AMRI330 - WK6-10
1. Effective Documentation:
"Charting" refers to any records you are expected to add to a document or chart "Chart" generally refers to the medical documentation brought to you together with an in-patient.
HIPAA is
(Health Insurance Portability and Accountability Act of 1996) is the United States legislation that provides data privacy and security provisions for safeguarding medical and health information.
Always apply the 7 Cs of Malpractice Prevention:
1. Competence: Know and adhere to professional standards and maintain professional competence. 2. Compliance: Comply with policies and procedures. 3. Charting: Perform charting in a complete, consistent and objective way. 4. Communication: Improve/maintain communication with the patient and other healthcare professionals. 5. Confidentiality: Always protect the confidentiality of medical records. 6. Courtesy: Always have a courteous attitude and demeanor that improves patient rapport. 7. Caution: Avoid and prevent injuries occurrence.
This information is required to be available about hazardous chemicals in the department, as mandated by OSHA. 16 sections:
1. Identification includes product identifier(distributor name, address, phone number, restrictions) 2. required label elements(hazards of chemical) 3. Composition/information on ingredients 4. First-aid measures(symptoms, acute, delayed) 5. Fire-fighting measures 6. Accidental release measures lists emergency procedures; protective equipment; proper methods of containment and cleanup. 7. Handling and storage lists precautions for safe handling and storage(PPE) 8. Exposure controls/personal protection 9. Physical and chemical properties 10. Stability and reactivity(lists chemical stability and hazardous reactions) 11. Toxicological information(route of exposure, symptoms, acute and chronic effects, toxicity) 12. Ecological information 13. disposal considerations 14. transport information 15. regulatory information 16. other info, includes date of prep or last revision.
5 ways of treating medical waste
1. incineration 2. thermal 3. irradiative 4. chemical 5. biological
code of ethics
1. rad tech acts professionally; responds by providing quality patient care 2. advance principle objective to provide services to humanity for dignity of mankind 3. no discrimination based on personal attributes, sex, race, religion, socio-economic status 4. employs procedures and techniques appropriately 5. assumes responsibility for professional decisions; acts in the interest of patient 6. observation and communication are pertinent information for physician to aid in diagnosis 7. uses equipment in minimizing radiation exposure 8. patients right to quality radiologic technology care 9. respects patients right to privacy 10. strives to improve knowledge
Based on the MSDS provisions in HazCom 1994, there were a number of different MSDS styles and formats in use in the United States, the most common being the
8 section OSHA MSDS and the 16 section ANSI standard MSDS.
patient welfare
A doctor, nurse, and any other type of healthcare professional involved in the care of a patient needs to remember their main motive: safeguarding the welfare of their patients. All personal information needs to be kept private. It is also important that physicians are honest with their patients. No matter what the healthcare provider's personal beliefs are; a patient should never be discriminated against based on race, income, or sex. Reports of such discrimination should be taken very seriously.
ASRT meaning
American Society of Radiologic Technologists • The ASRT is a professional society for Radiologic Technologists. • They advocate on behalf of the profession, publish a journal, hold professional conferences, help set best practice standards, and assist with tracking and reporting of CE credits. • They do not issue your professional credentials, but do make submitting CE credits much easier for the ARRT.
provided information
Among all ethical issues in healthcare, this one can never be given too much attention. The information that a hospital provides to advertising companies needs to be 100% accurate and honest. It is important that the advertisements for the hospital and its services are not misleading or false. Again, the patients' welfare is most important.
Accidents and Incident Reports
Any patient's or visitor's or staff's fall, accident, or occurrence that results in injury or potential harm must be reported immediately to the department supervisor or radiologist or both by completing an Incident Report or Unusual Occurrence Form. The report details should be concise, clear and objective.
accidents and incident reports
Any patient's or visitor's or staff's fall, accident, or occurrence that results in injury or potential harm must be reported immediately to the department supervisor or radiologist or both by completing an Incident Report or Unusual Occurrence Form. The report details should be concise, clear and objective.
terminally ill patients
As with elderly patients, terminally ill patients may have specific wishes for the manner in which they want their lives to end. Dealing with an issue such as euthanasia is very difficult and therefore requires a deep understanding of ethical processes.
aggressive marketing practices
Certain guidelines, ethics, and standards need to be adhered to when promoting and marketing a hospital's services. It is extremely inappropriate for hospitals to recommend unnecessary services to a patient just for the sake of profit. The main goal of the hospital should be patient care, not marketing schemes. Ethical committees should always be involved in the facility's marketing practices in some way so that the result of any marketing campaign is tasteful and sincere.
