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CLINICAL LAB SCIENEC

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ESSENTIALS OF CLINICAL LABORATORY SCIENCE

Basic Rules to Observe for Confidentiality

1. Never discuss the patient or his or her condition with family and friends.

On a practical basis, a medical care worker should not be involved in matters

that are not directly related to the performance of his or her specifically

assigned and reasonable duties for his or her position.

2. Never discuss a patient’s illness in the patient’s presence or with another

worker or family member unless it is within the scope of practice. There is

evidence that patients may hear everything that is said, even when in a comatose

state. At best, the patient may misinterpret what you have to say.

3. Refer questions by the patient regarding his or her disease and treatment to

the physician in charge of the patient’s care. The patient and his or her physician

are the only persons legally and ethically able to divulge information of

any type to another party. A medical laboratory worker should not discuss

test results and the clinical significance of them. The technician or technologist

may tell the patient he or she is collecting blood for tests to assist the

patient’s physician in the diagnosis or treatment of the patient. The laboratory

worker is not aware of the patient’s condition in many instances and

may give innocent but erroneous information that may be misinterpreted.

Standards for Legal and Ethical Issues

Legal and ethical standards are developed to provide safe medical care for the

patient and to protect the caregiver. Ethical or moral activities and laws that

have been developed to govern the legal aspects of care are often the same, and

are inextricable. In fact, this country’s legal system and those of many other

countries evolved from ethics and morals that often were spawned by various

religious groups. The medical worker may be faced almost daily with decisions

to make about what is the morally or legally correct thing to do. Often, there is

an attorney on the hospital board, or an attorney on retainer, to provide input

into questions of legality when policies and procedures are being developed and

implemented. Slight differences between legal and ethical standards are:

Legal standards

Legal standards are developed within the legislative and judicial departments of

our country. If a worker fails to follow the legal standards and does not work

within the scope of practice established for his profession, he may be liable for

legal action against him.

Ethical standards

Ethical standards are based on moral standards and are in some cases based on

religion or customs . Many laws have been traditionally developed based on the

religious practices of various groups of peoples.

Sample Legal and Ethical Questions

Arguments often arise in the discussion of legal and ethical dilemmas by persons

who have an interest, perhaps even emotional or cultural, in a particular issue.

Copyright 2010 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).

Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.

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