Critical thinking for health agency

Chapter 1: Health Care Agencies

You are working in a long-term care center and a surveyor asks you a question. You are unsure of the answer. You worry your response may cause your facility to get in trouble or you could get in trouble for answering incorrectly. How will you respond?

 

Chapter 2: The Person's Rights

You are assisting a person with range-of-motion (ROM) exercises. The person does not want to participate and tells you to leave the room, Does the person have the right to refuse? What will you do? Does the nursing center have to take action?

 

Chapter 3: The Nursing Assistant

You are working on a memory care unit and answer the phone. It is a doctor who tells you he has just left town for vacation and is about to lose cell service. He forgot to order critically important monitoring labs for a resident. He requires you to take the order before the cell signal is lost. What would you do?

 

Chapter 4: Delegation

You are working in a private home care setting. The nurse has delegated to you the tasks of giving the patient a bath and performing ROM exercises. She calls you and states she is running behind today and asks you to perform an assessment and notify her of the results so she can include them in her notes and plan of care. What do you do?

The hospital risk management department has reviewed Zelda's care.  The medical record is analyzed.  The incident report is reviewed.  It is revealed that Zelda's protected health information (PHI) was disclosed:  to her mother, to her health insurance company, to the county's Adult Protective Services agency, the State Department of Health and Human Services, the medical staff peer review committee, the marketing department (photos are used in an campaign against abuse in the home), and hospital legal counsel. 

Define PHI.  

And are any of these disclosures legally allowable? 

Why or why not?  

Cite to the law or laws that direct your response. 

Here is our shared scenario:  Zelda is in trouble again.  She is brought to the ED by police after a domestic dispute with her husband.  Zelda has lacerations and suffered a hit to her head and is being brought to the ED for assessment and treatment.    Zelda also has little red spots (rash) all over her arms which she says were due to a recent bout with Chicken Pox.  Pictures of her injuries and rash were taken by the ED nurse as part of the department domestic violence policies.  The pictures were placed in the patient’s medical record. 

While helping Zelda get onto the stretcher, Zelda bites the police officer.  The officer’s skin is broken and the officer is cared for by the ED staff.  The ED Nurse submits an incident report to the hospital’s internal risk management reporting system.  In addition, a hospital social worker comes to talk to Zelda about her safety at home. 

 After the biting incident, both Zelda and the police officer undergo testing for HIV and other blood borne pathogens.  The police don’t pursue charges against Zelda and she is discharged that same day. 

Does anyone have study notes for public health? It’s a prerequisite for me before I can do a nursing program.

Australian individuals that intentionally engage in lifestyle behaviours that
compromise their health, should not be eligible for subsidised healthcare
under the Medicare scheme.