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NOT FOR SALE OR DISTRIBUTION. © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Contents © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Chapter Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Epigraph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 About the Book . . . . . . . . . .Learning, . . . . . . . . . . . .LLC . . . . . . . . . . xii © Jones & Bartlett © Jones & Bartlett Learning, LLC Acknowledgments . . . .OR . . . . DISTRIBUTION . . . . . . . . . . . . . . . . . . . . xiv NOT FOR SALE FOR SALE OR DISTRIBUTION ChapterNOT 3 Tort Law—Negligence. . . . . . . . . . . 41 Learning Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Objectives of Tort Law . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Negligence. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 © Jones & Bartlett Learning Learning, Objectives . . .LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . © . 1Jones & Bartlett Learning, LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Forms of Negligence NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Early Hindu and Egyptian Hospitals. . . . . . . . . . . . . . . . . 2 Degrees of Negligence . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Greek and Roman Hospitals. . . . . . . . . . . . . . . . . . . . . . . . . 2 Elements of Negligence . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Hospitals of the Early Christian Era. . . . . . . . . . . . . . . . . . 3 Summary Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 . . .Jones . . . . . . . . .& . . 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LLC . . . . . . . . . . . . . 6 Hospitals of & theBartlett 18th Century Learning Objectives . . . . . . . . . OR . . . . .DISTRIBUTION . . . . . . . . . . . . . . . . . 60 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE Early Hospitals in the United States . . . . . . . . . . . . . . . . . 6 Assault and Battery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Late 19th Century Renaissance . . . . . . . . . . . . . . . . . . . . . 8 False Imprisonment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62 20th-Century Progress. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Defamation of Character. . . . . . . . . . . . . . . . . . . . . . . . . . . 63 Health Care and Hospitals in the © Jones & Bartlett Learning, LLC © Jones & Bartlett . . . . . . . . . . .Learning, . . . . . . . . . . . . . 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FOR . . . . . . .SALE . . . . . . . .OR . . . . .DISTRIBUTION 75 Review Questions NOT NOT FOR SALE OR DISTRIBUTION Chapter 2 Government, Law, and Ethics . . . . . 19 Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Chapter 1 Hospitals Through the Ages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Learning Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Chapter 5 Tort Reform and Risk Reduction. . . 77 Development of Law . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 © Jones & Bartlett © Objectives Jones &. .Bartlett Learning . . . . . . . . . . Learning, . . . . . . . . . . . . . .LLC . . . . . 77 . . . . . . . . . . .Learning, . . . . . . . . . . . . . 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NOT FOR SALE OR DISTRIBUTION. vi Contents Contingency Fee Limitations. . . . . . . . . . . . . . . . . . . . . . .79 Nonperformance Defenses . . . . . . . . . . . . . . . . . . . . . . . 122 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC . . . . . . . .OR . . . . .DISTRIBUTION . . . . . . . . . . . . . . . . . . . . . . . . . . 123 Countersuits: Frivolous Claims . . . . . . . . . . . . . . . . . . . . . 80 NOT Remedies FOR . .SALE NOT FOR SALE OR DISTRIBUTION Joint and Several Liability. . . . . . . . . . . . . . . . . . . . . . . . . . 81 Employment Contracts. . . . . . . . . . . . . . . . . . . . . . . . . . . 123 Malpractice Caps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Medical Staff Bylaws: A Contract. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128 No-Fault System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 . . . . . . . . . & . . .Bartlett . . . . . 129 Learning, LLC Exclusive Jones. . .& . . 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DISTRIBUTION . 83 Reducing the Risks of Malpractice Hospital Staff Privileges. . . . . . . . . . . . . . . . . . . . . . . . . . . 132 Collaboration in Tort Reform. . . . . . . . . . . . . . . . . . . . . . . 84 Transfer Agreements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134 Chapter Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84 Insurance Contract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC Chapter Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136 Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137 Chapter 6 Criminal Aspects of Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137 Health Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 Chapter 8 Civil Procedure and Objectives . . . . . . . . . LLC . . . . . . . . . . . . . . . . . . . . . . 88 © Jones & Bartlett Learning, LLC © JonesLearning & Bartlett Learning, Trial Practice. . . . . . . . . . . . . . . . . . . . . . . . . . . . 139 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88 NOT FOR SALE OR DISTRIBUTION Criminal Procedure NOT FOR SALE OR DISTRIBUTION Learning Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140 Healthcare Fraud . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91 Pleadings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140 Kickbacks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Discovery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144 Tampering with Drugs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 © Jones & Bartlett Learning,Motions LLC . . . . . . . . . . . . . . . . . . . . . . .© . . Jones . . . . . . . . . & . . .Bartlett . . . . . 