3. Responsibilities for Record Keeping
Charting should be clear, self-explanatory, complete, objective, consistent and accurate. Charts must be never allowed to leave the healthcare facility.
elderly patients
Dealing with patients of advanced age may sometimes pose problems in regards to ethical decision making since they are not capable of making rational decisions on their own. As a result, their families are left with the responsibility of making difficult choices. This task can be incredibly difficult when the patient is terminally ill and wants to end their life in order to avoid unnecessary suffering. Even if the ethical committee has a difference of opinion regarding such matters, proper ethical protocol needs to be adhered to at all times. It is always best to check if the patient has a living will so that unnecessary confusion can be avoided.
DICOM meaning
Digital Imaging and Communications in Medicine - better collaboration between radiology professionals. - without DICOM, staff will take longer to accomplish routine tasks
2. Medical Recording on Computers: they must be password protected.
E-chart: storage in the form of computer data files as electronic medical record of a patient
• OSHA refined the standards for MSDS's in 2021. They are now known as
Hazard Communication Safety Sheets (or SDS).
malpractice and negligence
Health care providers are always at risk for being charged with malpractice and negligence. A patient who is harmed by defective medical equipment or products, injured in the course of a medical treatment or placed in danger because of medication errors can sue to recover their losses. Patients can also sue when health care providers fail to provide a critically needed treatment or service. Due to the ever-present threat of litigation, health care providers must carefully cover all the bases in the course of providing patient care.
5. Medical recording by technologists
If the e-chart is separated from the imaging-specific documentation, the imaging department has its own Radiology Information System (RIS) that allows the technologist to access pertinent information about the patient.
informed consent
In order for any medical treatment to be considered legal, the patient must first provide the health care worker with an informed consent. Unless a patient provides informed consent for a procedure, that procedure can considered an assault or even a homicide if the patient were to die as a result of treatment. Informed consent means that a patient has had all of their questions answered and freely agrees to a treatment or procedure with full knowledge of the risks, benefits and possible consequences. Informed consent also means that patients are informed about other options as well as about the option of doing nothing.
liability and malpractice
Lawsuits can result in conflict, expense, professional embarrassment, and loss of public confidence, even when the plaintiff is denied any award. It is therefore very important to prevent any malpractice and always adopt caution for both the patient care interest and in the avoidance of possible malpractice claims.
unintentional misconduct
Negligence: to neglect or omit reasonable care or caution, failure to exercise the care that a reasonably prudent person would exercise in like circumstances. In tort law, negligence applies to harm caused by carelessness, not intentional harm. i. Malpractice: is a type of negligence that happens in the professional healthcare field; it is often called "professional negligence". ii. Gross Negligence: reckless disregard for life or limb. iii. Contributory Negligence: when the behavior of the injured party contributed to the injury. iv. Corporate Negligence: when the clinical setting/hospital, as an entity, is negligent.
WHO DOES OSHA COVER? Private Sector Workers
OSHA covers most private sector employers and workers in all 50 states, the District of Columbia, and other U.S. jurisdictions either directly through Federal OSHA or through an OSHA-approved state program. State-run safety and health programs must be at least as effective as the Federal OSHA program.
OSHA can issue a standard, it must go through
OSHA standards are rules that describe the methods employers are legally required to follow to protect their workers from hazards. Before OSHA can issue a standard, it must go through a very extensive and lengthy process that includes substantial public engagement, notice and com- ment. The agency must show that a significant risk to workers exists and that there are feasible measures employers can take to protect their workers.
