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Law: Malpractice Prevention

Terms in this set (27)

1) Always work within your scope of practice

2) Make certain that all your staff have a clear understanding of what conduct is lawful

3) Provide ____-____ training on what is meant by standard of care and professional conduct.

4) T/F. Do not make promises of a cure or recovery

5) Treat all patients with courtesy and respect

6) Avoid having patients send more than _____ minutes in the waiting room; _____ reason for delay of treatment
a) In-service
b) True
c) 20 minutes; explain
Always carefully ______ the patient before beginning treatment.

Avoid diagnosing and prescribing medications over the ______.

Provide ongoing ______ _____ and training for all staff.
a) Identify
b) Telephone
c) Continuing education
Do not _____ other staff members in public areas where your patients could overhear your comments. Have periodic ___ of all equipment. Check electrical cords and make sure they are ____. Keep all equipment in ____ condition and ready to use.
a) Criticize
b) Inspections
c) Grounded
d) Safe
Keep floors clean, dry and clear. Open doors ____ to avoid injuring someone on the other side. Provide a mechanism that all doors, windows and drawers are ____. Lock up all ___. Place warning signs regarding wet floors, fresh paint, construction and other slippery or unsafe conditions. Handle _____ waste and sharps placing them in correctly ____ containers. Known and follow ____ safety guidelines.
a) Carefully
b) Locked
c) Medications
d) Biohazardous
e) OSHA
Have a ____ plan and periodic drills, including fire for the staff. Maintain ____ concerning all patient information and conversations. Return telephone calls as soon as possible.
a) Disaster
b) Confidentiality
Refrain from ____ other medical professionals. Discuss all fees ___ treatment. Provide ____ telephone numbers for patients to call when office is closed.
a) Criticizing
b) Before
c) Emergency
Take all patient complaints ______. Never discuss patient information within hearing distance of other patients. Use a ____ system on registration log rather than patient's name. Place all special instructions to the patient in _____ and place a copy in the records. If the optometrist must withdraw from a case, fully inform the patient of withdrawal in writing and provide enough notice (__-____ days) for patient to acquire another optometrist.
a) Seriously
b) Coding
c) writing
d) 30-60 days
____ _____ on all missed and canceled appointments. Inform the patient of all _____ associated with any treatment and assure they understand and agree to the risks. Prepare an ___ ____ to document any unusual occurence in the office. Maintain an accurate ____ in the patient's record of all telephone conversations. Carefully document in the patient's record all Rx and refill orders.
Follow Up
Risks
Incident report
Log
Document all ____ appointments and cancellations in the patient's record. Document any occasion when it is necessary to withdraw from caring for a patient. Keep all paperwork _____.
a) Missed
b) Current
Make sure the optometrist reads and initials all diagnostic test before filing them. Do not do "______ _____" by criticizing another provider or staff member. Do not ____ or ____ what another person has written in the record, even if incorrect. Document the patient's refusal in the medical record in writing a not or by obtaining a signature on a form. Have a competent doctor available to consult with the patient if the optometrist expects to be absent from practice for an extended period of time.
a) Blame Charting
b) Delete or alter
T/F. If an optometrist desires to close a practice, it is best to notify active patients so they can arrange for uninterrupted care from another provider.

T/F. An optometrist who is unfamiliar with the appropriate treatment of an ocular emergency should not undertake to treat condition; refer immediately instead
True
True
Train office assistants responsible for scheduling appointments so they will be familiar with the proper methods to employ in the assessment of telephone complaints.

Telephone the ____ office and make the APPOINTMENT FOR the patient, determining a time and date for the exam; enter into patient's record along with data about the referral.
a) Specialist's
Follow-Up appointments should be scheduled for a _____ date and time before the patient leaves the office. IF it isn't recorded did you do it? _____ or ____ that totally obliterate pertinent information should never be used. The person making the change should draw one line through original entry, leaving writing legible and then should authenticate the correction by assigning or initialing the correction along with the date of correction
a) Specific
b) No
c) Erasures or marks
T/F. Avoid the appearance of unauthorized alteration of records in cases.
True
T/F. Neither patient nor patient's representative has the right to possession of the record.
True
Extraneous comments that reflex poorly on the patient or unrelated to care being given should be avoided. Should records be altered after a notice of subpoena is received?
No, under no circumstances
Records that are to be used in litigation should be carefully preserved and no effort should be made to "_____" them. Should a patient's records be thrown away? Keep up with latest advances of profession. If the doctor waits to long to refer, allowing permanent injury, will he be liable?
a) Improve
b) No
c) Yes
Require patient consent before releasing any information requested by patient's insurance carrier. Optometrist who takes a facial photograph to document the patient record should not ______ without patient consent. Inform a patient of suspicious findings and perform further diagnostic testing.
Publish
Standard of Care in Detection of Glaucoma:

CHx,
_____ IOP measurements
_____ VF
Stereoscopic eval of ONH and pole
Gonio
Pachymetry
OCT
a) Multiple
b) Multiple
T/F. Tonometry should be performed regardless of age.

T/F. Telephone diagnosis of patient complaint should be avoided when the possibility of angle closure exists.

T/F. Slit lamp evaluation of anterior chamber angles is required before dilation.
True
True
True
All patients who do not have a BVA of 20/20 must have ___. All eyes with BVA worse than 20/20 must have an acceptable explanation. ______ the patient of the likelihood of complications or signs and symptoms of RD.
a) DFE
b) Warn
A doctor who is performing experimental trials must acquire ______ of patients. Inform patient of increased risk and responsibilities of _____ CL. Inform and document the signs and symptoms of ocular complications of EW cl use, hazards of extended wear CL use, recommendation to not use lens for EW. Advise patient to become ___ to monovision lenses before attempting dangerous activities while wearing them.
a) Consent
b) EW
c) Accustomed
For activities that pose a significant risk of injury, alternative means of correction must be made available.

T/F. Diagnose pathological conditions co-existing in patients suffering from BINO problems.

T/F. Warn low vision patients of their visual impairment.

Patient whose vision no longer legally qualifies them to operate a motor vehicle should be warned about what? Then document in record.
a) True
b) True
c) Not to drive
Monocular patients, athletes, children and persons who are physically active and whose occupations make them more likely to be exposed to risk of ocular injury require what kind of lenses? Warn about the difference in impact resistance between glass and poly.

You should never use what term when describing ophthalmic lenses?

_____ orders of ophthalmic materials to ensure that a patient recevies lens material desired and to verify that the order is in compliance with standards.
a) Polycarbonate lenses
b) Shatterproof
c) Inspect
When a patient requests safety glasses you need what?

The elderly, impaired or other persons likely to be handicapped by drug may require assisstance or special attention while dilated.

_____ the use procedures for discontinuation, signs and symptoms of adverse reactions to steroids.

Do not use miotics in patients at risk of retinal detachment because of what three things?
a) Safety FRAME AND LENSES
b) Explain
c) Lattice, high myopia, prior history of detachment
With beta-blockers a careful history must be performed to rule out presence of what three things? Measure what two things before prescribing beta-blockers and for all follow-up visits.
a) COPD, CVD, and oral BB
b) Pulse and BP
Inform the patient of signs and symptoms of adverse reaction to any drug Rx.

Warn patient ____ ___ of drug use and of action to take in event of reaction.

T/F. Exercise extreme caution with off-label use of meds
a) Side effects
b) True
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