145 Learning, LLC Internet Pharmacy and Sale of Drugs . . . . . . . . . . . . . . 98 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Pretrial Conference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147 Falsification of Records. . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 Notice of Trial. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147 Patient Abuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 Memorandum of Law. . . . . . . . . . . . . . . . . . . . . . . . . . . . 147 Criminal Negligence. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 The Courtroom and the Judge. . . . . . . . . . . . . . . . . . . . 147 . . . . . . . .& . . .Bartlett . . . . . . . . . . Learning, . . . . . . . . . . . . . .LLC . . . . 105 Homicide © . .Jones © Jones & Bartlett Learning, LLC . . . . . . FOR . . . . . . . SALE . . . . . . . . OR . . . . . DISTRIBUTION . . . . . . . . . . 147 The Jury. . . . . .NOT . . . . . .SALE . . . . . . . .OR . . . . .DISTRIBUTION . . . . . . . . . . . . . . . . 109 Manslaughter. NOT FOR Subpoenas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148 Rape and Sexual Assault. . . . . . . . . . . . . . . . . . . . . . . . . . 110 Burden of Proof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148 Theft. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Res Ipsa Loquitur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149 Chapter Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114 . . . . . . . . . . . . . LLC . . . . . . . . . . . . . . . 151 Opening&Statements © JonesReview & Bartlett Learning, Bartlett . Learning, . . . . . . . . . . . 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DISTRIBUTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114 NOT Notes Judicial Notice Rule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152 Chapter 7 Contracts and Antitrust. . . . . . . . . 117 Evidence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152 Defenses Against Plaintiff’s Allegations. . . . . . . . . . . . 158 Learning Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC Closing Statements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167 What is a Contract?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Judge’s Charge to the Jury. . . . . . . . . . . . . . . . . . . . . . . . 167 Types of Contracts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 Jury Deliberation and Determination . . . . . . . . . . . . . 169 Elements of a Contract. . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Awarding Damages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169 Breach of Contract. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 . . . 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NOT FOR SALE OR DISTRIBUTION. Contents vii Chapter Learning, 9 CorporateLLC Structure and © Jones & Bartlett Learning, LLC © Jones & Bartlett . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 291 Review Questions 176 Legal Issues. . . . . . . . . . . . . . . . . . . . . . . . . . . . . NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Chapter Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 291 Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 291 Learning Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 Authority of Corporations. . . . . . . . . . . . . . . . . . . . . . . . . 178 Chapter 12 Hospital Departments Corporate Committee Structure . . . . . . . . . . . . . . . . . . 180 . . . . . . . . . . . . . . . . . . 294 © Jones & Bartlett Learning, LLCand Allied Professionals © Jones & Bartlett Learning, LLC Corporate Ethics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Learning Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 295 Corporate Negligence. . . . . . . . . . . . . . . . . . . . . . . . . . . . 183 Paramedics and First Responders . . . . . . . . . . . . . . . . . 295 Doctrine of Respondeat Superior . . . . . . . . . . . . . . . . . 186 Emergency Department. . . . . . . . . . . . . . . . . . . . . . . . . . 299 Governing Body Responsibilities. . . . . . . . . . . . . . . . . . 187 Laboratory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 308 . . . . . . . . . . . 209 Corporate and MergersLLC © JonesReorganization & Bartlett Learning, © Jones & Bartlett Learning, LLC . . . . SALE . . . . . . . . OR . . . . . DISTRIBUTION . . . . . . . . . . . . . . . . 315 MedicalNOT Assistant NOT FOR SALE FOR . . . . . . . .OR . . . . .DISTRIBUTION . . . . . . . . . . . . . . . . . . . . . . 216 Chapter Review Nutritional Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317 Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217 Pharmacy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 318 Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217 Physical Therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 324 © Jones & Bartlett © Jones & Bartlett Learning, . . . . . . . . . . . LLC . . . . . . . . . . . . . . . . . . . . . 326 Physician Assistant Chapter Learning, 10 MedicalLLC Staff Organization NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Radiology and Related Lawsuits. . . . . . . . . . . . . . . . . . 327 and Malpractice . . . . . . . . . . . . . . . . . . . . . . . . . 219 Respiratory Therapist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 329 Learning Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 220 Chiropractor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 331 Medical Staff Organization. . . . . . . . . . . . . . . . . . . . . . . . 220 Dentistry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 331 © Jones & Bartlett Learning, LLC . . .Jones . . . . . . . . .& . . Bartlett . . . . . . . . . . .Learning, . . . . . . . 221 LLC Medical Director. .© Podiatrist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 334 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Medical Staff Privileges . . . . . . . . . . . . . . . . . . . . . . . . . . . 221 Security . