- Place The Scenario Number In The Box Under Professional Responsibilities To Which It Corresponds Scenarlo Professional 1 (110.82 KiB) Viewed 51 times
Place the scenario number in the box under professional responsibilities to which it corresponds. Scenarlo Professional responsibilities 1. Dr. Beauregard Blueberry always refers his patients to Dr. Penelope Pineapple, his long competence time friend and colleague. They both went to the same residency. Dr. Pineapple also refers patients to Dr. Blueberry. Both are employed by a private boutique surgery center and receive a year-end bonus based upon volumes and WRVUS. They both report that they recognize It appears improper, so they tell patients alternative referral options. 2. The hospital needs to identify faculty. Dr. Apple has been out of residency 6.5 years and truth telling has not passed his boards. if Dr. Apple doesn't take his board by year 7 post-graduation, he becomes board Ineligible. Most Insurers and the medical staff consider qualified providers to be boarded. The hospital is concerned Dr. Apple may not be a good doctor. 3. Dr. Damson takes care of a patient, and the patient returns a week later with an confidentiality expensive gift of clothing. Dr. Damson accepts the gift. The patient later asks Dr. Damson out on a date. 4. Andy Apricot, RN, is upset because when he calls for a consult, the covering resident appropriate relationships does not come. After repeated calls, Andy calls Professor Plum because the resident is on the call schedule and seems to have abandoned care for a patient. On questioning, the resident reveals that he shouldn't have to provide care for patients who are not compliant 5. As part of a research study, Nct hires a chart auditor, Mrs. Citrus, to collect data from quality of care charts. Because of an extensive hospitalization, the patient's chart is removed by Mrs. Citrus, who plans to abstract the data at her hotel later. Mrs. Citrus, an alcoholic, hides the chart under the bed and goes on a binge. Local law enforcement, after notification by the hotel cleaning crew, returns the chart to the hospital and wants to notify the patient. You are worried about HIPAA. 6. Dr. Quince conducts excisional biopsies for cancer to ascertain nodal Involvement. Just distribution of finite Recent advancements in medicine and practice guidelines increasingly suggest a better resources way to provide care involves sentinel lymph node dissection as a preferred approach...less cutting on the patient. Although Dr. Quince changes practice, several local surgeons continue to do excisional blopsies. How can we Improve the standard of care? 7. Patient Jim Banana presents to the dental dinle with a red swollen gum and pain in his scientific knowledge Jaw. After the oral exam, the dentist recommends an x-ray. Panoramic x-ray reveals a remnant wisdom tooth root. On patient report, Jim states his wisdom teeth were removed and excised as a young adult. Dental hygienist and billing staff want to know what to tell the patient and how to bill. Should we tell Jim? 8. Nurse Avocado uses antibiotic Infused absorbable mesh whenever an Implantable device managing conflict of Is used in a procedure. The mesh is out of stock, but Professor Plum has mesh to use for Interests his research project. Dr. has ordered mesh for his procedure and Nurse Avocado wants to use Professor's Plum's mesh. There just isn't enough mesh to go around! 9. CRNA Patty Pomegranate co-administers an anti-oxidant prior to AAA repair, glven the treatment standing order set for the vascular attending, Dr. Fig. Dr. Fig believes that the anti-oxidant Is a free radical scavenger and may prevent SIRS and Improve patient outcome. At least 4 scientific studies in the literature show no Improvement If the patient gets the anti-oxidant and CRNA Pomegranate can't find its use recommended in any practice guideline. Patty worries that Dr. Fig isn't keeping up with the knowledge in his discipline.