Ethics and Safety VALUES AND ETHICS  Values  Moral Values  Ethics  Ethical Dilemma  Legal Rights

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Slide 2 Ethics and Safety Slide 3 VALUES AND ETHICS Values Moral Values Ethics Ethical Dilemma Legal Rights Slide 4 PROFESSIONAL ETHICS ARRT Standards of Ethics Responsibility and Accountability Resolving Ethical problems Slide 5 Resolving Ethical problems List everyone involved and identify perceptions Presume everyone has patients best interest in mind Gather relevant information Clarify ethical issues Determine strengths of each resolution Use best resolution Slide 6 7 Biomedical Ethics Autonomy Nonmaleficence Beneficence Justice Fidelity Veracity Confidentiality Slide 7 LEGAL CONSIDERATION State Licensing Standards of Care: Professional, Clinical, Quality Performance Standards Informed Consent Incident Reports Good Samaritan Laws Patient Rights Slide 8 BASIC LEGAL CONCEPTS Criminal Law Civil Law Negligence and Malpractice Assault and Battery Invasion of Privacy False Imprisonment Defamation of Character Slide 9 CRIMINAL Individual who threatens society Misdemeanors or felonies Result is punishment of person accused Slide 10 CIVIL Precedents and principles Torts Intentional and Unintentional Compensates client, not to punish accused Slide 11 NEGLIGENCE When a healthcare professional provides substandard care. Slide 12 MALPRACTICE Result of professional misconduct Patient must prove: Tech owed a duty to the patient Tech didnt carry out duty Patient was injured Patients injury was a result of techs failure to carry out the duty Slide 13 Lack of Communication Most common cause for malpractice A patient fell and was injured in the radiology department of a hospital. The radiologists defense was that the nurse had not filled out the requisition adequately; therefore, he had had no knowledge of the patients history of being unable to walk for 6 months. However, the court held the Radiologist liable for negligence in not remaining alert to the reasonable possibility that the patient might faint and fall. Slide 14 Doctrine of Respondeat Superior Employer will be held liable for an employees negligent act. Employer-employee relationship Employee must be functioning under the authority of employer Master-servant relationship: right to control employees activities, supervise, pay wage, discharge employee Slide 15 LEGAL CONCEPTS CONT Assault Battery Invasion of Privacy False Imprisonment Defamation of Character Slide 16 SAFETY Emergency Preparedness Weather Weather Alerts Bomb Bomb Threats Disaster Disaster Plan Slide 17 Safety Guidelines Walk, dont run Obey warnings Move cautiously Do not obstruct vision Never use hands to compress trash Clean spills quickly Use locks and good body mechanics Never leave patient unattended on an x-ray table Keep floors and hallways unobstructed Slide 18 MECHANICAL/ELECTRICAL SAFETY Visual Inspection Medical Device Reporting Slide 19 Electrical Safety Guidelines Never attempt repair Never pull on cords Do not use multiple adapters or ext cords Always use 3-pronged plugs Avoid contact with water; hands dry Do not use equipment with frayed cords Keep cords out of doorways and walkways Slide 20 HAZARDOUS MATERIALS OSHA Hazardous Communication Rules Material Safety Data Sheets (MSDS) Slide 21 PREVENTION OF FALLS Learn condition of patient Keep floors clear Side rails always up Wheelchairs locked NEVER leave patient unattended Slide 22 FIRE SAFETY Pull alarm closest to you Remove persons in danger Turn off equipment and O2 Close all doors and windows Slide 23 RACE Guidelines RRRR Remove and Rescue AAAA Alert, activate alarm and announce CCCC Contain by closing doors and windows EEEE - Extinguish Slide 24 FIRE EXTINGUISHERS Paper and wood: Soda and acid water Rubbish or wood: Dry Chemical Grease or electrical: Carbon Dioxide Rubbish, wood, grease, anesthetic: Antifreeze or water Slide 25 RADIATION SAFETY ALARA Time Distance Shielding Hang lead aprons