Texas Jurisprudence Exam Part 10
This deck covers key questions and answers from the Texas Jurisprudence Exam Part 9, focusing on legal aspects of birth certificates, death pronouncements, SIDS, autopsies, and organ donations.
Can you pronounce the death and transplant an organ in the same patient?
Answer: Physician who determines death CANNOT participate in transplantation
Key Terms
Can you pronounce the death and transplant an organ in the same patient?
Answer: Physician who determines death CANNOT participate in transplantation
At what age and how can a mentally retarded person donate a kidney?
Answer: Age 12, by petitioning the district court
Can a blood bank pay for blood? How? After how many days?
Answer: Yes, by mailed check, 15 days after donation
What is the duty of a medical professional when treating an adult with family violence? What languages to use?
Answer: Duty to treat and provide information (and document that information was provided) in English and Spanish; no need to report
Does the physician have to call the police in cases of adult family violence?
Answer: No, just inform victim of options
What is the difference between a professional and a medical professional?
Answer: Medical professional = MD; professional = anybody else, e.g., teacher
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Term | Definition |
---|---|
Can you pronounce the death and transplant an organ in the same patient? | Answer: Physician who determines death CANNOT participate in transplantation |
At what age and how can a mentally retarded person donate a kidney? | Answer: Age 12, by petitioning the district court |
Can a blood bank pay for blood? How? After how many days? | Answer: Yes, by mailed check, 15 days after donation |
What is the duty of a medical professional when treating an adult with family violence? What languages to use? | Answer: Duty to treat and provide information (and document that information was provided) in English and Spanish; no need to report |
Does the physician have to call the police in cases of adult family violence? | Answer: No, just inform victim of options |
What is the difference between a professional and a medical professional? | Answer: Medical professional = MD; professional = anybody else, e.g., teacher |
Reporting of child abuse? By whom? How fast? Can it be delayed? To whom (3 entities)? | Answer: Report immediately but MUST be within 48 hours, cannot be delegated; to Texas Department of Protective and Regulatory Services, any law enforcement, Texas Youth Commission |
Will the TDPRS act on anonymous calls regarding child abuse? Does it satisfy a professional duty to report? | Answer: Yes, they will be acted upon but DO NOT satisfy duty to report |
How much time do professionals and medical professionals have to report the death of a child secondary to suspected abuse? | Answer: 48 hours |
What kind of crime is lying in a report on child abuse? Not submitting a report? | Answer: State jail felony, misdemeanor class B |
Who must report nursing home abuse? | Answer: Any person |
Is the report of nursing home abuse verbal or written? | Answer: Immediately verbally, written within 5 days |
What kind of offense is it NOT to report nursing home abuse? | Answer: Misdemeanor class A |
Can the institution retaliate against a whistle-blower in cases of nursing home abuse? | Answer: No |
When and within what time limit must nursing homes report resident deaths? | Answer: Within 10 working days |
Within what time period must nursing home deaths be reported if the resident just transferred to hospital within 24 hours and died? | Answer: 10 working days |
Who is considered a child, elderly, or disabled person when talking about a criminal offense for injury of the above? | Answer: 14 year or younger, 65 or older or disabled older than 14 |
Who is considered "elderly" when living at home? | Answer: 65 or older |
What kind of offense is it if you do not report elderly abuse? | Answer: Misdemeanor class A; false information class B |
Can a volunteer report abuse in a hospital, etc.? | Answer: Yes |
Who is considered a mental health worker? Does that include priests? | Answer: Social worker, addiction counselor, counselor, marriage therapist, clergy member, physician, psychologist; yes |
Give definitions for 4 types of sexual contact | Answer: Touching, deviate acts, intercourse, request for or suggestion of |
What is sexual exploitation? | Answer: Pattern for purposes of sexual gratification |
What is therapeutic deception? | Answer: Making patient believe it is part of treatment |
