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The principle of veracity in health care refers to comprehensive, accurate, and objective transmission of information and includes fostering the client’s understanding of such information
shall provide comprehensive and accurate and objective info when representing the profession-don’t plagiarize |
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refers to being faithful, which includes obligations of loyalty and the keeping of promises and commitments (Veatch & Flack, 1997). In the health professions, fidelity refers to maintaining good-faith relationships between various service providers and recipients. |
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is concerned with making and implementing decisions according to fair processes that ensure “fair treatment” (Maiese, 2004). Rules must be impartially followed and consistently applied to generate an unbiased decision. The principle of procedural justice is based on the concept that procedures and processes are organized in a fair manner and that policies, regulations, and laws are followed.
- personnel shall comply within stitutional rules state, national laws and AOTA documents applicable to OT. Completing IRB submissions,etc |
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refers to the fair, equitable, and appropriate distribution of resources. The principle of social justice refers broadly to the distribution of all rights and responsibilities in society (Beauchamp & Childress, 2009). In general, the principle of social justice supports the concept of achieving justice in every aspect of society rather than merely the administration of law.
regardless of social role it is simply the societal disadvantage that matters |
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ability to feel important and valuable in relation to others, connect to others and be treated as such by others: other-regarding self-regarding |
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humans have capacity to make non arbitrary, reasonable bases for distributing goods and services that are in scarce supply but desired by many |
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person or group has role thats valued by society-not everyone has same opportunities |
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6 step process of ethical reasoning |
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1. gather as much info as possible 2. Identify type of ethical problem 3.Use ethics theories or approaches to analyze the problems (utilitarianism-deontology) 4. Explore practical alternatives 5. complete the action 6. evaluate the process and outcome |
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types of ethical problems |
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moral distress ethical dilemma locus of authority |
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moral agent with institutional constraints in the way with a chosen action on the other side (A)
(B) you know something is wrong but not sure what |
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2 courses converging 2 morally correct courses that can't both be followed between rock and a hard spot |
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who should have the authority to make important ethical decisions |
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moral participation of participation |
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everyone in an organization has a basic moral right to become involved in appropriate ways |
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taking care of others and taking care of friend goes "beyond" duty |
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legal exceptions to confidentiality |
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Definition
1. emergency in which keeping confidence will harm pt. 2. Pt. is incompetent or incapacitated and 3rd party needs the info to be surrogate decision maker 3. 3rd parties are at risk for harm 4. Risk that others will be harmed
burden of proof always on the healthcare worker |
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Patient care information system (PCIS) |
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computerized record system used by almost all healthcare institutions. |
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health insurance portability and accountability act controls use or disclosure of protected health info about pts. |
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needs of others before your own |
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assisting in those occupations that have meaning to them regardless of abilities |
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using clinical and ethical reasoning skills, sound judgment and reflection to make decisions to direct us in our area of practice |
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altruism equality freedom justice dignity truth prudence |
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beneficence non-maleficence autonomy and confidentiality social justice procedural justice veracity fidelity |
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Education, Exam., & Licensure
Std. 1: Professional Standing & Responsibility Std. 2: Screening, Evaluation, & Re-eval. Std. 3: Intervention Std. 4: Outcomes |
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Definition
Criminal--crime against the state. Fine, imprisonment, confiscation of property. Civil--infringement of individual (or groups) rights. Bring suit for damages Common law or case law--result of previous ruling by judges and courts |
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patient care partnership or patient's bill of rights |
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Definition
During a hospital stay, a client can expect: High quality hospital care A clean & safe environment Involvement in their own care Protection of their privacy Help when leaving the hospital Help with their billing claims |
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sexual harrassment must have all three |
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Definition
Must be unwanted or unwelcome Must be sexual in nature or related to gender Must be done by someone with power over another Formal--supervisor |
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conditions for sexual harassment can have any one of these |
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Definition
Submission a term of employment Implicit or explicit Submission a factor in decisions affecting the employment Conduct unreasonably interferes with the work, or creates a “hostile work environment” |
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treatment payment and operations TPO |
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Definition
things that can be given out without patient permission
Treatment - Collection of information by clinical staff, Review of patient charts by clinical staff, Transmission of prescriptions to a pharmacy, Consultation with other providers Payment - Completion of billing forms by clerical staff, Transmission of information to a health plan, Transmission of information to a billing service, Completion of billing forms by clerical staff Operations - Day to day business activities, Accounting and bookkeeping entries, Internal quality assurance reviews, Staff training |
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Definition
Health care providers - any person or entity that furnishes health care Health plans - individual or group health plans that provide or pay for health care Health care clearinghouses - companies that translate or facilitate translation of electronic transactions |
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HIPAA mandatory disclosure situations |
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Definition
Police and Law Enforcement Public Health Reporting Abuse and Neglect Reporting Licensing and regulatory oversight Legal proceedings |
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notice of privacy practices |
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Informs patients as to how their information will be used and how their privacy is protected. Patients must receive the notice prior to their first treatment |
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Term
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Civil monetary penalties can be imposed by the Office of Civil Rights $100 per violation Capped at $25,000 for each calendar year for each requirement or prohibition that is violated |
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Criminal penalties can be imposed by Dept. of Justice Up to $50,000 & 1 year imprisonment for knowingly obtaining or disclosing IIHI Up to $100,000 & 5 years if done under false pretenses Up to $250,000 & 10 years if intent to sell, transfer, or use for commercial advantage, personal gain or malicious harm |
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notice of privacy practices again |
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Definition
Notice of Privacy Practices A statement given to each patient, prior to the first visit, describing how the practice will use and disclose health information and outlining the patient’s rights under HIPAA Acknowledgement Written documentation that the notice was provided to a patient, either signed by the patient or completed by a staff member explaining why the patient did not sign it |
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fostering readiness and permanency project |
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Definition
grant money given to keep kids out of foster care and in the home more |
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Term
categories of child abuse |
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Definition
physical abuse neglect sexual abuse emotional abuse abandoned non-sexual exploitation |
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Term
professional organization |
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Definition
is usually a non-profit organization seeking to further a particular profession, the interests of individuals engaged in that profession, and the public interest.
The roles of these professional associations have been variously defined: "A group of people in a learned occupation who are entrusted with maintaining control or oversight of the legitimate practice of the occupation;"[1] also a body acting "to safeguard the public interest;"[2] organizations which "represent the interest of the professional practitioners," and so "act to maintain their own privileged and powerful position as a controlling body."[2] |
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Term
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Definition
supervising ot provides initial direction to the occupational therapy assistant and daily contact while on the premises |
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supervising OT is in the immediate area of the OTA performing supportive services |
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Term
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Definition
supervising OT has face-to-face contact witht the OTA at least once every 30 calendar days on a per patient or client basis while on the premises with the supervising OT available by phone or written communication |
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Term
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Definition
supervising OT has face-to-face contact with the oTA at least once every 30-calendar days while on the premises |
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supervising OT has face-to-face contact with the OTA at least once every 15 calendar days on a per patient or client basis while on the premises, with the supervising OT available by telephone or written communication |
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Definition
clerical and maintenance activities, prep or work area or equipment and delegated routine aspects of an intervention session with a patient or client that require no adaptations by an OTA |
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Definition
20 clock hours for 2 year licence renewal COTA 12 hours " " |
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Term
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Definition
not less than routine supervision if the OT has less than 12 months work experience in a particular practice setting or with a particular skill
not less than general if more than 12 but less than 24 months of experience in a particular practice setting or particular skill
not less than minimal supervision if an ot has more than 24 months of experince
increased level of supervision if necessary for the safety of a patient. |
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