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 334 Common Medical Errors. . . . . . . . . . . . . . . . . . . . . . . . . . 224 Licensure and Certification Patient Assessments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225 of Healthcare Professionals . . . . . . . . . . . . . . . . . . . . . 335 Diagnosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231 . . . Learning, . . . . . . . . . . . . . .LLC . . . . 336 Helpful©Advice for Caregivers © Jones & Bartlett Learning, LLC Jones & Bartlett Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241 . . . . . .SALE . . . . . . . . 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Chapter Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 258 Learning Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342 Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259 Information Management . . . . . . . . . . . . . . . . . . . . . . . . 342 Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259 Medical Record Contents. . . . . . . . . . . . . . . . . . . . . . . . . 342 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC . . . . . . . . FOR . . . . . . .SALE . . . . . . . .OR . . . . DISTRIBUTION 343 Documentation of Care NOT NOTand FOR Chapter 11 Nursing theSALE Law. . OR . . . .DISTRIBUTION . . . . 261 Privacy Act of 1974 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 345 Learning Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262 Health Insurance Portability and Scope of Practice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262 Accountability Act. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 345 . . . . . . . . . .Learning, . . . . . . . . . . . . . LLC . . . . . . . . . . . 265 Nurse Licensure © Jones & Bartlett Jones Bartlett Learning, . . . . . . . . . . . . .LLC . . . . 348 Patient© Objects to & Record Entries NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Nursing Careers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 266 Ownership and Release of Medical Records. . . . . . . 348 Advanced Practice Nurses . . . . . . . . . . . . . . . . . . . . . . . . 269 Use of Patient Data Collected. . . . . . . . . . . . . . . . . . . . . 349 Legal Risks of Nurses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 272 Retention of Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 350 Duty to Question Discharge . . . . . . . . . . . . . . . . . . . . . . 289 Electronic Medical Records . . . . . . . . . . . . . . . . . . . . . . . 351 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC Duty to Report Physician Negligence . . . . . . . . . . . . . 289 Legal Proceedings and the Medical Record . . . . . . . 353 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION. viii Contents Falsification of Records. . . . . . . . . . . . . . . . . . . . . . . . . . . . 353 Chapter Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 458 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC . . . . . .DISTRIBUTION . . . . . . . . . . . . . . . . . . . . . . . . . . 459 Illegible Handwriting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 357 NOT Review Questions FOR SALE OR NOT FOR SALE OR DISTRIBUTION Timely Completion of Medical Records . . . . . . . . . . . 358 Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 459 Confidential and Privileged Communications. . . . . 358 Chapter 17 End-of-Life Issues. . . . . . . . . . . . . 461 Charting: Some Helpful Advice . . . . . . . . . . . . . . . . . . . 365 Learning . . . . . . . . . & . . .Bartlett . . . . . 461 Learning, LLC LLC Objectives . . . . . . . . . . .© . . Jones . . .Jones . . . . . . . . .& . . Bartlett . . . . . . . . . . .Learning, . 366 Chapter Review. . . . . . . . . © OR DISTRIBUTION . . . . . . FOR . . . . . . .SALE . . . . . . 462 Patient Autonomy. . . . . . . . . . . . .NOT . . . . . . .FOR . . . . . . SALE . . . . . . . . .OR . . . . DISTRIBUTION 366 Review Questions . . . . . . NOT Constitutional Right to Refuse Care . . . . . . . . . . . . . . . 464 Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 366 Legislative Response. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 465 Chapter 14 Patient Consent, Rights, Defining Death. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 467 © Jones & Bartlett Learning, LLC368 © Jones & Bartlett Learning, LLC and Responsibilities. . . . . . . . . . . . . . . . . . . . . . Futility of Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 468 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Do-Not-Resuscitate Orders. . . . . . . . . . . . . . . . . . . . . . . 468 Learning Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 369 Withholding and Withdrawal of Patient Consent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 369 Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 469 Patient Rights. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 385 . . . . . . . . . . Learning, . . . . . . . . . . . . . LLC . . . . . . . . . . . . . . . 471 Euthanasia . . . . . . LLC . . . . . . . . . . . . . . . . . . . . . 400 © Jones &. .Bartlett Responsibilities © JonesPatient & Bartlett Learning, . . . . . . . . . . . . . . . . . . . . . . . . 475 Physician-Assisted Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 405 NOT Chapter Review NOT FOR SALE OR. . DISTRIBUTION FOR SALE OR DISTRIBUTION Advance Directives. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 479 Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 406 Autopsy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 485 Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 406 Organ Donations and Transplantation . . . . . . . . . . . . 489 Chapter 15 Healthcare Ethics . . . . . . . . . . . . . 408 © Jones & Bartlett Learning, LLC Experimentation, and © Jones & Bartlett Learning, LLC Research, OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION . . . . . . FOR . . . . . . .SALE . . . . . . 