OSHA provides a free service, On-Site Consultation, for small businesses with fewer than 250 workers at a site (and no more than 500 employees nationwide).
On-site Consultation services are separate from enforcement and do not result in penalties or citations. Each year, OSHA makes more than 29,000 consultation visits to small businesses to provide free compliance assistance. By working with the OSHA Consultation Program, certain exemplary employers may request participation in OSHA's Safety and Health Recognition Program, SHARP. To locate the OSHA Consultation Office nearest you, visit www.osha.gov/consultation or call 1-800-321- OSHA (6742).
radiology uses 4 major software tools:
PACS, RIS, CIS, DICOM
summarization of PACS/RIS/CIS/DICOM
PACS, or Picture Archive and Communication System is used to handle all the enormous digital files that you generate, such as x-rays, MRI and CAT scans. A RIS or Radiology Information System is software that healthcare staff can use to keep better track of each patient being treated. A CIS or Clinical Information System encompasses a number of software solutions being used in conjunction in the radiology practice, such as electronic health record software and a RIS. DICOM (Digital Imaging and Communications in Medicine) is a standard that medical professionals use to share radiology data between different systems made by different manufacturers.
Patient charts, orders, history, operative reports, and images are all
PHI
4. The chart as a resource
Patient's medical records can be in paper format, electronic format (e-charts), or both. Often there is a brief "at a glance" card located at the beginning of the chart that lists basic patient medical information, room location, allergies, medications and other alerts.
PACS meaning
Picture Archiving and Communication System - store standard 2D and 3D images. - store all diagnostic imaging files - purpose is to make it easier to manage all image that is needed to monitor the status of patient going through treatment and recovery - paperless radiology platform
Not Covered by the OSH Act:
Self-employed workers; and workplace hazards regulated by another federal agency (for example, the Mine Safety and Health Administration, the Department of Energy, or Coast Guard).
_____ are not covered by Federal OSHA, but they do have protections in states that operate their own programs.
State and local government workers The following states have approved state programs: AK, AZ, CA, CT, HI, IA, IL, IN, KY, MD, MI, MN, NC, NJ, NM, NV, NY, OR, SC, TN, UT, VA, VT, WA, WY, Puerto Rico and the Virgin Islands. Connecticut, Illinois, New Jersey, New York and the Virgin Islands programs cover public sector (state and local government) workers only. Federal OSHA covers private sector workers in these jurisdictions.
what is OSHA?
The Occupational Safety and Health Act of 1970 (OSH Act) was passed to prevent workers from being killed or seriously harmed at work. This law created the Occupational Safety and Health Administration (OSHA), which sets and enforces protective workplace safety and health standards. OSHA also provides information, training, and assistance to employers and workers. Under the OSH Act, employers have the responsibility to provide a safe workplace.
S. harassment
The ethical committee should be very strict about sexual harassment of any kind at the healthcare facility. There is a risk of occurrence not only between a patient and a doctor or healthcare provider, but also between two medical practitioners. When such situations arise, the ethical committee should involve a branch of ethics called sexual ethics, which involves any issue regarding sexuality and sexual behavior. Health care providers are ethically prohibited from entering into personal relationships with patients in the course of providing treatment. Violating this policy, especially if it involves a sexual relationship, can result in losing a license to practice, in being sued and in being forbidden to provide any kind of healthcare services in the future. Entering into a sexual relationship with a patient is considered a serious violation of that patient's rights and an act of misconduct and abuse of power on the part of the health care worker. When under medical care, a patient is considered vulnerable and unable to defend or protect themselves. Even the appearance of a sexual relationship with a patient can have serious consequences for a health care practitioner.
