LEGAL ISSUES FOR COMLEX LEVEL
1 EXAM QUESTIONS AND ANSWERS
-Patients1Lhave1Lthe1Lright1Lto1Lrefuse1Llife-
sustaining1Ltreatment1L(including1La1Lfeeding1Ltube)1L
-Like1Lother1Llife-
sustaining1Ltreatments,1Lartificial1Lnutrition1Land1Lhydration1Lcould1Lbe1Lstopped1Llegally
1Land1Lethically1L-1LCruzan1Lvs.1LDirector
Requires,1Lthat1Lat1Ltime1Lof1Ladmission:
1)1LAsk1Lpatients1Lif1Lthey1Lhave1L*Advanced1LDirectives*
2)1LInform1Lpatients1Lof1Ltheir1Lrights1Lto1Laccept1Lor1Lrefuse1Lmedical1Ltreatment1L
3)1LIncorporate1LAdvanced1LDirectives1Linto1Lpatient1Lmedical1Lrecords1L-
1LPatient1LSelf-Determination1LAct
The1LStafford1L*Disaster1LRelief1Land1LEmergency1LAssistance1LAct*
-
Authorizes1Lthe1LPresident1Lto1Lissue1La1Lmajor1Ldisaster1Lor1Lan1Lemergency1Ldeclarati
on1Lin1Lresponse1Lto1Lan1Levent1Lthat1Loverwhelms1Lstate1Lor1Llocal1Lgovernment
-
If1Lenacted,1Lthe1Llocal1Lgovernment1Lcan1Lhave1Laccess1Lto1L*funds1Land1Lservices1Lfr
om1LFEMA*1L-1LThe1LStafford1LAct
Refer1Lthe1Lpatient1Lto1La1Ldifferent1Lcardiothoracic1Lsurgeon1L-
1LA1Lphysician1Lis1Lunwilling1Lto1Lperform1Lheart1Lsurgery1Lon1La1Lpatient1Lwith1LHIV.1L
What1Lis1Lyour1Lnext1Lstep?
Use1L*visual1Laids*
-E.g.1Ldrawings,1Lvideos,1Letc.1L-
1LLow1Llevels1Lof1Lliteracy1Loften1Llead1Lto1L*adverse1Lhealth1Loutcomes*.1LWhat1Lis1Lon
e1Lway1La1Lphysician1Lmay1Lcommunicate1Lto1La1Lpatient1Lwith1Llow1Lliteracy1Llevels?
Report1Lhim1Lto1Lstate1Lmedical1Lboard1Land1Linform1Lchief1Lof1Lstaff,1Letc.1L-
1LA1Lfellow1Lphysician1Lis1Lsmelling1Lof1Lalcohol1Lon1Lthe1Ljob.1LWhat1Ldo1Lyou1Ldo?
Contract1Lb/
t1La1Lphysician1Land1La1LHMO1Lin1Lwhich1La1L*flat1Lfee1Lper1Lpatient*1Lis1Lpaid1Leach1Lm
onth1L-1LCapitation
Reimbursement1Lon1Lthe1Lbasis1Lof1Lexpected1Lcost1Lof1Lthe1Lcourse1Lof1Ltreatment
-
Ex:1L*if1La1Lpatient1Lunderwent1La1Lsurgical1Lprocedure,1Lthe1Lentire1Lteam1Lis1Lcompen
sated1Lwith1La1L"bundled1Lpayment"1Linstead1Lof1Lseparate1Lpayments1Lto1Leach1Lprovi
der*1L-1LBundled1Lpayment
, -Medical1Lrecords1Lare1L*owned1Lby1Lthe1Lprovider1Lthat1Lconstructed1Lthem*
-
However,1L*patients1Lhave1Lthe1Lright1Lto1Lsee1Land1Lget1La1Lcopy1Lof1Lthese1Lrecords*1
L-1LFederal1LPrivacy1LRule
Physician1Lwho1Lconstructed1Lthem1L-1LWho1L*owns*1La1Lpatient's1Lmedical1Lrecords?
Unlawful1Lfor1Lan1Lemployer1Lto1Ldiscriminate1Lbased1Lon1Lgenetic1Linformation1Lor1Lto1
Lrequest1Lgenetic1Linformation1L-
1LGenetic1LInformation1LNondiscrimination1LAct1L(GINA)
Refer1Lthe1Lpatient1Lto1Lanother1Lphysician1Lwho1Lwill1Lperform1Lthe1Labortion1L-
1LA1Lpregnant1Lwoman1Lis1Lwanting1Lto1Lhave1Lan1Labortion.1LHowever,1Las1La1Lphysici
an,1Lyou1Lhave1Lmoral1Lbeliefs1Lthat1Lyou1Lwill1LNOT1Lperform1Lan1Labortion.1LWhat1Lsh
ould1Lyou1Ldo?
