11/2/08
Medical Ethics

Civil law – tort – jury of 6 – 5/6
Criminal law – 12/12 jury –grand jury 16//-23 , probable cause
Legislative law
Administrative law (OSHA)
 
Common law/case law
 
 
Stare decisis – past judgments for future cases
Statutory law – law on books
 
Tort law, laws f negligence
Omission
Commission
 
Negligence
Ordinary – oops
Gross –
 
Malfeasance – improper act
Misfeasance – appropriate act but doing it wrong
Nonfeasance – not doing
Comparative negligence – fault of victim and provider
Notice –
 
Reasonable and prudent man concept
Prima facia
 
Malpractice
Duty to act
Reasonably trained
Proximate cause – directly caused the injury/illness
 
Assault – threat
Battery – actual contact
 
Defamation – untrue statements about character
· Libel – written or mass media (malicious intent)
· Slander – spoken (malicious intent)
 
Ethical responsibilities
· Respond to pt needs w respect
· Maint of skills
· Cmes
· Report honestly/confidentially
· Respect for peers
 
Best protection; appropriate assessment and documentation
 
Scope of practice
· Range of duties and skills
· Usually set by state law

Medical direction
 
Medical practice act
 
Mandatory reporting
· Child/elder abuse
· Sexual assault
· Animal bites
· Gunshot/stab
· Communicable diseases
 
Good Samaritan law
· Layperson/bystander
 
Negligence
· Duty to act (may be undertaken voluntarily)
· Breach of duty – not doing what similarly trained would do
Malfeasance – improper act
Misfeasance – appropriate act but doing it wrong
Nonfeasance – not doing
Res ipsa loquiter – injury could have only happened through negligence
· Injury
· Proximate cause
 
 
Borrowed servant – bls supervised by als – depends on degree of supervision and control

Protection against negligence
· Appropriate education
· Appropriate med direction
· Accurate documentation
· Professional attitude

Release of information
· HIPAA

Consent
· Informed consent –legal age – properly informed
· Expressed consent
· Implied consent
· Involuntary

Sunday, October 26, 2008
Intro to Med Math

Order of operations

PEMDAS
Parenthesis
Exponents
Mult
Div
Add
Sub

(Please Excuse My Dear Aunt Sally)

——————-
lb/2.2= KG so 125lbs = 125/2.2=56.81

1ml = 1cc

% Solutions

% = G/100ml

Eg.
3% = 3G/100ml
First convert to your dose (mg in this case)
So… 3000mg/100ml reduce to 30mg/1ml


Bolus Calcs
Desired Dose/Dose On Hand = Volume to Admin or DD/DOH=VTA

____________________________________________________

Some Conversions

• °C = (°F – 32) ÷ 1.8 For example: (68°F-32) ÷ 1.8 = (36) ÷ 1.8 = 20°C
• °F = (°C x 1.8) + 32 For example: (20°C x 1.8) + 32 = (36) + 32 = 68°F

g = gram
kg = kilogram (1,000g)
mg = milligram (¹/_1,000g)
mcg or µg = microgram (¹/_1,000,000g)

L or l = litre (or liter in US)
cl = centilitre (¹/₁₀₀ L)
ml = millilitre (¹/₁₀₀₀ L)
µl = microlitre (¹/_1,000,000 L)

2. kilo- hecto- deka- [unit] deci- centi- milli-

3. Each step is ten times or one-tenth as much as the step on either side

4. So… kilo(1000)- hector(100)- deka(10)- [unit] deci (1/10)- centi (100)- milli(1/1000)- micro(¹/_1,000,000)

See the rest here… http://www.purplemath.com/modules/metric.htm

Another good way to remember metric units

• King Henry Doesn’t [Usually] Drink Chocolate Milk