confidentiality
The protection of private patient information in the medical field is one of the most important ethical issues that may arise in the field of healthcare. Conversations between a patient and a doctor are strictly confidential and access to them is strictly monitored. An ethics committee needs to make sure that its patients' medical records are safeguarded. Thanks to federal and state laws, they now are. Information about a patient's medical condition is considered private. Violating a patient's confidentiality can hurt the patient and have legal and ethical consequences for the health care worker. The Health Insurance Portability and Accounting Act (HIPAA) has drawn up specific laws that govern the release of a patient's medical information. These laws state clearly the type of patient information that can be released to third parties and which information must be kept confidential. The laws also set forth who can see the information and who cannot. Although these laws appear straightforward, there are grey areas such as when withholding information about a patient's condition would be unethical because it could harm the patient or someone else.
transmission of diseases
The risk posed to doctors and nurses of acquiring a communicable disease from patients is a concern to those serving on ethical committees. This is especially true if a patient's health history is not made available to the providers. While healthcare providers do not want to make the patient uncomfortable by taking obvious protective measures, they still have every right to protect themselves from any pathogens that may be able to spread by direct or indirect contact. Therefore, the hospital and its ethics committee should work together to educate employees on how to protect themselves while still making the patients feel at ease.
therapies
There are different techniques and therapies that can be performed with a patient or victim so that any trauma or stress related to an offending incident can be alleviated. Hearings and investigations into the incident may also occur. There is a vast range of ethical issues in healthcare that may arise in the field of healthcare today. A hospital's ethical committee has the responsibility to make sure that all of its practitioners are aware of the principals of ethical decision making.
6. Diagnostic images as legal records
Whether images are stored electronically (digital images) or on film (analog images), they are legally considered to be part of the medical record and belong to the institution in which they are made, not to the patient. The legal retention period on file of images is 5 to 7 years, and for minors 5-7 years after they reach legal age. Due to HIPAA regulations, the digital images of a patient can be sent electronically to other healthcare facilities only after the patient signs a release form. The patient should not be allowed to transport his/her own images to another healthcare provider.
Construction, General Industry, Maritime, and Agriculture standards protect workers from
a wide range of serious hazards. These standards limit the amount of hazardous chemicals workers can be exposed to, require the use of certain safe practices and equipment, and require employers to monitor certain workplace hazards.
intentional misconduct
a. Assault: threat of touching in an injurious way even if the touching does not occur. b. Battery: unlawful touching of a person without consent. If the patient refuses to be touched, that wish must be respected. c. False imprisonment: unjustifiable detention of a person against his/her will. d. Invasion of Privacy: when patient confidentiality has not been maintained or when the patient's body has been improperly and unnecessarily exposed and/or touched. Photographs taken without a patient's permission. e. Libel: malicious written spreading of information that causes defamation of character or loss of reputation. f. Slander: malicious verbal spreading of information that causes defamation of character or loss of reputation.
OSHA inspections are _______ conducted without advance notice.
always
health information means
any information, whether oral or recorded in any form or medium, that: (A) is created or received by a health care provider, health plan, public health authority, employer, life insurer, school or university, or health care clearinghouse; and (B) relates to the past, present, or future physical or mental health or condition of any individual, the provision of health care to an individual, or the past, present, or future payment for the provision of health care to an individual." The HIPAA Privacy Rule covers protected health information in any medium while the HIPAA Security Rule covers electronic protected health information.
CIS meaning
clinical information system - covers RIS, EMR(electronic medical record), or electronic health record(EHR) application. - helps tie all information together for easy access. - able to do: when patient's appointment, when is next scan? patients health progression
Alliance Program - OSHA works with groups committed to worker safety and health to develop
compliance assistance resources and educate workers and employers.
The OSHA Training Institute (OTI) Education Centers are a national network of nonprofit organizations authorized by OSHA to
deliver occupational safety and health training to private sector workers, supervisors, and employers.