491 Clinical Trials. . . . . . . . . . . . . . . . .NOT Learning Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 408 Human Genetics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 495 Ethics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409 Stem Cell Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 496 Morality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410 Chapter Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 497 . . . .& . . .Bartlett . . . . . . . . . . Learning, . . . . . . . . . . . . . .LLC . . . . 410 Ethical © Theories Jones © Jones & Bartlett Learning, LLC Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 498 . . . .DISTRIBUTION . . . . . . . . . . . . . . . . 413 Principles of Healthcare Ethics NOT FOR SALE OR NOT FOR SALE OR DISTRIBUTION Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 498 Values. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417 Pillars of Moral Strength. . . . . . . . . . . . . . . . . . . . . . . . . . 417 Chapter 18 Legal Reporting Religious Ethics and Spirituality. . . . . . . . . . . . . . . . . . . 424 Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . 501 . . . . . . . . . . . . . LLC . . . . . . . . . . . . . . . . . . . . . 427 © Jones & Bartlett Learning, LLC Ethics. . .Learning, © JonesSecular & Bartlett Learning . . . .DISTRIBUTION . . . . . . . . . . . . . . . . . . . . . . . . . . 502 NOT FOR SALE OR DISTRIBUTION FOR Objectives SALE OR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 427 NOT Professional Ethics Abuse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 502 Ethics Committee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 428 Child Abuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 502 Reasoning and Decision Making. . . . . . . . . . . . . . . . . . 433 Senior Abuse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 505 Moral Compass Gone Astray. . . . . . . . . . . . . . . . . . . . . . 434 © Jones & Bartlett Learning,Communicable LLC . . .Jones . . . . . . . . & . . . Bartlett . . . . . 506 Learning, LLC Diseases. . . . . . .© Chapter Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 435 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 507 Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 437 Births and Deaths. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 507 Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 437 Adverse Drug Reactions . . . . . . . . . . . . . . . . . . . . . . . . . . 508 Chapter 16 Procreation and . . . Bartlett . . . . . . . . . . .Learning, . . . . . . . . . . . 508 Physician Competency © Jones & Bartlett Learning, LLC © Jones. . & LLC . . . . . . . . . . . . . . . . . . . . . . . . 438 EthicalNOT Dilemmas . . . . . . .SALE . . . . . . . . OR . . . . . DISTRIBUTION . . . . . . . . . . 510 Incident Reporting FOR SALE OR DISTRIBUTION NOT . FOR Sentinel Events. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 511 Learning Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 439 Look Closer, See ME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 512 Abortion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 439 Chapter Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 513 Sterilization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 450 © JonesArtificial & Bartlett Learning, LLC © Jones & Bartlett . . . . Learning, . . . . . . . . . . . . . LLC . . . . . . . . . . . . . . . 513 Review Questions Insemination . . . . . . . . . . . . . . . . . . . . . . . . . . . . 456 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 513 Surrogacy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 457 © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION. Contents ix Chapter Learning, 19 Labor Relations. . . . . . . . . . . . . . . 515 Chapter 21 Professional © Jones & Bartlett Learning, Liability LLC © Jones & Bartlett LLC 563 Insurance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NOT FOR SALE OR DISTRIBUTION Learning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 516 NOT FOR SALE ORObjectives DISTRIBUTION U.S. Department of Labor. . . . . . . . . . . . . . . . . . . . . . . . . 516 Learning Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 564 Unions and Healthcare Organizations. . . . . . . . . . . . . 516 Insurance Policies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 564 National Labor Relations Act. . . . . . . . . . . . . . . . . . . . . . 517 Insurance Policy Provisions . . . . . . . . . . . . . . . . . . . . . . . 565 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC Norris–LaGuardia Act. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 519 Conditions of Insurance Policies . . . . . . . . . . . . . . . . . . 566 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Labor–Management Reporting and Liability of the Professional. . . . . . . . . . . . . . . . . . . . . . . . 567 Disclosure Act. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 519 Intentional Torts: Coverage Denied . . . . . . . . . . . . . . . 568 Fair Labor Standards Act. . . . . . . . . . . . . . . . . . . . . . . . . . 520 Medical Liability Insurance. . . . . . . . . . . . . . . . . . . . . . . . 569 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 520 Civil Rights Act . . . . . & . . . Bartlett . . . . . . . . . . .Learning, . . . . . . . . . . . . .LLC . . . . 570 Self-Insurance © Jones & Bartlett Learning, LLC © Jones Occupational Safety and Act. . . . . . . . . . . . . . . 520 NOT FOR SALE ORHealth DISTRIBUTION FOR . . . . SALE . . . . . . . . OR . . . . . DISTRIBUTION . . . . . . . . . . . . . . . . 570 TrusteeNOT Coverage Rehabilitation Act. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 523 Mandated Medical Staff Insurance Coverage. . . . . . 570 Family and Medical Leave Act. . . . . . . . . . . . . . . . . . . . . 524 Investigation and Settlement of Claims . . . . . . . . . . . 