What of the above questions is cause for action? | Answer: All-contact, exploitation, deception |
Is an employer liable for the sexual misconduct of a current or previous worker with a current or discharged or ex-patient? | Answer: Yes, if employer has knowledge of past sexual exploitation or fails to inquire over the last five years of employment |
What is considered "emotional dependence"? | Answer: Lack of emotional dependence of the patient on the therapist is a defense that can be raised in an action brought by a former patient |
Is it a defense that the sexual misconduct was consented? Off the premises? Outside treatment sessions? | Answer: No, no, no |
Who are the 2 agencies that should receive a report in cases of sexual misconduct? | Answer: State licensing board and prosecuting attorney of the county where the alleged offense occurred |
When to report sexual misconduct? What offense is failure to report? | Answer: Within 30 days; misdemeanor |
If you are examining a patient with a communicable disease, what is your duty? | Answer: Duty to instruct on prevention of reinfection, spread, and necessity to treat |
Who has to report communicable diseases? | Answer: Physician, dentist, veterinarian, chiropractor |
What sort of situations must be reported? | Answer: Documented or suspected infection, exotic diseases, outbreaks |
Can an employee in the office do the reporting? | Answer: Yes, if designated by physician |
If a physician reports a communicable disease, does the hospital also have to report it? | Answer: Yes, both |
If you treat a patient with a communicable disease that dies, what are your 2 responsibilities and within what time frame? | Answer: Report death immediately and put toe tag on |
What kind of crime is nonreporting communicable disease? | Answer: Class B misdemeanor |
If you are a police officer, firefighter, etc., can you make somebody have an HIV test if you think you might have been exposed? Who do you call? | Answer: Yes, request TDH |
Is the police officer, etc., required to be tested himself/herself? | Answer: No |
If an employee is exposed, can the hospital check if the person is harboring an infective agent? | Answer: Yes, to HepB, C, HIV |
What diseases must they test for? | Answer: Hep B, C, HIV |
Do they need the patient's consent? | Answer: No |
Who must report occupational exposure? Does that include labs? | Answer: Physicians, labs, health care workers; labs must report abnormal lead levels |
What occupational exposure must be reported? | Answer: Asbestosis, silicosis |
Do you have to report birth defects? | Answer: Yes |
Which diseases have to be reported immediately? | Answer: Diphtheria, measles, anthrax, pertussis, hemophilus, plague, rabies, SARS, smallpox, yellow fever, etc |
Which diseases must microbiology labs report immediately? | Answer: Vancomycin-resistant staph, VRE, HIV, neisseria meningitis |
Can you make somebody have HIV test? What are the 4 exceptions? | Answer: No, unless during pregnancy, criminal proceedings, accidental exposure, consented |
What kind of crime is it if you force somebody to take an HIV test? | Answer: Misdemeanor A |
Does HIV testing consent have to be written? | Answer: No |
Do you have to sign an HIV consent if you have signed a consent for treatment? | Answer: No |
Do you need consent for lab testing after accidental exposure? | Answer: No |
Does a physician have to contact the partner notification program if a patient is HIV positive and the physician suspects sexual activity? | Answer: Yes |
Can a health care worker with exudative lesions or weeping dermatitis participate in direct patient care or handling of medical equipment? | Answer: No |
If you are a health care worker that has HIV or hepB or HbeAg, can you perform invasive procedures that are "exposure-prone"? What are the 2 requirements? | Answer: No, unless patient has been educated and has sought expert panel |
What if you do invasive procedures that are not exposure-prone, and you are positive for HIV, HepB or HbeAg? Do you need to inform? | Answer: No need to inform |
Can you force rapists to undergo HIV and HepC tests? | Answer: Yes |
Which neoplasm must be reported to the cancer registry? | Answer: All |
Which traumatic injuries must be reported? To whom? Who is responsible to report? | Answer: Spinal cord, traumatic brain, anoxia including near-drowning; to TDH; physician |
Do you have to report overdosing and gunshot wounds? How fast? Who are the 2 people who can report that? | Answer: Yes; immediately; by physician or hospital administrator or official |
