1. LEGAL AND ETHICAL RESPONSIBILITIES TORTS

2. Legal Responsibilities Are authorized or based on law (a rule that must be followed) Are authorized or based on law (a rule that must be followed) Laws are created and enforced by the federal, state, or local government Laws are created and enforced by the federal, state, or local government HEALTH CARE PROFESSIONALS/WORKERS MUST KNOW AND FOLLOW THE STATE LAWS THAT REGULATE THEIR LICENSES OR REGISTRATIONS OR SET STANDARDS FOR THEIR PROFESSIONS HEALTH CARE PROFESSIONALS/WORKERS MUST KNOW AND FOLLOW THE STATE LAWS THAT REGULATE THEIR LICENSES OR REGISTRATIONS OR SET STANDARDS FOR THEIR PROFESSIONS Failure to meet your legal responsibilities can result in legal action against you and your employer Failure to meet your legal responsibilities can result in legal action against you and your employer 2 main types of law that affect health care workers: criminal and civil 2 main types of law that affect health care workers: criminal and civil

3. Criminal Law Commonly called a crime Commonly called a crime Focuses on wrongs against a person, property, or society Focuses on wrongs against a person, property, or society Examples including practicing in a health profession without having the required license, misuse of narcotics, theft, and murder Examples including practicing in a health profession without having the required license, misuse of narcotics, theft, and murder

4. Civil Law Focuses on the legal relationships between people and protection of a person’s rights Focuses on the legal relationships between people and protection of a person’s rights Much of civil law deals with torts and contracts Much of civil law deals with torts and contracts

5. Torts Wrongful act that does not involve a contract Wrongful act that does not involve a contract Called civil wrong instead of a crime Called civil wrong instead of a crime Occurs when a person is harmed or injured because a health care provider does not meet the established or expected standards or care Occurs when a person is harmed or injured because a health care provider does not meet the established or expected standards or care

6. Common Torts Malpractice Malpractice Negligence Negligence Assault and battery Assault and battery Invasion of privacy Invasion of privacy False imprisonment False imprisonment Abuse Abuse Defamation Defamation

7. Malpractice Described as “bad practice” and commonly called “professional negligence” Described as “bad practice” and commonly called “professional negligence” Defined as the failure of a professional to use the degree of skill and learning commonly expected in that individual’s profession Defined as the failure of a professional to use the degree of skill and learning commonly expected in that individual’s profession Causes injury, loss, or damage to the person receiving care Causes injury, loss, or damage to the person receiving care Examples might include a physician not administering a tetanus injection when a patient has a puncture wound or a nurse performing minor surgery without having any training Examples might include a physician not administering a tetanus injection when a patient has a puncture wound or a nurse performing minor surgery without having any training

8. Negligence Described as failure to give care that is normally expected of a person in a particular position Described as failure to give care that is normally expected of a person in a particular position Results in injury to another person Results in injury to another person Examples include falls and injuries that occur when siderails are left down, using or not reporting defective equipment, infections caused by the use of nonsterile instruments and/or supplies, and burns caused by improper heat or radiation treatments Examples include falls and injuries that occur when siderails are left down, using or not reporting defective equipment, infections caused by the use of nonsterile instruments and/or supplies, and burns caused by improper heat or radiation treatments

9. Assault and Battery Assault in a threat or attempt to injure Assault in a threat or attempt to injure Battery includes the unlawful touching of another person without consent Battery includes the unlawful touching of another person without consent Closely related and often used together Closely related and often used together Remember that patients must give consent for any care and they have the right to refuse care Remember that patients must give consent for any care and they have the right to refuse care

10. Continued… Written consent is required for some procedures such as surgery, certain diagnostic tests, experimental procedures, treatment of minors, and siderail releases for a patient who wants siderails left down when other factors indicate siderails should be up to protect the patient Written consent is required for some procedures such as surgery, certain diagnostic tests, experimental procedures, treatment of minors, and siderail releases for a patient who wants siderails left down when other factors indicate siderails should be up to protect the patient Verbal consent is permitted for other procedures, but the law states that this must be “informed consent”…. Verbal consent is permitted for other procedures, but the law states that this must be “informed consent”….

