Communication
Demonstrate active listening
*eye contact, positive body language, allow time*
Who is the owner of the medical record?
The healthcare facility
Which of the following is not covered in the Patient's Bill of Rights?
a. Privacy
b. Access to care
c. Informed consent
d. Insurance coverage
d. Insurance coverage
A lesser crime usually punished by fine.
Misdemeanor
Doing what is best for the patient.
Beneficence
Bill starts seeing a new doctor. The new provider explains they don't have access to Bill's previous medical record. What form does Bill need to complete to transfer his records to his new doctor?
Release of Medical Records form
An MA notices a patient's blood pressure is slightly elevated. Provider: “Everything look normal?”
Medical Assistant: “Um… I think so.”
What style of communication is this?
Passive
When asked if a patient is ready for a blood draw, the patient states: "yeppers". What type of consent is this?
Expressed consent
Act that expands on HIPAA to provide better security measures for electronic transmission of PHI.
Health Information Technology for Economic and Clinical Health (HITECH) Act
A nurse continues working after her license has expired. What type of crime is this?
Felony
Bonus: What would the punishment be?
What ethical principal is described by the patient being able to make their own medical decisions?
Autonomy
Written statements of a person's wishes regarding medical treatment, such as a living will.
Advance directives
What communication styles should a medical assistant use for professionalism and good patient outcomes?
Assertive
When asked if the provider can look at the patients rash, the patient lifts their pant leg. This is an example of what type of consent?
Implied
Regulates the manufacture and distribution of controlled substances.
Controlled Substances Act (CSA)
A medical assistant is rushing and skips verifying patient identity before administering medication. The wrong patient receives the medication and experiences side effects.
Negligence
Providing access to the same type of healthcare services without discrimination describes what ethical principal?
Justice
A DNR prevents the patient from receiving what?
CPR (or advanced cardiac life support), intubation
A medical assistant wants a coworker to finish rooming a patient so they don’t have to stay late.
“I guess I’ll just stay late again… I always end up doing everything myself.”
What style of communication is this?
Manipulative
Bonus point: restate in an assertive style
What type of consent should be collected before a surgical procedure?
Informed consent
Requires hospitals and emergency departments to provide medical screening to any patient seeking treatment.
The Emergency Medical Treatment and Active Labor Act (EMTALA)
An act of negligence where a breach in the standard of care causes damage to a patient.
Malpractice
A commitment to "do no harm"
Nonmaleficence
Belinda is going to have open heart surgery. If something happens she wants her daughter to make medical decisions for her. What form should she complete?
The durable power of attorney (DPOA)
Which of the following is an open-ended question?
a. "Are you feeling better today?"
b. "How are you feeling today?"
c. "Do you have any pain today?"
b. "How are you feeling today?"
When can a minor give consent?
Prohibits discrimination on the basis of genetic information with respect to health insurance and employment.
Genetic Information Nondiscrimination Act of 2008 (GINA)
Give 3 examples of an intentional tort.
Assault, battery, defamation of character, invasion of privacy
What type of ethics describes principles accepted by a group based on ethnicity, political affiliation, or cultural identity?
Common or group ethics
Which type of form is completed by the provider to provide medical orders during end-of-life care?
Physician Orders for Life-Sustaining Treatment (POLST)
A patient is upset and yelling at you because they are late for their appointment and now can't be seen today. What should you do to de-escalate the situation?
Stay calm, active listening, let the patient vent, remain respectful and non-judgmental, get a supervisor if needed.
What are 4 exceptions where a ROI is not required to release medical records?
Criminal acts, legally ordered, communicable disease, mandated exams
Prohibits receiving benefits for referral or business involving federal health care programs.
Anti-Kick Back Statute (AKBS)
As a mandatory reporter, you need to promptly report what? (5)
Births, deaths, certain communicable disease, assault or criminal acts, Abuse
What type of ethics describes ones values and morals?
Personal ethics
What influences personal ethics?
A patient is in a coma following an MVA. Who will make healthcare decisions on their behalf?
State-appointed individual - legal hierarchy