Nội dung text COMPRE - HANDOUTS - PROF AD (Mr. Manago)
TOP RANK REVIEW ACADEMY, INC. Page 3 | - By Direct participation - Actually executed the act - By Inducement - Commanded, threatened, promised a reward - mastermind, nag-utos - Indispensable cooperation - “Hindi mangyayari kung wala siya.” - Eg. - Avoiding security features - Combination number in bank vault - Provided weapons/tools - Accomplice - cooperated in execution of offense - Kahit wala siya, magagawa pa rin ang crime - Acts not as fatal as principal’s - Eg. - Words of encouragement - Physical acts to victim - Giving ADDITIONAL weapons - Accessory - Participated AFTER the crime - Profiting themselves - Concealing evidence - Assist in escape of PRINCIPAL Liability • Respondeat superior • Master responsible for acts of servants • Employer SHARES liability with employee • Res ipsa loquitur: “The thing speaks for itself.” • Obvious accident=Negligence • Force majeure: acts of nature, uncontrollable forces • No liability, also called “vis major” DOCUMENTATION - Hallmark of Nursing Accountability - Why? If it is not written, it didn’t happen. Privileged communication - Exchange of privileged information between two parties - Private and protected - Right to Refuse Disclosure of information - Doctor-patient, Lawyer-client, Husband-wife, Priest- communicant - Info can be disclosed if: - If client is in danger (suicide) - If client is a danger to others (threatens to kill someone) 1) Incident Reports • Records of sentinel events • Sentinel event: Adverse event � patient injury/death • Parts • Name of client • Date, time, place of incident • Facts only. NO interpretations/blame • Client’s statements • Written by: (1) committer of error OR (2) witness to error • Confidential. Not part of patient’s chart (protects hospital, not patient) 2) Consent • Implied vs Express Consent • Implied: non-verbal • Gestures/body language • Express: verbal • Spoken or written form (informed consent form) Informed Consent • Voluntary • Informed • Competent: 18 y/o and above, coherent • Signature: (1) patient, (2) 2 witnesses • Nurse: • X explains procedure • ✔ Witnesses: ensure validity of signature • Patient – spouse – child – parent – sibling – next of kin 3 exceptions (CANNOT consent) 1) Minors: parent’s consent 2) Unconscious/Injured (Emergency): implied consent 3) Mentally ill: patient can consent in lucid intervals (periods of mental competence) 3) Medical Records • Who owns? • Record: Hospital (Pt can access through a process) • Information: Patient 4) Advance Directives • Health care decisions made in advance in case of incapacity in the future. • Living Will: patient decides • Durable Power of Attorney: • Patient appoints person to decide • Aka Health care proxy