571 State Labor Laws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 524 Chapter Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 571 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC Workers’ Compensation. . . . . . . . . . . . . . . . . . . . . . . . . . . 525 Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 572 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Labor Rights. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 526 Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 572 Management Rights. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 526 Chapter 22 Managed Care and Affirmative Action Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . 528 . . . . . . . . . . . . . . . . 573 . . . . . .Learning, . . . . . . . 528 LLCNational Health Insurance Patient Rights During Labor Disputes © Jones & Bartlett © Jones & Bartlett Learning, LLC . . . . . . .FOR . . . . . . SALE . . . . . . . . OR . . . . . DISTRIBUTION . . . . . . 528 Injunctions . . . . . . .NOT Learning Objectives . . . . NOT . . . . . . .FOR . . . . . . .SALE . . . . . . . .OR . . . . DISTRIBUTION 574 Administering Collective Bargaining Managed Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 574 Agreement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 528 Models of Managed Care Organizations. . . . . . . . . . . 574 Discrimination in the Workplace . . . . . . . . . . . . . . . . . . 529 Federally Qualified HMO. . . . . . . . . . . . . . . . . . . . . . . . . . 576 © Jones & Bartlett © Jones . . . . . . . . . . . Learning, . . . . . . . . . . . . . LLC . . . . . . . . . . . 534 Chapter Review . . .Bartlett . . . . . . . . . . Learning, . . . . . . . . . . . . . .LLC . . . . 576 State HMO Laws. . . & NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 535 Case Management Firms . . . . . . . . . . . . . . . . . . . . . . . . . 577 Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 535 Third-Party Administrators. . . . . . . . . . . . . . . . . . . . . . . . 577 Utilization Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 577 Liability for Nonparticipating Hospitals. . . . . . . . . . . . 578 Chapter Learning, 20 Employment © Jones & Bartlett LLC at Will, © Jones & Bartlett Learning, LLC Employee Retirement Income Security Act. . . . . . . . 578 Rights, Responsibilities. . . . . . . . . . . . . . . 537 NOT FOR SALE ORand DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Reducing Exposure to Liability. . . . . . . . . . . . . . . . . . . . 579 Learning Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 537 Health Care Quality Improvement Act of 1986 . . . . 579 Employment at Will. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 538 Ethics in Patient Referral Act (1989) . . . . . . . . . . . . . . . 579 Public Policy Issues and Termination . . . . . . . . . . . . . . 539 © Jones & Bartlett Learning, LLCManaged Care and Legal©Actions Jones LLC . . . & . . .Bartlett . . . . . . . . . . Learning, . 580 Termination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 541 NOT FOR SALE OR DISTRIBUTION . . . . . . FOR . . . . . . .SALE . . . . . . . .OR . . . . DISTRIBUTION 581 Price Fixing. . . . . . . . . . . . . .NOT Unemployment Compensation. . . . . . . . . . . . . . . . . . . 544 Market Power. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 582 Wrongful Discharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 545 National Health Insurance . . . . . . . . . . . . . . . . . . . . . . . . 583 Defending a Claim for Unfair Discharge. . . . . . . . . . . 549 Veterans Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 587 . . . . . . . . . . . . . LLC . . . . . . . . . . . 550 Fairness: The&Ultimate TestLearning, © Jones Bartlett © Jones & Bartlett Learning, LLC Chapter Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 588 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Effective Hiring Practices. . . . . . . . . . . . . . . . . . . . . . . . . . 551 Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 589 Employee Rights. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 552 Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 589 Employee Responsibilities . . . . . . . . . . . . . . . . . . . . . . . . 556 The Caregiver’s Pledge. . . . . . . . . . . . . . . . . . . . . . . . . . . . 560 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, Author’s Afterword . . . . . . . . . .LLC . . . . . . . . . . . . . . . . . . 591 Chapter Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 560 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Glossary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 601 Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 561 Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 607 Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 561 © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION. © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Epigraph © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION I consider ethics, as well as religion, as supplements to law in the government of man. —Thomas Jefferson, President of the United States (1743–1826) © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION In law a man is guilty when he violates the rights of ­others. In ethics he is guilty if he only thinks of doing so. —Immanuel Kant, Philosopher (1724−1804) © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION It is curious—curious that physical courage should be so common in the world, and moral courage so rare. —Mark Twain, American Author, Humorist (1835−1910) © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION In civilized life, law floats in a sea of ethics. —Earl Warren, Chief Justice of the United States (1891–1974) © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC Books are the carriers of civilization. Without books, hisHow far you go in life depends on your being tender with NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION tory is silent, literature dumb, science