Ch 9 Physicians Public Duties and Responsibilities 2016
Ch 9 Physicians’ Public Duties and Responsibilities © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -2 Key Terms • administer • Amendments to the Older Americans Act • autopsy • Child Abuse Prevention and Treatment Act • Controlled Substances Act • coroner • dispense • Drug Enforcement Administration (DEA) • federalism • Food and Drug Administration (FDA) • forensics • medical examiner © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -3 Key Terms (cont. ) • National Childhood Vaccine Injury Act • National Vaccine Injury Compensation Program (VICP) • prescribe • Smallpox Emergency Personnel Protection Act (SEPPA) • Unborn Victims of Violence Act • vital statistics © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -4 Learning Outcomes 9. 1 List at least four vital events for which statistics are collected by the government. 9. 2 Discuss the procedures for filing birth and death certificates. 9. 3 Explain the purpose of public health statutes. © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -5 Learning Outcomes 9. 4 Cite examples of reportable diseases and injuries, and explain how they are reported. 9. 5 Discuss federal drug regulations, including the Controlled Substances Act. © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -6 Vital Statistics • Collected by government officials to assess population trends and needs – Live births – Deaths – Fetal deaths/induced abortions – Changes in individual’s civil status © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -7 Use of Vital Statistic Information • • • Educational institutions Governmental agencies Research scientists Private industry Other organizations and individuals © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -8 Recording Births and Deaths • Guidelines to complete forms: – Type or print all entries – Leave no entries blank – Avoid corrections and erasures – Provide signatures where requested – File only originals with state registrars – Verify spelling of names – Avoid abbreviations – Refer problems to state officials © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -9 Death Certificate Information • Disease, injury, and/or complication that caused death • Date and time of death • Place of death • Pregnancy in female death • If autopsy was performed © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -10 Deaths Subject to Autopsy • Possibly due to criminal causes • Unattended death • Due to causes undetermined by the physician • Violent or otherwise suspicious death © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -11 Forensics Medicine • Division of medicine that incorporates law and medicine and involves medical issues or medical proof at trials having to do with malpractice, crimes, and accidents © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -12 Public Health Statutes • Inferred from 10 th Amendment of U. S. Constitution – Federalism: sharing of power among federal, state, and local governments – Help guarantee the health and wellbeing of citizens © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -13 Provisions of Public Health Statutes • Guard against unsanitary conditions in public facilities • Inspect establishments where food and drink are processed and sold • Exterminate pests and vermin that can spread disease © 2016 Mc. Graw-Hill Education. All rights reserved.
Provisions of Public Health Statutes (cont. ) 9 -14 • Check water quality • Set up measures of control for certain diseases • Require physicians, school nurses, and other health care workers to file certain reports for the protection of citizens © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -15 Enforcement Power of the States • Require investigations be conducted in infectious disease outbreaks • Make childhood vaccinations a condition for school entry • Ban the distribution of free cigarette samples around schools or in areas where children congregate © 2016 Mc. Graw-Hill Education. All rights reserved.
Enforcement Power of the States (cont. ) 9 -16 • Institute smoking bans or restrictions • Involuntarily detain (quarantine) individuals who have certain infectious diseases • Seize and/or destroy property to contain the threat of toxic substances © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -17 How Laws Affect Public Health Issues © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -18 National Childhood Vaccine Injury Act • Parents or guardians are informed of risks associated with each vaccine • Parents must sign consent forms allowing health care practitioners to administer the vaccine © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -19 Reportable Diseases and Injuries • Reportable diseases determined by each state • Sexually transmitted diseases reported when diagnosed • HIV notification to past and present sexual partners or needle sharing partners • Communicable disease reporting more stringent for patients who work with the public © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -20 Sample Vaccination Consent Form © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -21 Vaccine Legal Liability • National Childhood Vaccine Injury Act • National Vaccine Injury Compensation Program (VICP) • Smallpox Emergency Personnel Protection Act (SEPPA) © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -22 Vaccines Covered by the VICP © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -23 Vaccination Documentation • • Date vaccine was administered Vaccine manufacturer Vaccine lot number Name, address, and title of health care provider who administered vaccine © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -24 Vaccine Adverse Events Reporting • Any event listed in the Vaccine Injury Table • Any contraindicating event listed in the manufacturer’s package insert © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -25 Reportable Injuries • Assault • Rape • Domestic violence – Child abuse – Spousal abuse – Elder abuse © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -26 Signs of Abuse • • Unexplained fractures Repeated injuries Burns with unusual shapes Friction burns Bite marks Malnutrition or dehydration Possible sexual abuse © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -27 Drug Regulations • Drug Enforcement Administration (DEA) • Controlled Substances Act – Provides five categories (schedules) of drugs based on their potential for abuse © 2016 Mc. Graw-Hill Education. All rights reserved.
Drug Schedules for Controlled Substances 9 -28 © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -29 Ensuring Security of Scheduled Drugs • Keep all controlled substances in a locked cabinet or safe • Remind the physician to keep his or her “black bag” in a safe place • Keep all prescription blanks, especially those used for narcotics, under lock and key © 2016 Mc. Graw-Hill Education. All rights reserved.
9 -30 Ensuring Security of Scheduled Drugs (cont. ) • Order prescription blanks that are serially numbered or otherwise printed to help detect alterations and theft • Report to the physician any behavior by patients that would suggest an attempt to secure addictive drugs • Check patients’ records to verify all prescriptions that may be questioned by a pharmacist © 2016 Mc. Graw-Hill Education. All rights reserved.
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