Answer: Yes. The Notice of Privacy Practice, by federal law, does nothave to be signed ("acknowledged") in order to receive treatment.Medical practice providers are only required by law to make a goodfaith effort to provide the notice. If a patient declines, theservice provider must document the refusal with a reason why.Additionally, signing said notice does not "mean that you haveagreed to any special uses or disclosures of your healthrecords."
Answer: Possibly. When an employee fails to comply with pre-agreed terms (having the drug testing), it may be possible for them to deny payment for treatment. I think the bigger question is why you are refusing to have it done.
The hospital/doctor ect. can not refuse to give you treatment for a work related injury or any other injury for that matter..However your employer can refuse to pay for your treatment if you refuse a drug screen and then you will be responsible for the cost on your own.They can also immediately terminate your employment for refusal to submit for a drug screen. By refusing a drug screen for a work related injury you can lose all claims for any workers compensation..However If you test positive for the use of drugs or alcohol your employer can also terminate you and refuse to pay for your treatment. If you test positive for drugs or alcohol you may also lose all claims to workers compensation.being that you were under the influence and the accident was a direct result of your deliberate and willful impairment. So either taking or refusing the drug screen can have the same end results if you were using drugs/alcohol at the time of the accident..
Answer: That would depend on the court, but we think it is entirely possible. He is certainly a danger to himself, and probably to those around him. It is, furthermore, doubtful that he would be a good influence on the children, as his judgment -- by definition -- would be continuously impaired.
Answer: Depends on the patient and the severity. In normally healthy younger people with mild to moderated cases it can usually be managed outpatient with oral antibiotics. In the very young (infants) and the very old, often due the weakness caused by the infection and the susceptibillity of their bodies to complications they will be treated as inpatients with IV antibiotics and supplemental oxygen. More severe cases in any age patient will require inpatient hospitalization, supplemental oxygen, Iv antibiotics with the potential for full ventilator support. ~MRKM RN LNC
Answer: As with all things concerning the law - it can depend on the situation. If the person was in an unconscious or severely injured condition, the Good Samaritan laws of all states would protect the medical personnel doing the examination, because the law assumes that most people would want to be saved. However, if the patient was sober, articulate, and of sound mind and refused to be examined, to do so could theoretically be chargeable as an Assault.
Answer: In most instances a patient can withdraw consent, and a practitioner must respect this wish. However, the withdrawal must be timely. If a practitioner is already in the middle of an irreversible procedure, it may be too late to withdraw consent.
Answer: You can try to convince somebody to get medical care to someone who refuses to seek it but you can not make them go get medical care cause it is up to them all you can do is try to get them to go but you can not force them to go get some medical care
Answer: That would depend upon the existing circumstances.A patient who is concious and coherent under most circumstances has the right to refuse to be examined and/or treated by any medical person or institution.In a situation where a person is not able to make such a decision as could happen in an ER admittance, will be examined/treated according to their specific injuries.Generally the hospital or doctor must have a release signed by the person being attended or if a minor a parent(s), guardian or other person with authority or in cases where a person is mentally incompetent it is a "judgment call" as prescribed under existing laws until the legalities can be addressed by the court and/or responsible agency.
Answer: Per HIPPA, disclosure of medical information must be secure and controlled. In this case, if the Doctor is a resident of the hospital where the patient resides, the Doctor is considered a secure and controlled release. It is under a HIPPA rule, a disclosure, but not a violation. A visiting Doctor is not allowed access to patient records without the patient consent.
What should the medical assistant do if a patient refuses to consent to treatment?
He/She should terminate (or discharge) the patient.
Answer: What seems to be the problem? How long has this been going on for? Are you allergic to any medications? Do you have any non-medication allergies? For Pain/Injuries: On a scale of 1 to 10, with 10 being the worst, how bad is your pain? How would you describe the pain? (stabbing, aching, shooting, etc.) How did the pain start? For illness: Do you have any vomiting/diarrhea? What do you think made you sick? Basically, any probing questions (non yes/no questions) should do to find out why the patient is being seen and what the quality and time frame is of the illness/injury.
Answer: Expressed consent; The patient has the procedure explained to them, understands and agrees to it.
Implied consent; The patient is unable to communicate their consent, but life-saving interventions are required. For instance, someone who has suffered a heart attack and is unconscious is legally offering implied consent for CPR to be performed on them.
Third-party consent; The patient is mentally incapable of understanding the procedure and/or the ramifications of consent or refusal, so consent is given or withheld on their behalf by a legal designate, eg a parent or guardian in the case of children, or a power of attorney delegated by a person suffering a degenerative neural disease.
27 states and the District of Columbia specifically allow pregnant minors to the obtain prenatal care and delivery services without parental consent or notification. Ask your doctor if your state is one of them or call Planned Parenthood and ask.
Answer: The question cannot be answered without knowing more of the specifics of the incident. Is the "medical assistant" authorized to write prescriptions? What medication was the scrip written for? What is the nature of situation.
Answer: Before treatment, the first step is to ascertain if the bilirubin increase is resultant from hepatoxicty caused by the chemotherapy, or if other causal factors are at play.Note that many of the meds used in chemotherapy are processed through the liver, and an increase in bilirubin (which is what causes jaundice) is a logical cause. However, jaundice can be caused by other agents and processes as well.Once the causes are determined, the decision must be, do we continue on the chemo and treat the liver issues another way, or cease chemo?Possible answers are:
Change the chemotoxic agents and/or dosages so as to cause less bilirubin production.
Continue the chemo course, and administer diuretics and possibly painkillers, to treat the jaundice symptomology, and continue the chemo course.
Change other medications that may be causal.
Modify patient habits that are dangerous for the liver (alcohol is one that comes to mind).
Answer: A positive result, obviously, since the assistant has no way of knowing that it is a false-positive. It is up to the doctor to consider the odds that the test was a false positive (see: test specificity and sensitivity) together with clinical signs, symptoms, history, epidemiology, and the results of other tests in making a diagnosis
Answer: Any life threatening emergency that involves a patient who has suffered from an immediate medical condition that would lead to death within minutes without a physicians immediate response, I.E. cardiomyo infarction, cerebral stroke and or shock due to a bad allergic reaction.
Answer: You may want to contact your health insurance business office and find out the reason for the refusal to pay for treatment. Each insurance company has their own rules and regulations regarding what they will cover.