Answer living will brodnik et al 2012 146147 domain

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Answer Living will (Brodnik et al. 2012, 146–147)
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Domain II 85 Copyright ©2017 by the American Health Information Management Association. All rights reserved. 5. George is an eighty year-old man in relatively good health. However, he sees many of his friends dealing with healthcare issues and how sometimes, families bicker over the healthcare decisions of a loved one who is incapacitated. George would like to be confident that no issues like that would arise in the event of a decline in his mental function so he is going to issue what type of legal document(s) that will be effective in the event he becomes incapacitated?. Answer Advance directives (Brodnik et al. 2012, 145) References Brodnik, M. S., L. A. Rinehart-Thompson, and R. B. Reynolds. 2012. Fundamentals of Law for Health Informatics and Information Management, 2nd ed., revised reprint. Chicago: AHIMA.
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86 Copyright ©2017 by the American Health Information Management Association. All rights reserved. 2.7 Legal health record maintenance Subdomain II.A.3 Apply legal concepts and principles to the practice of HIM Subdomain II.A.2 Analyze legal concepts and principles to the practice of HIM Judge each scenario below to determine if the documentation practice presented would be legally defensible, meaning does it meet regulatory, accreditation, legal, and professional practice standards? Defend your answer. 1. Discharge summary dictated on 11/24/15 for a patient discharged on 9/30/15. Answer No, does not meet Joint Commission accreditation requirements for record completion timeframe. (Brodnik et al. 2012, 209) 2. Process whereby emergency room transcribed reports are considered approved and signed if no corrections are made to the transcription within 48 hours of posting. Answer No, this is considered to be auto-authentication and fails to require the author of the document to verify the entry. This is contrary to Joint Commission standards and possibly federal and state requirements. (Brodnik et al. 2012, 180–181) 3. A faxed order and signature for a patient to receive physical therapy. Answer Yes, unless specifically prohibited by state regulations or organizational policy, a faxed signature is acceptable. The original document with signature should be able to be retrieved from the source if necessary for legal proceedings. (AHIMA 2005) 4. The following order handwritten in pencil: Turn patient every 2 hours to prevent decubitus ulcers. Dr. Timothy Reynolds 12/2/15 11:15 a.m. Answer No, handwritten orders should be made in pen, not pencil. (Brodnik et al. 2012, 177) 5. The correction shown here: Administer two units of fresh frozen plasma . ERROR –wrong blood product TR 12/18/15, 5:27 p.m. Dr. Timothy Reynolds 12/18/15 5:25 p.m. Administer two units of packed red cells. Dr. Timothy Reynolds 12/18/15 5:30 p.m. Answer Yes, the correction is made according to practice standards of drawing a single line through the incorrect information, providing the correction, and signing and dating the entry.
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  • Summer '14
  • Electronic health record, Health Insurance Portability and Accountability Act, American Health Information Management Association

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