Patient consent, confidentiality, and legal liability concepts tested on phlebotomy certification exams.
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- What is informed consent in phlebotomy?
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Permission given by a patient after being told about the procedure, its risks, benefits, and alternatives.
- Name three elements required for valid informed consent.
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Disclosure of information, patient understanding, and voluntary agreement without coercion.
- When is implied consent used in phlebotomy?
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When a patient is unable to provide verbal or written consent but has not objected, such as an unconscious patient.
- What should you do if a patient refuses a blood draw?
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Stop immediately, do not attempt the draw, document the refusal, and inform the patient's physician or nurse.
- What does HIPAA stand for?
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Health Insurance Portability and Accountability Act.
- What is Protected Health Information (PHI)?
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Any health information that can identify a specific patient, including name, date of birth, medical record number, and test results.
- Under HIPAA, who may access a patient's medical records?
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The patient, authorized healthcare providers involved in their care, and persons with written authorization from the patient.
- What is a breach of patient confidentiality?
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Unauthorized release or discussion of a patient's private health information.
- What are potential consequences of violating HIPAA?
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Civil penalties (up to 1.5 million dollars per violation category annually), criminal charges, job loss, and license suspension.
- What is scope of practice in phlebotomy?
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The specific procedures and tasks a certified phlebotomist is legally and professionally authorized to perform.
- What action exceeds the scope of practice for a phlebotomist?
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Diagnosing conditions, prescribing treatment, interpreting results, or performing arterial punctures without additional certification.
- Define negligence in a medical context.
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Failure to perform duties with reasonable care, resulting in harm to a patient.
- What is malpractice?
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Professional negligence that causes injury to a patient, where the standard of care was not met.
- What is standard of care in phlebotomy?
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The level of skill, care, and judgment expected of a reasonably competent phlebotomist in similar circumstances.
- What is duty of care?
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The legal and ethical obligation of a phlebotomist to provide safe, competent care to every patient.