crippled, thought the young, compassionate with the aged, sympathetic and speculation at a standstill. I think that there is nothing, not with the striving, and tolerant of the weak and the strong— even crime, more opposed to poetry, to philosophy, ay, to life because someday you will have been all of these. itself than this incessant business. —George Washington Carver, American Inventor —Henry David Thoreau, Author, Poet, © Jones & Bartlett Learning, LLC © Jones &(1864–1943) Bartlett Learning, LLC Philosopher (1817–1862) NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION x © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION. © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Preface © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION He has achieved success who has lived well, laughed ofan atmosphere of interest and participation, which is ten and loved much; who has gained the respect of intelconducive to learning. ligent men and the love of little children; who has filled his niche Although the court cases relating examples of and accomplished his task; who has left the world better than malpractice are often mirror images of the failures © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC of he found it, whether by an improved poppy, a perfect poem, or medicine, this Thirteenth Edition provides a compreSALE NOT FOR SALE OR DISTRIBUTION aNOT rescuedFOR soul; who has OR neverDISTRIBUTION lacked appreciation of earth’s hensive resource from which the reader will learn how beauty or failed to express it; who has always looked for the best the law, ethics, and medicine intertwine. The contents in others and given them the best he had; whose life was an of this book serve as a reminder to its readers of the inspiration; whose memory a benediction. need to learn from the mistakes and tragedies experi—Bessie Stanley © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION L enced by others to avoid repeating them. The legal cas- NOT FOR SALE OR headlines DISTRIBUTION es and resulting should stand as a reminder egal Aspects of Health Care ­Administration, of the responsibility that caregivers bear to the profes­Thirteenth Edition, as with the previous sion they have chosen. 12 ­editions, continues to be the most compreWith revised estimates that as many as 400,000 hensive and engaging book encompassing both the patients die each year © as Jones a result & of Bartlett medical errors, Jones & Bartlett Learning, LLC Learning, LLC legal and ethical © issues of healthcare administration. a ­ ccording to a September 2013 study reported inDISTRIBUTION the NOT FOR SALE OR NOT FOR SALE OR DISTRIBUTION The Thirteenth Edition continues its tradition of proJournal of Patient Safety, it is mandatory that caregivers be viding a solid foundation in a wide range of current ever mindful of the nature of the life-and-death settings healthcare topics in an understandable format that within which they work. At the time of this writing the carefully guides the reader through the complex maze headlines continue to repeat themselves. For example, of and ethics, as wellLearning, as an overview © law Jones & Bartlett LLCof practical © Jones & Bartlett LLC on December 4, 2014, an OregonLearning, hospital’s medication ways improve quality safety in the delivery of NOTtoFOR SALE ORand DISTRIBUTION NOT FOR SALE OR DISTRIBUTION error led to the death of a 65-year-old patient. This error patient care. As in previous editions, the Thirteenth resulted in three employees being placed on administraEdition serves as a valuable tool for both undergradtive leave. The knowledge gained here will help prevent uate and graduate programs. Additionally, as has been caregivers from becoming the next headline. well recognized by practicing healthcare profession­als, will always be a “next time” for © Jones & Bartlett Learning, © Jones &Although Bartlett there Learning, LLC Legal Aspects of HealthLLC Care Administration con­tinues human error, the reader who grasps the contents NOT FOR SALE DISTRIBUTION NOT FOR SALE OR DISTRIBUTION to beOR a valuable reference tool in their day-to-day in this book and understands its lessons will better work activities. understand how failures can turn to success and the The author infuses life into the educational propain of past mistakes can turn to hope. The applicacess through legal case studies that have been litigated tion of the knowledge gained from this book and in in the courtroom©orJones reported the press, as well as LLCthe classroom learning © & in Bartlett Learning, Jones Bartlett Learning, LLC process will&serve to improve real-world healthcare events through “reality checks” the competency of the reader and the quality of life NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION experienced by patients and healthcare professionals. for the patient through an educational process that The author’s approach inspires dynamic discussion will help prevent further injury in the healing process. and excitement in the learning process, thus creating © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION xi © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION. © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION About the Book © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Legal Aspects of Health Care Administration, ­Thirteenth ­applicable News Clippings, provider and ­organizational ­experiences through Reality Checks, and patient expeEdition, lays a strong foundation in both health law riences through legal rulings and summaries through and ethics. Chapter 1 begins with a review of hospitals Case Law. When reviewing the various cases, the through©the ages, providing the reader with an overJones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC r ­ eader should consider both the ethical and legal view ofNOT the historical development of hospitals as influFOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION implications of a dilemma and how they intertwine enced by medical progress. This allows the reader to with one another. It is important to recognize that see the successes and failures of hospitals through the the decisions in the cases described are generally govcenturies and how history has a way of repeating itself, erned both by applicable state and federal statutes and thus creating a need to learn from past mistakes in © Jonesorder & Bartlett Learning, LLC © Jones Bartlett Learning, LLC a case, the common&law principles. When reviewing to prevent repeating them. Chapter 2 continues NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION reader must keep in mind that the case law and statwith an introduction to government, law, and ethics. utes of one state are not binding in another state. Chapters 3 and 4 introduce the reader to negliThere is no one magical legal or ethics book that gence and intentional torts. Chapter 5 discusses tort can possibly compress into its pages the plethora of reform and risk reduction, thus reducing the costs of healthcare industry. Learning, LLC health care. Chapter 6 ©reviews the criminal aspects Jones & Bartlett Learning,issues LLCthat have bombarded the © Jones & Bartlett This book is merely a beginning of the study of legal of health care, and Chapter 7 reviews the basics of NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION and ethical issues and is an adventure that all caregivcontract law as it pertains to healthcare professioners should take. Although there is always much more als. The reader is then introduced to civil procedure that could be discussed on any one topic, the reader and trial practice in Chapter 8. The reader’s journey will understand that this book provides a solid founcontinues with a discussion of corporate structure and Jones Learning, © Jones & Bartlett LLC dation for practical everyday use as Learning, well as further related© legal issues&inBartlett Chapter 9. A review ofLLC medical NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION study in the law and ethics. staff organization and physician liability is covered in Chapter 10, followed by nursing and the law and common nursing practice errors in Chapter 11. ChapEach life is like a novel. Filled with moments of happiness, ter 12 reviews the legal risks of various other hospital sadness, crisis, defeat, and triumph. When the last page has been written, will you be happy or saddened by what you departments and healthcare professions. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC read? Information management and patient records are NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION reviewed in Chapter 13. Issues related to patient consent, —Author Unknown rights, and responsibilities are reviewed in ­Chapter 14, The Thirteenth Edition presents real-world life followed by a discussion of ethical theories, ­principles, experiences that bring the reader through a journey virtues, and values. Chapter 15 concentrates on © Jones & Bartlett © Jones & Bartlett ofLLC learning that provides an effective transitional stage Learning, LLC ­healthcare ethics, theories, principles, and values.Learning, This from the classroom to the reality of the everyday work review is followed by procreation and ethical dilemmas NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION environment. When considering matters of law and in ­Chapter 16, and end-of life issues in Chapter 17. ethics, healthcare professionals are usually considerLegal reporting requirements are discussed in ing matters of freedom in regard to personal choices, Chapter 18. Labor relations and employment-at-will, one’s obligations to other sentient beings, or judgemployee rights, and employee responsibilities are © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC ments about human character and the right to choose. reviewed in Chapters 19 and 20, respectively. An overNOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION The author’s objective is to equip the reader with the view of professional liability insurance, managed care, background knowledge necessary to understand that and national health insurance is provided in Chapters legal and ethical behavior begins with recognizing 21 and 22. that we have alternatives and choices in our behavior. The practical application of the law and ethics © Jonesin&the Bartlett Learning, Bartlett Learning, LLC must first To make&good decisions, each individual healthcare setting isLLC accomplished by inter- © Jones understand that those will only be as good as spersing theOR thoughts of great minds through Quotes, NOT NOT FOR SALE DISTRIBUTION FOR SALE ORdecisions DISTRIBUTION xii © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION. About the Book IT’S YOUR GAVEL . . . © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION xiii and the year in which the case was decided. For © Jones & Bartlett Learning, LLC ­example, the case citation of Bouvia v. Superior Court NOT FOR SALE OR DISTRIBUTION 225 Cal. Rptr. 297 (Cal. Ct. App. 1986) is (­Glenchur), described as follows: “It’s Your Gavel” boxes offer the reader an opportunity to make their own decisions about actual court ■■ Bouvia v. Superior Court (Glenchur): Identifies the cases. Many chapters begin with a case that has been basic parties involved in the lawsuit reviewed by the © courts in state federal jurisdictions. Jones &orBartlett Learning, LLC■■ 225 Cal. Rptr. 297:©Identifies Jones &theBartlett LLC case as Learning, being After reviewing each case and subsequent FOR SALE OR DISTRIBUTION NOT FOR SALE ORrelevant DISTRIBUTION reported in volume NOT 225 of the California Reporter material, readers can take on the role of the fact on page 297 finder and render a decision. Then, at the end of the ■■ Cal. Ct. App. 1986: Identifies the case as being respective chapters, the actual