Residents1Lwho1Lwant1Lto1Lmoonlight1Lcan,1Land1Lthese1Lhours1L*will1Lcount*1Ltoward1Lt
he1Lmax1Lnumber1Lof1Lweekly1Lhours1L*801Lhours/week*1L-
1LResident1Lmoonlighting1Land1Lduty1Lhours
161Lhour1Lshirt1LMAXIMUM1L-
1LFirst1Lyears1Lresidents1Lcan1Lwork1Lmoonlight1Lshift.1LWhat1Lis1Lthe1LMAX1Lhour1Lshift
1Lhe1Lor1Lshe1Lmay1Lwork?
Physicians1Lare1L*required*1Lto1Lreport1L*ALL1Lmedical1Lerrors*
-Regardless1Lif1Lit1Lcauses1Lharm1Lor1Lnot1L-1LPhysicians1Lreporting1Lmedical1Lerrors
Most1Lstates1L*require*1Lphysicians1Lto1L*alert1Lthe1Llaw1Lenforcement1Lauthorities*1Lof1
LANY1Lviolence-related1Linjuries1L(i.e.1Lstab1Lwound,1Lgunshot1Lwound,1Letc.)1L-
1LPhysician1Lreporting1Lof1L*violence*
Ensures1Lpublic1Laccess1Lto1L*emergency1Lservices1Lregardless1Lof1Lability1Lto1Lpay*1L
-Occurs1Lat1LMedicare-participating1Lhospitals
-
Hospitals1Lrequired1Lto1Lprovide1L*stabilizing1Ltreatment*1Lfor1Lpts1Lin1Lan1Lemergency1L
situation1L
-Ex:1L*active1Llabor,1Lworksite1Linjury*,1Letc.1L-
1LEmergency1LMedical1LTreatment1L&1LLabor1LAct
Intended1Lto1L*protect1Lthose*1Lwho1Lprovide1Lcare1Lto1Lthose1Lwho1Lare1Linjured1Lor1Lw
ho1Lare1Lin1Ldanger1L*from1Llegal1Lliability*1L-1LGood1LSamaritan1LLaws
Provides1La1Lminimum1Llevel1Lof1Llegal1Lliability1Lto1Lthose1Lwho1Lvolunteer1L-
1LVolunteer1LProtection1LAct
1 EXAM QUESTIONS AND ANSWERS
-Patients1Lhave1Lthe1Lright1Lto1Lrefuse1Llife-
sustaining1Ltreatment1L(including1La1Lfeeding1Ltube)1L
-Like1Lother1Llife-
sustaining1Ltreatments,1Lartificial1Lnutrition1Land1Lhydration1Lcould1Lbe1Lstopped1Llegally
1Land1Lethically1L-1LCruzan1Lvs.1LDirector
Requires,1Lthat1Lat1Ltime1Lof1Ladmission:
1)1LAsk1Lpatients1Lif1Lthey1Lhave1L*Advanced1LDirectives*
2)1LInform1Lpatients1Lof1Ltheir1Lrights1Lto1Laccept1Lor1Lrefuse1Lmedical1Ltreatment1L
3)1LIncorporate1LAdvanced1LDirectives1Linto1Lpatient1Lmedical1Lrecords1L-
1LPatient1LSelf-Determination1LAct
The1LStafford1L*Disaster1LRelief1Land1LEmergency1LAssistance1LAct*
-
Authorizes1Lthe1LPresident1Lto1Lissue1La1Lmajor1Ldisaster1Lor1Lan1Lemergency1Ldeclarati
on1Lin1Lresponse1Lto1Lan1Levent1Lthat1Loverwhelms1Lstate1Lor1Llocal1Lgovernment
-
If1Lenacted,1Lthe1Llocal1Lgovernment1Lcan1Lhave1Laccess1Lto1L*funds1Land1Lservices1Lfr
om1LFEMA*1L-1LThe1LStafford1LAct
Refer1Lthe1Lpatient1Lto1La1Ldifferent1Lcardiothoracic1Lsurgeon1L-
1LA1Lphysician1Lis1Lunwilling1Lto1Lperform1Lheart1Lsurgery1Lon1La1Lpatient1Lwith1LHIV.1L
What1Lis1Lyour1Lnext1Lstep?
Use1L*visual1Laids*
-E.g.1Ldrawings,1Lvideos,1Letc.1L-
1LLow1Llevels1Lof1Lliteracy1Loften1Llead1Lto1L*adverse1Lhealth1Loutcomes*.1LWhat1Lis1Lon
e1Lway1La1Lphysician1Lmay1Lcommunicate1Lto1La1Lpatient1Lwith1Llow1Lliteracy1Llevels?
