Medical malpractice suits COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
  • 5. LEGAL ISSUES Liability Negligence Malpractice COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
  • 6. LIABILITY Prevention of liability Liability insurance Borrowed servant rule Independent contractor COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
  • 7. LIABILITY Doctrines Reasonable man Res ipsa loquitor Respondeat superior Corporate negligence Extension doctrine COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
  • 8. LIABILITY Assault and battery Invasion of privacy HIPAA Abandonment COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
  • 9. JCAHO AND SENTINEL EVENTS Root cause analysis Institutional reporting COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
  • 10. CONSENT General Informed  Liability  Patient rights  Responsibilities COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
  • 11. CONSENT Validation Witnessing Right to refusal Advance directives COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
  • 12. PERIOPERATIVE DOCUMENTATION Purpose Use Components of facility documentation Benefits COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
  • 13. STANDARDS AND METHODS OF DOCUMENTATION Charting modalities Computerized documentation Components of perioperative documentation Incident reports COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
  • 14. DRUGS AND MEDICAL DEVICES Pure Food and Drug Act Food, Drug, and Cosmetic Act Kefauver-Harris drug amendments Medical device amendments Reclassification Mandatory device reporting Safe Medical Devices Act MedWatch program COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
  • 15. ETHICAL ISSUES AST Code of Ethics ANA Code for Nurses Universal moral principles COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
  • 16. ETHICAL DILEMMAS Reproductive sterilization Abortion Human experimentation Fetal tissue/stem cell HIV/other infections COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.
  • 17. ETHICAL DILEMMAS Quality of life Euthanasia Right to die Organ donation Death and dying COPYRIGHT © 2007 BY MOSBY, INC., AN AFFILIATE OF ELSEVIER INC. ALL RIGHTS RESERVED.