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 |