OSHA's protection applies to all federal agencies. Although OSHA does not fine federal agencies, it
does monitor federal agencies and responds to workers' complaints.
rights and responsibilities - OSHA
employers must: • Follow all relevant OSHA safety and health standards. • Find and correct safety and health hazards. • Inform employees about chemical hazards through training, labels, alarms, color-coded systems, chemical information sheets and other methods. • As of January 1, 2015, notify OSHA within 8 hours of a workplace fatality or within 24 hours of any work-related inpatient hospitalization, amputation or loss of an eye (1-800-321-OSHA [6742]); www.osha.gov/report_online). • Provide required personal protective equipment at no cost to workers.* • Keep accurate records of work-related injuries and illnesses. • Post OSHA citations, injury and illness summary data, and the OSHA Job Safety and Health - It's The Law poster in the workplace where workers will see them. • Not retaliate against any worker for using their rights under the law.
trace chemo(yellow container)
empty vials, ampules empty syringes, needles empty IVs gowns gloves tubing aprons wipes packaging
OSHA Strategic Partner- ships (OSP) - Partnerships are formalized through tailored agreements designed to
encourage, assist, and recognize partner efforts to eliminate serious hazards and achieve model workplace safety and health practices.
OSHA has a variety of educational materials and electronic tools available on its website at These include utilities such as
expert advisors, electronic compliance assistance, videos and other information for employers and workers. OSHA's software programs and eTools walk you through safety and health issues and common problems to find the best solutions for your workplace. OSHA's extensive publications help explain OSHA standards, job hazards, and mitigation strategies and provide assistance in developing effective safety and health programs.
Examples of OSHA standards include requirements to provide
fall protection, prevent trenching cave-ins, prevent exposure to some infectious diseases, ensure the safety of workers who enter confined spaces, prevent exposure to such harmful substances as asbestos and lead, put guards on machines, provide respirators or other safety equipment, and provide training for certain dangerous jobs.
OSHA offers cooperative programs to help prevent
fatalities, injuries, and illnesses in the workplace.
radioactive(shielded containers with radioactive symbol)
fluorine-18(F-18), 110 minute half life technetium-99(T-99m), 6 hours half life iodine-131(I-131), 8 days half life strontium-89(Sr-89), 52 days half life iridium-192(Ir-192), 74 days half life cobalt-60(Co-60), 53 years half life
OSHA has compliance assistance specialists throughout the nation who can provide
general information about OSHA standards and compliance assistance resources. Contact your local OSHA office for more information or visit www.osha.gov/dcsp/compliance_assistance/ cas.html.
MR technologists must remain sensitive to the needs of the patient through good
good communication, patient assessment, patient monitoring and patient care skills.
The MSDS is a detailed informational document prepared by the manufacturer or importer of a
hazardous chemical.
RCRA hazard(black container)
hazardous meds(RCRA) half/partial doses(RCRA) hazardous bulk meds P-listed drugs, packaging Bulk chemo pathological waste(incineration only)
Magnetic resonance technologists must demonstrate an understanding of
human anatomy, human physiology, pathology, pharmacology and medical terminology.
Voluntary Protection Programs (VPP) - The VPP recognize employers and workers in private industry and federal agencies who have
implemented effective safety and health management programs and maintain injury and illness rates below the national average for their respective industries. In VPP, management, labor, and OSHA work cooperatively and proactively to prevent fatalities, injuries, and illnesses.
biohazard(red container or red liner in container)
infectious waste blood products(albumin, etc) contaminated PPE IV tubing cultures, stacks
When an inspector finds violations of OSHA standards or serious hazards, OSHA may
issue citations and fines. A citation includes methods an employer may use to fix a problem and the date by when the corrective actions must be completed.
Employers must also comply with the General Duty Clause of the OSH Act. This clause requires employers to
keep their workplaces free of serious recognized hazards and is generally cited when no specific OSHA standard applies to the hazard.
"Respondeat Superior":
let the master respond. The employer is liable for employees' negligent acts that occur in the performance of their work. The "rule of personal responsibility" however increasingly attributes to each worker liability for his/her own negligent acts.
Examples of PHI include
names, birthdates, dates of receiving medical treatment, contact information, social security numbers, medical records numbers, photographs, and fingerprints.
