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Med Law Unit 3
Med Law Unit 3 Review
Question | Answer |
---|---|
How do we made a correction in a patient's chart? | One line through Initial Date Write "error" Write the correction |
In which cases can medical records be released to a 3rd party without permission? | Worker's Comp Emergency |
The law that effectively waives consent in medical emergencies: | The Good Samaritan Act |
Under the doctrine of professional discretion a doctor may do this: | Refuse to show certain notes to a patient |
Who cannot give consent? (4) | Minors, Mentally Challenged, Language Barriers, Under the Influence |
What mandates certain standards for electronic transmission and storage of healthcare information: | HIPAA |
Who determines the time frame for retention of medical records: | State Statutes |
The legal basis for a patient's permission for medical treatment: | Doctrine of Informed Consent |
The medical record belongs to: | The Facility |
The medical information belongs to: | The Patient |
6 components that are to be introduced in informed consent: | Proposed modes of treatment Why treatment is necessary Risk involved in the proposed treatment Available alternative treatments Risk of alternative treatments Risk if treatment is refused |
5 Cs to follow when entering medical records: | Concise Complete & Objective Clear & Legible Correct Chronologically ordered |
What are some barriers with informed consent? | Religion Diversity Language Comprehension |
Code sets must be uniform throughout the country? T/F | True |
When is the FDA entitled to PHI? (3) | Safety Issue Product Recall Adverse events related to drugs |
What are the responsibilities of the privacy officer? | Train employees Help develop notice of privacy practice Must know HIPAA very well |
Who must sign a NPP? | Patient or Parent/Guardian |