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Settings for health care delivery institutional sector, community sector
Five levels of health care 1. Health promotion
2. Disease and injury prevention
3. Diagnosis and treatment
4. Rehabilitation
5. Supportive care
sources of revenue 1. Taxation
2. Out of pocket
3. Private health insurance
three levels of care - Primary care: first contact with the healthcare system (GP)
- Secondary care: provision of a specialized medical service (specialist)
- Tertiary care: Specialized and highly technical care (surgery)
,Sources of law - Civil law (Quebec) - based on code
- Common law (Rest of Canada) - based on precedent
- Statute law
• Created by elective legislative bodies (parliament, provincial/territorial legislatures)
• Federal statutes apply throughout the country
Professional Regulation - Provincial/territorial legislation grants authority to a nursing
regulatory body
Tort a civil wrong committed against a person or property
Intentional tort willful acts that violate a person's rights
• Assault (ex. Threatening)
• Battery (ex. Improper use of psychiatric equipment)
• Invasion of privacy
• False imprisonment (ex. Keeping someone captive)
, Steps in admitting to a mistake 1. Inform the physician
2. Inform the patient
3. Incident report
4. Document things as honestly as possible
Consent must include (6) - The nature of the treatment
- The expected benefits of the treatment
- The material risks of the treatment
- The material side effects of the treatment
- Alternative courses of action
- The likely consequences of not having the treatment
Types of consent 1. Expressed
- Directly given, either orally or in writing. It is positive, direct, unequivocal consent, requiring
no interference or implication to supply its meaning
2. Implied
- Occurs often with nursing procedures (we don't ask if we can give them routine medications,
we offer them)