Sharps(red sharps container)
needles ampules broken glass blades razors staples trocars guide wires other sharps
What kind of personally identifiable health information is protected by HIPAA rule?
paper, electronic, spoken word
The MSDS describes the _____ of the product
physical and chemical properties MSDS's contain useful information such as flash point, toxicity, procedures for spills and leaks, and storage guidelines. Information included in a Material Safety Data Sheet aids in the selection of safe products, helps you understand the potential health and physical hazards of a chemical and describes how to respond effectively to exposure situations.
pharmaceutical(blue container)
pills injectables antibiotics
RIS meaning
radiology information system - can combine reports taken today with historical images. - safeguarded patient information - can schedule appointments much more swiftly than paper
Patients must sign a _____ in order for you to request PHI from other facilities for comparison or to get operative reports to look up MRI conditional items.
release
OSHA's adoption of GHS via HazCom 2012, on the other hand, mandates the use of a
single Globally Harmonized System of Classification and Labelling of Chemicals (GHS) format for safety data sheets, a format which features 16 sections in a strict ordering.
"Res ipsa loquitur":
the thing speaks for itself. Negligence that is so apparent that it would be obvious to anyone. you dropped something on a patients head for example
On-site inspections can be triggered by a complaint from a current worker or their representative if they believe
there is a serious hazard or that their employer is not following OSHA standards or rules. Often the best and fastest way to get a hazard corrected is to notify your supervisor or employer.
A health provider can only disclose PHI if that disclosure deals with
treatment, payment, or operations—or if the information is mandated by law.
Employers have the right to contest any part of the citation, including
whether a violation actually exists. Workers only have the right to challenge the deadline for when a problem must be resolved. Appeals of citations are heard by the independent Occupational Safety and Health Review Commission.
torts
wrongful acts for which an injured party has the right to sue intentional/unintentional misconduct
Items with trace amounts of Chemotherapy drug contamination should go in what color container? (according to our reference card)
yellow
OSHA MSDS
• A Material Safety Data Sheet (MSDS) is required under the U.S. OSHA Hazard Communication Standard. Most developed countries have similar regulations and requirements. • The MSDS is a detailed informational document prepared by the manufacturer or importer of a hazardous chemical. • It describes the physical and chemical properties of the product. MSDS's contain useful information such as flash point, toxicity, procedures for spills and leaks, and storage guidelines. Information included in a Material Safety Data Sheet aids in the selection of safe products, helps you understand the potential health and physical hazards of a chemical and describes how to respond effectively to exposure situations.
Magnetic resonance technologist scope of practice includes(2):
• Assisting the licensed practitioner with interventional procedures. • Post processing digital data for display or hard copy records, ensuring proper identification is evident. • Maintaining archival storage of digital data as appropriate.
what does HIPAA protect?
• HIPAA protects PHI, or protected health information, which is an individual's health information and/or demographic information. • Any information that, even without revealing a person's name, reveals a person's identity is considered PHI. identifier+health information=PHI
Inspections are initiated without advance notice, conducted using on-site or telephone and facsimile investigations, performed by highly trained compliance officers, and based on the following priorities:
• Imminent danger. • Catastrophes - fatalities or hospitalizations. • Worker complaints and referrals. • Targeted inspections - particular hazards, high injury rates. • Follow-up inspections.
HIPAA in MRI
• Patient charts, orders, history, operative reports, and images are all protected health information (PHI). • You must be careful never to reveal any of it or leave it in such a way that it is unsecured. • Patients must sign a release in order for you to request PHI from other facilities for comparison or to get operative reports to look up MRI conditional items. • Never discuss patient information other than with other health care team members working with or caring for that patient. • Do not take any photographs of PHI or the scanner console while it contains patient identifiers. • Do not access any charts unless you are personally going to be caring for that patient. • If you don't have a specific reason to access a chart, you probably shouldn't be looking at it! Remember access is tracked. • Also, make sure no one else is using your login/password, otherwise you may be liable for information looked up with your account.
Magnetic resonance technologist scope of practice includes:
• Performing procedures or examinations under the order of a licensed practitioner for diagnostic interpretation or therapeutic intervention. • Applying principles of magnetic resonance safety to minimize risk to patient, self and others. • Selecting appropriate pulse sequences with consideration given to established protocols and other factors influencing data acquisition parameters.