What kind of offense is nonreporting of traumatic injuries, overdoses or gunshot wounds? | Answer: Misdemeanor |
What is a "commitment order"? | Answer: Court order for involuntary mental health admission |
Who is considered an "adult" in order to proceed with voluntary psych admission? | Answer: 16 and over OR anybody who has ever been legally married |
What are the 3 types of involuntary psych admissions? Who can order them? | Answer: Emergency or temporary detention, protective custody; they are court ordered |
Does being on ETOH, senile, mental retardation, epilepsy constitute grounds to deny voluntary psych admission? | Answer: No |
When you are admitted involuntarily, when can a patient be forced to take psychoactive mediations (3 cases)? | Answer: (1) a medication-related emergency, (2) under a court order, (3) patient is a ward and guardian consents |
Do you need a separate court order to give psychoactive medications in addition to the court order for involuntary admission? | Answer: Yes, you need 2 separate court orders |
Do you need a physician order to put patient in restraints? | Answer: Yes |
When should you consider prescribing psychoactive medications? | Answer: Medication emergency—threat to self or others |
ECT may not be used in people less than ___ years of age. Any exceptions? | Answer: 16, no |
Can anyone, including courts, force somebody to have ECT without their written consent? | Answer: No, ECT cannot be court ordered |
How often do you need consent for ECT? | Answer: Before each treatment |
How about people > 65 years of age, who must sign for ECT? | Answer: Patient and 2 physicians |
Can psychiatry hospitals employees' pay be based on # of admissions, length of stay, calls to referring sources? | Answer: No |
Can psychiatry hospitals "guarantee" a cure on advertising? | Answer: No |
Can psychiatry hospitals solicit information about patients' confidential records to solicit them for services? | Answer: No |
Can a physician send a patient directly to psychiatry hospital? Do they have to first get insurance approval? | Answer: Yes; no |
How long is a mental health directive valid for? | Answer: 3 years or earlier if revoked |
Does a mental health directive suffice to allow ECT treatment? | Answer: Yes, it is considered a prior consent |
Does Texas have "duty to warn" for mentally-ill patients? Is this breach of confidentiality | Answer: Texas does NOT have duty to warn, it IS a breach of confidentiality |
Can patient refuse mental health treatment after admission? | Answer: If they are voluntarily admitted, yes; if involuntarily, no, with court order |
Who does EMTALA apply to? | Answer: Hospitals participating in Medicare |
What is considered "campus"? | Answer: 250 yards from ER |
What 4 places constitute "coming" to the ER? | Answer: In hospital-owned ambulance or air transport, or patient is in ER or in hospital requesting ER consultation |
If an ambulance despite being told that the hospital is on diversion comes to the ER, can you send them away? | Answer: No, patient HAS TO BE SEEN |
Is pregnancy a medical emergency? | Answer: No, except for complications and labor |
Under EMTALA, what MUST a hospital provide? | Answer: Medical screening |
Is it enough to log in or triage the patient? | Answer: No |
Can you delay treatment in order to check insurance? Get pre-approval? | Answer: No |
Can you provide different levels of care based on insurance? | Answer: No |
Can a PA or NP provide the EMTALA required screening? | Answer: Yes |
Does admitting the patient for treatment satisfy EMTALA requirements? | Answer: No |
If patient refuses treatment, does that satisfy EMTALA? What is the appropriate protocol? | Answer: Yes; has to be informed of potential dangers |
If a physician is not available to determine if transfer is necessary, who else can do it? What is required? | Answer: PA, NP, RN, other qualified person after consultation with MD |
Do you have to send medical records when transferring from an ER? | Answer: Yes |
Can you transfer because on-call physician did not show up? What must you do? | Answer: Yes; record name and address of physician who did not show up |
Can a specialized hospital (e.g., burn unit) refuse a transfer because "they are full"? | Answer: No, if they have EVER accepted patients before and made room for them |
How many years must you keep records of patient transfers? | Answer: 5 years |
Do hospitals need to keep on-call lists? | Answer: Yes |
Can you do elective surgery when you are on call? | Answer: Yes |