11. Informed Consent Permission granted voluntarily by a person who is of sound mind after the procedure and all risks involved have been explained in terms the person can understand Permission granted voluntarily by a person who is of sound mind after the procedure and all risks involved have been explained in terms the person can understand Remember that a person has the right to withdraw consent at any time Remember that a person has the right to withdraw consent at any time All procedures must be explained to the patient, and no procedure should be performed if the patient does not give consent All procedures must be explained to the patient, and no procedure should be performed if the patient does not give consent Examples of assault and battery include performing a procedure after a patient has refused to give permission and improper handling or rough treatment of a patient while providing care Examples of assault and battery include performing a procedure after a patient has refused to give permission and improper handling or rough treatment of a patient while providing care

12. Invasion of Privacy Can involve unnecessarily exposing an individual Can involve unnecessarily exposing an individual Can also be caused by revealing personal information about an individual without that person’s consent Can also be caused by revealing personal information about an individual without that person’s consent Examples include improperly draping or covering a patient during a procedure so that other patients or personnel can see that patient exposed, sending information regarding a patient to a an insurance company without the patient’s written permission, or informing the news media of a patient’s condition without the patient’s permission Examples include improperly draping or covering a patient during a procedure so that other patients or personnel can see that patient exposed, sending information regarding a patient to a an insurance company without the patient’s written permission, or informing the news media of a patient’s condition without the patient’s permission

13. False Imprisonment Restraining an individual or restricting an individual’s freedom Restraining an individual or restricting an individual’s freedom Examples include keeping patients hospitalized against their will or applying physical restraints without proper authorization or with no justification Examples include keeping patients hospitalized against their will or applying physical restraints without proper authorization or with no justification

14. Abuse Includes any care that results in physical harm, pain, or mental anguish Includes any care that results in physical harm, pain, or mental anguish Physical abuse: hitting, forcing people against their will, restraining movement, depriving people of food or water, and/or not providing physical care Physical abuse: hitting, forcing people against their will, restraining movement, depriving people of food or water, and/or not providing physical care Verbal abuse: speaking harshly, swearing or shouting, using inappropriate words to describe a person’s race or nationality, and/or writing threats or abusive statements Verbal abuse: speaking harshly, swearing or shouting, using inappropriate words to describe a person’s race or nationality, and/or writing threats or abusive statements

15. Abuse continued Psychological abuse: threatening harm; denying rights; belittling, intimidating, or ridiculing the person; and/or threatening to reveal information about the person Psychological abuse: threatening harm; denying rights; belittling, intimidating, or ridiculing the person; and/or threatening to reveal information about the person Sexual abuse: any unwanted sexual touching or act, using sexual gestures, and/or suggesting sexual behavior Sexual abuse: any unwanted sexual touching or act, using sexual gestures, and/or suggesting sexual behavior

16. More on Abuse Patients may experience abuse before entering a health care facility Patients may experience abuse before entering a health care facility Domestic abuse occurs when an intimate partner uses threatening, manipulative, aggressive, or violent behavior to maintain power and control over another person Domestic abuse occurs when an intimate partner uses threatening, manipulative, aggressive, or violent behavior to maintain power and control over another person Child abuse is toward a ______ Child abuse is toward a ______ Elder abuse is toward an _______ Elder abuse is toward an _______

17. Abuse Health care providers must be alert to the signs and symptoms that may indicate patients in their care are victims of abuse. Health care providers must be alert to the signs and symptoms that may indicate patients in their care are victims of abuse. These may include: These may include: Unexplained bruises, fractures, burns, or injuries Unexplained bruises, fractures, burns, or injuries Signs of neglect such as poor personal hygiene Signs of neglect such as poor personal hygiene Irrational fears or a change in personality Irrational fears or a change in personality Aggressive or withdrawn behavior Aggressive or withdrawn behavior Patient statements that indicate abuse or neglect Patient statements that indicate abuse or neglect

18. Defamation Occurs when false statements either cause a person to be ridiculed or damage the person’s reputation Occurs when false statements either cause a person to be ridiculed or damage the person’s reputation Incorrect information given out in error can result in defamation Incorrect information given out in error can result in defamation SLANDER: occurs when the information is spoken SLANDER: occurs when the information is spoken LIBEL: occurs when the information is written LIBEL: occurs when the information is written Examples include reporting that a patient has an infectious disease to a government agency when laboratory results are inaccurate or telling others that a person has a drug problem when another medical condition actually exists Examples include reporting that a patient has an infectious disease to a government agency when laboratory results are inaccurate or telling others that a person has a drug problem when another medical condition actually exists