Report1Lhim1Lto1Lstate1Lmedical1Lboard1Land1Linform1Lchief1Lof1Lstaff,1Letc.1L-
1LA1Lfellow1Lphysician1Lis1Lsmelling1Lof1Lalcohol1Lon1Lthe1Ljob.1LWhat1Ldo1Lyou1Ldo?
Contract1Lb/
t1La1Lphysician1Land1La1LHMO1Lin1Lwhich1La1L*flat1Lfee1Lper1Lpatient*1Lis1Lpaid1Leach1Lm
onth1L-1LCapitation
Reimbursement1Lon1Lthe1Lbasis1Lof1Lexpected1Lcost1Lof1Lthe1Lcourse1Lof1Ltreatment
-
Ex:1L*if1La1Lpatient1Lunderwent1La1Lsurgical1Lprocedure,1Lthe1Lentire1Lteam1Lis1Lcompen
sated1Lwith1La1L"bundled1Lpayment"1Linstead1Lof1Lseparate1Lpayments1Lto1Leach1Lprovi
der*1L-1LBundled1Lpayment
, -Medical1Lrecords1Lare1L*owned1Lby1Lthe1Lprovider1Lthat1Lconstructed1Lthem*
-
However,1L*patients1Lhave1Lthe1Lright1Lto1Lsee1Land1Lget1La1Lcopy1Lof1Lthese1Lrecords*1
L-1LFederal1LPrivacy1LRule
Physician1Lwho1Lconstructed1Lthem1L-1LWho1L*owns*1La1Lpatient's1Lmedical1Lrecords?
Unlawful1Lfor1Lan1Lemployer1Lto1Ldiscriminate1Lbased1Lon1Lgenetic1Linformation1Lor1Lto1
Lrequest1Lgenetic1Linformation1L-
1LGenetic1LInformation1LNondiscrimination1LAct1L(GINA)
Refer1Lthe1Lpatient1Lto1Lanother1Lphysician1Lwho1Lwill1Lperform1Lthe1Labortion1L-
1LA1Lpregnant1Lwoman1Lis1Lwanting1Lto1Lhave1Lan1Labortion.1LHowever,1Las1La1Lphysici
an,1Lyou1Lhave1Lmoral1Lbeliefs1Lthat1Lyou1Lwill1LNOT1Lperform1Lan1Labortion.1LWhat1Lsh
ould1Lyou1Ldo?
Residents1Lwho1Lwant1Lto1Lmoonlight1Lcan,1Land1Lthese1Lhours1L*will1Lcount*1Ltoward1Lt
he1Lmax1Lnumber1Lof1Lweekly1Lhours1L*801Lhours/week*1L-
1LResident1Lmoonlighting1Land1Lduty1Lhours
161Lhour1Lshirt1LMAXIMUM1L-
1LFirst1Lyears1Lresidents1Lcan1Lwork1Lmoonlight1Lshift.1LWhat1Lis1Lthe1LMAX1Lhour1Lshift
1Lhe1Lor1Lshe1Lmay1Lwork?
Physicians1Lare1L*required*1Lto1Lreport1L*ALL1Lmedical1Lerrors*
-Regardless1Lif1Lit1Lcauses1Lharm1Lor1Lnot1L-1LPhysicians1Lreporting1Lmedical1Lerrors
Most1Lstates1L*require*1Lphysicians1Lto1L*alert1Lthe1Llaw1Lenforcement1Lauthorities*1Lof1
LANY1Lviolence-related1Linjuries1L(i.e.1Lstab1Lwound,1Lgunshot1Lwound,1Letc.)1L-
1LPhysician1Lreporting1Lof1L*violence*
Ensures1Lpublic1Laccess1Lto1L*emergency1Lservices1Lregardless1Lof1Lability1Lto1Lpay*1L
-Occurs1Lat1LMedicare-participating1Lhospitals
-
Hospitals1Lrequired1Lto1Lprovide1L*stabilizing1Ltreatment*1Lfor1Lpts1Lin1Lan1Lemergency1L
situation1L
-Ex:1L*active1Llabor,1Lworksite1Linjury*,1Letc.1L-
1LEmergency1LMedical1LTreatment1L&1LLabor1LAct
Intended1Lto1L*protect1Lthose*1Lwho1Lprovide1Lcare1Lto1Lthose1Lwho1Lare1Linjured1Lor1Lw
ho1Lare1Lin1Ldanger1L*from1Llegal1Lliability*1L-1LGood1LSamaritan1LLaws
Provides1La1Lminimum1Llevel1Lof1Llegal1Lliability1Lto1Lthose1Lwho1Lvolunteer1L-
1LVolunteer1LProtection1LAct