which of the following pieces of legislation applies to use of information on a patient care report

Can a nurse read the written patient care report?

Only the physician is permitted read the written patient care report. The​ patient's condition may have changed or the nurse​ didn't hear the radio report. The nurse cannot make decisions about the patient based on the radio reportport. Two verbal reports are always required prior to transferring care.

What does the right to information help patients find out?

The right to helps patients find out whom their doctors work with, such as healthcare organizations. Information Sarah is a patient in a hospital. She just received surgery, and is recovering in her hospital room. She becomes aware of the hospital's sudden decision to move her to a room that does not have a window.

What unit is Patient Bill of Rights in?

Unit Three- Patient Bill Of Rights STUDY Flashcards Learn Write Spell Test PLAY Match Gravity Created by BrentLee222 Terms in this set (29) Which of the following describes patient rights?

What should you document in a patient refusal report?

You should document everything including all patient care, all of your attempts to persuade the patient to go by ambulance, and who witnessed the patient refusal. You are on the scene of an unresponsive adult female patient.

Which of the following is not an appropriate way of dealing with a patient who does not speak the same language as you do?

Which of the following is NOT an appropriate way of dealing with a patient who does not speak the same language as you do? Avoid communicating with the patient so there is no misunderstanding of your intentions.

When giving the hospital a radio report you should?

Purpose of the EMS radio report The intent of the hospital radio report is to give the receiving hospital a brief 30-second “heads up” on a patient that is on the way to their emergency department. It should be done over a reasonably secure line and in a manner that does not identify the patient.

What clinical patient information is included in the Minimum Data Set on a PCR?

MINIMUM DATA SET: two separate types of data that are recorded,PATIENT INFORMATION: chief complaint, the initial assessment, vital signs, and. patient demographics.ADMINISTRATIVE INFORMATION: the time the incident was reported, the time the responding unit was notified, the time of arrival at the patient,

Why is it important to give an effective verbal report at the hospital?

a valuable source for research on trends in emergency care. your chance to convey important information about your patient directly to hospital staff.

What is a patient care report?

The primary purpose of the Patient Care Report (PCR) is to document all care and pertinent patient information as well as serving as a data collection tool. The documentation included on the PCR provides vital information, which is necessary for continued care at the hospital.

What are the elements of a patient care report?

There are seven elements (at a minimum) that we have identified as essential components to documenting a well written and complete narrative.Dispatch & Response Summary. ... Scene Summary. ... HPI/Physical Exam. ... Interventions. ... Status Change. ... Safety Summary. ... Disposition.

When you document information on a patient that you treat and care for this written report is called the?

When you document information on a patient that you treat and care for. This written report is called the: Patient care report, run report. You are asked to give testimony in court about the care you gave to a patient.

What is all administrative information on a PCR known as?

Administrative information on a PCR is often referred to as: Run data. The standardized information that should be collected on all PCRs is called the: Minimum data set.

What is the minimum number of sets of vital signs that should be taken and recorded on all patient transports?

At least two complete sets of vital signs should be taken and recorded.

When providing a patient report via radio You should protect the patients privacy by?

When providing a patient report via radio, you should protect the patient's privacy by: not disclosing his or her name. You are providing care to a 61-year-old female complaining of chest pain that is cardiac in origin.

What is the purpose of the narrative section of the patient care report?

Detailed explanation of medical necessity: Your narrative should be detailed and provide a clear explanation for why the patient needed to be transported by ambulance. Include what the medical reasons were that prevented the patient from being transported by any other means.

Why is it important to have effective communication in health and social care?

Effective communication within health and social care settings is very important because it can have a direct, or indirect, impact on the health and social care provided, the overall wellbeing of the patient and on the relationships with patients, family members or colleagues.

Privacy Act of 1974

The Privacy Act of 1974 regulates information collected by the federal government and its agencies. The legislation allows citizens to know what information is collected about them, assure the veracity of that data and obtain copies of the information. The Veterans Health Administration and Indian Health Services are subject to these regulations.

Institutional Review Boards

Institutional Review Boards are governed by state and federal laws and require informed written consent and data security and privacy.

JCAHO

The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is a private organization that has been used since 1965 to accredit hospitals and facilities, which allowed for their participation in Medicare.

HITECH Act

The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 empowers the Federal Department of Health and Human Services (HHS) to oversee the promotion of Health IT – including quality, safety and security as well as the secure information exchange.

HIPAA

The Health Insurance Portability and Accountability Act (HIPAA) of 1996 was enacted to allow for the continuance of health insurance coverage in situations involving job changes or loss. Major provisions of this law were enacted to formulate and regulate federal guidelines and standards pertaining to electronic healthcare.

Affordable Care Act

The Affordable Care Act of 2010 was set up to fundamentally change the way people are insured; goals include lowering healthcare costs and making coverage accessible to previously uninsured people. The law is undergoing major changes as issues with its implementation are encountered.

FDASIA

The Food and Drug Administration Safety and Innovation Act (FDASIA) of 2012 resulted in the collaboration of the HHS and FDA to recommend a regulatory framework for Health IT to improve mobile applications and other means to promote patient safety and innovation in healthcare delivery.