pmls

ethical and legal issue in phlebotomy

COMPLEXITY OF THE HEALTH CARE SYSTEM ADVANCES OF TECNOLOGY

ETHICAL STANDARDS

INFORMATION DISCLOSURE SAFETY

legal issue

Not adhering to the respective health care laws Performing beyond the performance of practice Performing activities without reasonable care and skill Failure to respect Patient's rights Performing beneath the Standard of Care Ignoring the Refusal or Forcibly collecting sample when patient refuse to have blood drawn

SENATE BILL NO. 1402 17th Congress, First regular Session March 16, 2017 Introduced by: Senator Joseph Victor Ejercito

Right to appropriate Medical Care and Human Treatment . Right to Informed Consent 3. Right to Privacy and confidentiality . Right to Information Right to choose Healthcare Provider and Facility

6. Right to self determination 7. Right to Religious beliefs RIGHTS OF PATIENTS p2 8. Right to Medical Records 9. Right to Leave 10. Right to Refuse participation in Medical research

1. Right to Correspondence and to Recieve Visitors 2. Right to Express grievances 3. Right to be Informed of his rights and obligations as a Patient

1. RIGHT TO HEALTH 2. RIGHT TO ACCESS TO QUALITY PUBLIC HEALTH CARE 3. RIGHT TO HEALTHY AND SAFE WORKPLACE 4. RIGHT TO PARTICIPATE IN POLICY MAKING DECISIONS 5. RIGHT TO PREVENTION AND EDUCATION PROGRAMS

1. RIGHT TO HEALTH 2. RIGHT TO ACCESS TO QUALITY PUBLIC HEALTH CARE 3. RIGHT TO HEALTHY AND SAFE WORKPLACE 4. RIGHT TO PARTICIPATE IN POLICY MAKING DECISIONS 5. RIGHT TO PREVENTION AND EDUCATION PROGRAMS 6. Right to access Health Facilities 7. Right to Equitable and Economical Use resource 8. Right to continuing Health care 9. Right to be provided with healthcare in times of solvency

know thier rights provide adequate and complete information report unexpected health changes understand the purpose of cost of treatment accept consequences of own informed consent

6. Respect rights of Healthcare providers 7. Settle financial obligations 8. Obligation to SELF 9. Provide adequate Health information and Actively Participate in His/her Treatment 10. Respect the right to Privacy of Healthcare Provider and Institution

Exercise Respect Respect Ensure Participate in Report in Fidelity on Privileged communication the Physician's refusal to treat him Respect the Physician's Decision on Medical reasons based on his/her Religious beliefs Integrity and Authenticity of Medical Records The training of Competent Future Physicians Fractions and Exhaust Grievance Mechanism

DO NOT HARM RESPECT PATIENTS' RIGHTS PERFORM DUTIES WITHIN THE APPROVED STANDARDS OF CARE ENHANCE KNOWLEDGE APPLY NEW ETHICS BE COMMITTED TO THE PROFESSION AND COWORKERS

ACTS OF COMMISSION AND OMMISSION SCOPE OF OF PRACTICE STANDARD OF CARE MEDICAL MALPRACTICE

ACTS OF COMISSION & OMISSION

STANDARD OF CARE

NEGLIGENCE

MEDICAL MALPRACTICE

Duty not performed Dereliction/Breach of Duty Injury Direct cause

misidentification of patient • poor vein and site selection ⚫ venipuncture at and excessive angle • Too much vein probing ⚫ unable to anticipate loss of consciousness ⚫ inadequate pressure to the puncture site • Mislabeling & failure to properly label specimens at the patient's side

nerve injury or damage laceration of the arteries hemorrhage due to puncture of an artery hemorrhage due to inadequate pressing after the puncture injuries obtained during syncope improperly identifying patients and specimen complications from obtaining blood from same side as mastectomy

ALL PATIENTS SHOULD BE TREATED AS SUSCEPTIBLE TO PROLONGED BLEEDING Always observe for the skin and vein closure A vein might have closed but superficial bleeding might occur

INJURIES OBTAINED DURING SYNCOPE According to standards: The use of AMMONIA is NOT recommended

IMPROPERLY IDENTIFYING PATIENTS AND SPECIMENS

IMPROPERLY IDENTIFYING PATIENTS AND SPECIMENS According to standards IDENTIFIERS: Ask for complete name, age, birthdate or unique ID number Compare information on patient's ID bracelet which must be attached to the patients and the request form

The nurse on duty or the caregiver must be notified if there is a discrepancy in patient identification. The nurse will identify the patient before drawing of specimen

RISKS OF PATIENTS (injuries that causes LAWSUITS) p6

Venipuncture should be in a clean, quiet and private place Patient should not be sitting on bed

civil law criminal law

civil law

CRIMINAL LAW

◆Assault ◆Battery ◆Defamation Libel ◆Slander Invasion of Privacy

Negligence ◆Malpractice

tort law

assault

battery

libel

slander

libel and slander

invasion to privacy

malpractice