Ethics and Safety
VALUES AND ETHICS
Values
Moral Values
Ethics
Ethical Dilemma
Legal Rights
PROFESSIONAL ETHICS
ARRT Standards of Ethics
Responsibility and Accountability
Resolving Ethical problems
Resolving Ethical problems
List everyone involved and identify
perceptions
Presume everyone has patient’s best
interest in mind
Gather relevant information
Clarify ethical issues
Determine strengths of each resolution
Use best resolution
7 Biomedical Ethics
Autonomy
Nonmaleficence
Beneficence
Justice
Fidelity
Veracity
Confidentiality
LEGAL CONSIDERATION
State Licensing
Standards of Care: Professional, Clinical,
Quality Performance Standards
Informed Consent
Incident Reports
Good Samaritan Laws
Patient Rights
BASIC LEGAL CONCEPTS
Criminal Law
Civil Law
Negligence and Malpractice
Assault and Battery
Invasion of Privacy
False Imprisonment
Defamation of Character
CRIMINAL
Individual who threatens society
Misdemeanors or felonies
Result is punishment of person accused
CIVIL
Precedents and principles
Torts
Intentional and Unintentional
Compensates client, not to punish accused
NEGLIGENCE
When a healthcare professional provides
substandard care.
MALPRACTICE
Result of professional misconduct
Patient must prove:
Tech owed a duty to the patient
Tech didn’t carry out duty
Patient was injured
Patient’s injury was a result of tech’s failure
to carry out the duty
Lack of Communication
Most common cause for malpractice
“A patient fell and was injured in the radiology
department of a hospital. The radiologist’s
defense was that the nurse had not filled out the
requisition adequately; therefore, he had had no
knowledge of the patient’s history of being unable
to walk for 6 months. However, the court held the
Radiologist liable for negligence in not remaining
alert to the reasonable possibility that the patient
might faint and fall.”
Doctrine of Respondeat Superior
Employer will be held liable for an
employee’s negligent act.
– Employer-employee relationship
– Employee must be functioning under the
authority of employer
Master-servant relationship: right to control
employee’s activities, supervise, pay wage,
discharge employee
LEGAL CONCEPTS CONT…
Assault
Battery
Invasion of Privacy
False Imprisonment
Defamation of Character
SAFETY
Emergency Preparedness
Weather Alerts
Bomb Threats
Disaster Plan
Safety Guidelines
Walk, don’t run Use locks and good
Obey warnings body mechanics
Move cautiously Never leave patient
Do not obstruct vision unattended on an x-ray
table
Never use hands to
compress trash Keep floors and
hallways unobstructed
Clean spills quickly
MECHANICAL/ELECTRICAL
SAFETY
Visual Inspection
Medical Device Reporting
Electrical Safety Guidelines
Never attempt repair
Never pull on cords
Do not use multiple adapters or ext cords
Always use 3-pronged plugs
Avoid contact with water; hands dry
Do not use equipment with frayed cords
Keep cords out of doorways and walkways
HAZARDOUS MATERIALS
OSHA Hazardous Communication Rules
Material Safety Data Sheets (MSDS)
PREVENTION OF FALLS
Learn condition of patient
Keep floors clear
Side rails always up
Wheelchairs locked
NEVER leave patient unattended
FIRE SAFETY
Pull alarm closest to you
Remove persons in danger
Turn off equipment and O2
Close all doors and windows
RACE Guidelines
R – Remove and Rescue
A – Alert, activate alarm and announce
C – Contain by closing doors and windows
E - Extinguish
FIRE EXTINGUISHERS
Paper and wood: Soda and acid water
Rubbish or wood: Dry Chemical
Grease or electrical: Carbon Dioxide
Rubbish, wood, grease, anesthetic:
Antifreeze or water
RADIATION SAFETY
ALARA
Time
Distance
Shielding
Hang lead aprons