court findings and ­decided in the California Court of Appeals in 1986 reasoning for each case are given in “The Court’s Decision” box. © Jones & Bartlett Learning, LLC © who Jones LLC Students wish&toBartlett research Learning, a specific case should NOT FOR SALE OR DISTRIBUTION NOT FOR SALE ORprovides DISTRIBUTION visit a law school library, which access to various state and regional reporters. Facts: A review of the material facts of the case is the knowledge and understanding he or she possesses presented. of right and wrong. This book is not an indictment ThisLearning, is the disputed point or question the © Jones & Bartlett Learning, LLC © Jones &Issues: Bartlett LLC of any profession or organization. There is a deluge judge or jury must decide. The issues of ethical in every aspect of human existence. NOT FOR SALE OR issues DISTRIBUTION NOT FOR SALE OR DISTRIBUTION discussed in any given case are selected for review based on medical ­Although cultural differences, politics, and religion and legal pertinence to the healthcare professional. influence who we are, it is all of life’s experiences that Although any one case in this text may have multiple affect who we become. issues, emphasis is placed on those issues considered © Jones & Bartlett Learning, LLCto be more relevant for the © Jones Bartlett Learning, LLC reader in&the context of the NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION topic being discussed. ▸▸ Holding: The court’s ruling based on the facts, When reviewing the various cases in this book, the ­issues, and applicable laws pertaining to a case is ­summarized. reader should consider what happened, why things Reason: The & rationale forLearning, the court’s LLC decision went wrong,&what the relevant legal LLC issues are, and © Jones Bartlett Learning, © Jones Bartlett based on the facts, issues, and relevant laws surroundhow the event could have been prevented. The reader NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION ing a case is presented. should also consider how, if one fact in a particular Author’s Note: This book is not a definitive treatise, case changed, the outcome might have been different. but rather a portrait of the ever-evolving story of health What would that fact be? The cases presented in the care through the study of law and ethics. It is educational text have been chosen because of the frequency of in & nature and should not be considered a substitute for their occurrence. TheLLC general format for each boxed © Jones & Bartlett Learning, © Jones Bartlett Learning, LLC legal advice on any particular issue. Moreover, each case review is as follows: NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION e ­ xhaustive chapter presents an overview, rather than an Title: Each case has a title that signals the type of treatment, of the various topics discussed. case to be reviewed. The author, legal reviewers, and/or the publisher Case Citation: The case citation describes where cannot be responsible for any errors or omissions, a court’s opinion in a particular case can be located. © Jones & Bartlett Learning, LLCincluding additions to,© Jones & Bartlett Learning, LLC interpretations of, and/or It identifies the parties in the case, the text in which NOT FORinSALE OR DISTRIBUTION NOT the FOR SALE ORtheDISTRIBUTION ­opinion, changes in the regulations presented this book. the case can be found, court writing Case Presentation Format © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION. © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Acknowledgments © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION The author especially acknowledges the staff at surveyed, and provided education over many years. Jones & Bartlett Learning, whose guidance and assisTheir shared experiences have served to remind me of tance was so important in making this Thirteenth Edithe importance of making this book more valuable in tion a reality. Special thanks to Mike Brown, Director the classroom©and as a reference for practicing health© Jones & Bartlett Learning, LLC Jones & Bartlett Learning, LLC of Product Management at Jones & Bartlett Learning, care professionals. NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION who has once again been truly an amazing leader To my students in healthcare law and ethics ­classes at the New School for Social Research, Molloy and mentor. I would like to thank Danielle Bessette, College, Long Island University–C.W. Post Campus, Product Specialist, who worked diligently and tireSaint Francis College, and Saint Joseph’s College; my lessly with me on this Thirteenth Edition. I would also © Jonesespecially & Bartlett Learning, LLC © Jones & Bartlett Learning, intern from Brown University; my LLC resident in hospital like to acknowledge Sophie Teague, Senior NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION administration from The George Washington UniverMarketing Manager, Brooke Haley, Production Assissity; and those I have instructed through the years at tant, and Merideth Tumasz, Rights & Media Specialvarious seminars, I will always be indebted for your ist, who worked with me on the Thirteenth Edition. inspiration. Thank you for allowing me to leave behind this legacy ­special Learning, LLC Many thanks are also extended to all of of writing. © Jones & Bartlett Learning, LLC © Jones & the Bartlett people at the National Library of Medicine and I am grateful to the very special people in the NOT FOR SALE the OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Library of Congress for their guidance over the years more than 1,000 hospitals and ambulatory sites from in locating research materials. Alaska to Puerto Rico with whom I have consulted, © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION xiv © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION.
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