MR Technologists must also:
• Provide optimal patient care; individually, and as part of a team. • Relay patient history and verify orders. • Educate patients, staff, and patient family members. • Prepare patients for their exams, assume responsibility to patient needs and safety during exams, and verify MRI safety information. • Keep proper records. • Perform venipuncture and administer medications as needed.
what is HIPAA
• The federal Health Insurance Portability and Accountability Act, commonly known as HIPAA, is a piece legislation first passed in 1996 that today is central to how healthcare facilities operate around the country. • Its primary goals are to make it easier for people to keep health insurance, protect the security and confidentiality of private healthcare information, and help the healthcare industry control administrative costs.
Standard Two - Analysis/Determination
• The magnetic resonance technologist analyzes the information obtained during the assessment phase and develops an action plan for completing the procedure: • Verify safety information and clarify protocol with the Radiologist if needed. • Determine best procedure explanations, positioning, coil selection, protocol/sequences, monitoring setup, and prepare for emergent situations as needed.
Standard One - Assessment
• The magnetic resonance technologist collects pertinent data about the patient and the procedure: • Verify patient information, verify orders, screen the patient for contraindications, gather relevant history, etc.
Standard Five - Evaluation
• The magnetic resonance technologist determines whether the goals of the action plan have been achieved: • Complete the exam in a timely fashion, in compliance with established protocols and policies. • Identify unexpected situations that have affected the exam, revise the plan as appropriate and communicate it to appropriate team members.
Standard Eight - Documentation
• The magnetic resonance technologist documents information about patient care, the procedure and the final outcome: • Document diagnostic, treatment, patient data, and consent in the medical record in a timely, accurate and comprehensive manner. • Documents unintended outcomes or exceptions from the established criteria. • Archive images or data.
Standard Six - Implementation
• The magnetic resonance technologist implements the revised action plan: • Revise the plan and make changes based on patient condition and clinical situation. • Adjust parameters if needed. • Communicate changes made to the plan as appropriate. • Perform any required post-processing.
Standard Four - Performance
• The magnetic resonance technologist performs the action plan: • Perform the exam with the cooperation of the patient and any other associated team members. • Monitor for patient condition, safety, and comfort at all times. • Modify the action plan according to changes in the clinical situation.
Standard Three - Education
• The magnetic resonance technologist provides information about the procedure and related health issues according to protocol: • Provide accurate explanations to the patient and care providers and help educate without practicing medicine. • Refer questions about diagnosis, treatment, or prognosis to a licensed practitioner.
Standard Seven - Outcomes Measurement
• The magnetic resonance technologist reviews and evaluates the outcome of the procedure: • To evaluate the quality of care, the magnetic resonance technologist compares the actual outcome with the expected outcome. • Assess patient condition prior to discharge. • Evaluate the process and recognizes opportunities for learning and future changes.
5 titles of HIPAA
• Title I deals with portability, allowing individuals to carry their health insurance from one job to another in order to avoid a lapse in coverage. • Title II deals mainly with administrative simplification, establishing standards for receiving, transmitting, and storing healthcare information to ensure the privacy and security of personal identifiable information. • Title III standardizes how much a person can save in a pre-tax medical savings account; • Title IV details conditions for group health plans that are to cover persons with pre-existing conditions; • Title V includes provisions relating to company-owned life insurance policies and treatment of individuals who lose US citizenship.
employees have the right to: OSHA
• Working conditions that do not pose a risk of serious harm. • Receive information and training (in a language workers can understand) about chemical and other hazards, methods to prevent harm, and OSHA standards that apply to their workplace. • Review records of work-related injuries and illnesses. • Get copies of test results done to find and measure hazards in the workplace. • File a complaint asking OSHA to inspect their workplace if they believe there is a serious hazard or that their employer is not following OSHA rules. When requested, OSHA will keep all identities confidential. • Use their rights under the law without retaliation. If an employee is fired, demoted, transferred or retaliated against in any way for using their rights under the law, they can file a complaint with OSHA. This complaint must be filed within 30 days of the alleged retaliation.
